Effects of Sensory Integration Training on Balance and Confidence in Patients With Parkinson's Disease
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Parkinson Disease
- Sponsor
- University of Lahore
- Enrollment
- 46
- Locations
- 2
- Primary Endpoint
- Activities-specific Balance Confidence Scale (ABC):
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The Objective of this research was to study the effectiveness of sensory integration training on balance and confidence in patients with Parkinson's disease.
Null Hypothesis:
Sensory integration training and conventional balance training have no significant difference in improving balance and confidence of patients with Parkinson's disease.
Alternative Hypothesis:
Sensory integration training and conventional balance training have a significant difference in improving balance and confidence in patients with Parkinson's disease.
Detailed Description
The study design will be randomized controlled clinical trial. Patients who fulfill the inclusion criteria will be identified by individual physiotherapist and will be enrolled for particular study. A sample size of 46 patients will be taken in this study by expecting a mean change 10.42 using 80% power of study and 95% level of significance and 20% dropout will also be included. So each group contains 23 participants. The study will be single blinded. The outcome assessor will be unaware of the treatment given to both groups. Sample will be collected through simple random sampling technique, and randomization sequencing will be generated with help of lottery. After selection the sample patients will be divided into two groups, allocation concealment will be ensured by using sealed envelopes. Group A will be given conventional balance training along with routine physical therapy without sensory integration and Group B will be given sensory integration physical therapy along with routine physical therapy. Group A will be called control group and Group B will be called experimental group. Every patient has to pick up an envelope which will be placed in patient's file which later will be opened by the researcher who will provide patient treatment accordingly.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male and female patients diagnosed by a neurologist with Parkinson's disease.
- •Patients having BBS score between 21-40
- •At least 6 months post neurological Sensory/Motor deficit patient.
- •Age between 30 -65 years.
- •Ability to maintain standing position without aids for at least 5 minutes.
- •Normal vision
- •No severe systemic disorders
- •An ability to understand and perform the test
Exclusion Criteria
- •Patients with other existing neuromuscular disorders or medical conditions that substantially influences their gait and balance performance
- •Neuropathy patients
- •Vestibular disorders, paroxysmal vertigo.
- •Presence of orthopedic conditions involving the lower limbs.
- •Patients with psychiatric disorders.
- •Pregnant patients.
Outcomes
Primary Outcomes
Activities-specific Balance Confidence Scale (ABC):
Time Frame: the change in the ability to balance in individual at baseline, 6th and 12th week
This validated and reliable self-reported measure evaluates the patient's perceived level of balance confidence in performing various ambulatory activities without falling or experiencing a sense of instability. The overall score is calculated by adding the item scores and then dividing by the total number of items (score range, 0-100 points per activity; higher=more confident.
Berg Balance Scale (BBS):
Time Frame: the change in the ability to balance in individual at baseline, 6th and 12th week
The BBS is a 14-item validated scale that assesses static and dynamic Balance disorders in individuals with Parkinson's disease (score range, 0-56; higher=better performance). The items explore the ability to sit, stand, lean, turn, and maintain the upright position on one leg. Performance of these tasks depends on central integration processes to select specific response strategies which, in turn, depend on the characteristics of external postural displacement and goals