Non-motor Symptoms, Balance, Muscle Strength, and Functional Mobility in Patients With Parkinson's Disease

Completed

• Conditions: Muscle Strength; Non-motor Symptoms; Balance; Mobility; Parkinson Disease
• Interventions: Other: Non-Motor Symptoms; Other: Balance; Other: Lower Limb Strength; Other: Functional mobility

• Registration Number: NCT04420910
• Lead Sponsor: Ankara Yildirim Beyazıt University

Brief Summary

The purposes of this study is to examine balance, muscle strength, and mobility in relation with non-motor symptoms (NMSs) in patients with Parkinsosn's Disease (PD).

NMSs have been shown to be the key determinant of health-related quality of life (HRQoL) and have a greater effect on HRQoL compared to motor symptoms.Despite a growing literature on NMSs, there are few data on the association between NMSs and motor phenotypes of PD, and they have usually focused only on specific domains of NMSs, such as cognition, mood/anxiety issues, or sleep disorders.

When literature is examined, there is no study which examines balance, muscle strength, and mobility in relation with NMSs in patients with PD.For all these reasons, we think that balance, muscle strength, mobility, and NMSs in patients with PD are worse than those of the healthy individuals and that there is a relationship between NMSs and motor symptoms.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-04-15
• Primary Completion: 2019-08-15
• Study Completion: 2019-09-15
• Status Verified: 2020-06
• Study First Submitted: 2020-06-04
• Study First Submitted QC: 2020-06-04
• Last Update Submitted: 2020-06-04
• Study First Posted: 2020-06-09
• Last Update Posted: 2020-06-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• being diagnosed with PD by a neurologist, being in Hoehn & Yahr Stage 1-3, having no musculoskeletal system problems in the previous 6 months, having a score of 24 or more in the Mini-Mental State Examination (MMSE), and being volunteer.

Exclusion Criteria

• Healthy individuals of similar age and sex, without neurological problems, and who did not experience any musculoskeletal system problems in the previous 6 months were included in the control group.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Healthy group	Non-Motor Symptoms	20 healthy volunteers with matching ages and genders.
Parkinson's disease group	Lower Limb Strength	being diagnosed with PD by a neurologist, being in Hoehn \& Yahr Stage 1-3
Parkinson's disease group	Non-Motor Symptoms	being diagnosed with PD by a neurologist, being in Hoehn \& Yahr Stage 1-3
Parkinson's disease group	Balance	being diagnosed with PD by a neurologist, being in Hoehn \& Yahr Stage 1-3
Parkinson's disease group	Functional mobility	being diagnosed with PD by a neurologist, being in Hoehn \& Yahr Stage 1-3
Healthy group	Balance	20 healthy volunteers with matching ages and genders.
Healthy group	Functional mobility	20 healthy volunteers with matching ages and genders.
Healthy group	Lower Limb Strength	20 healthy volunteers with matching ages and genders.

Primary Outcome Measures

Name	Time	Method
Balance	one hour	To measure balance, the Biodex Balance System (Biodex Medical Systems, Shirley, NY, USA) was used.The test consisted of three 20 s trials, each separated by 10 s breaks. Measurements were conducted while their eyes were open and close, and the results were analyzed by calculating the average value of the measurements. As a result, overall stability and anteroposterior and mediolateral indexes were taken into account, and low values indicate high postural stability.
Non-Motor Symptoms	one hour	Non-motor symptoms of the participants were evaluated using the Non-Motor Symptoms Scale (NMSS).Each item of the scale is scored between 0 and 30, with "yes" 1 point and "no" 0 point. According to the scoring result, "0" indicates no NMSs, "1-5" indicates mild NMSs, "6-9" indicates medium NMSs, "10-13" indicates heavy NMSs, and "≥14" indicates very heavy NMSs.
Functional mobility	one hour	The Timed Up and Go test (TUG) was used in the evaluation of functional mobility. Dual task performance was performed by adding cognitive and motor tasks into the TUG.. As the time increases, dual task performance decreases.
Lower limb strength	one hour	A Biodex® System 4 Dynamometer device was used to evaluate muscle strength.Maximal concentric knee flexion and extension muscle strength was measured at 90 degrees/sec angular velocity with 5 repetition \[19\]. The flexion and extension peak torque (PT) values, peak torque/body weight (PT/BW) ratio, and hamstring/quadriceps (H/Q) ratio were recorded. Low values indicate decreased muscle strength.

Trial Locations

Locations (1)

Ankara Yıldırım Beyazıt University, Faculty of Health Sciences,Department of Physiotherapy and Rehabilitation; 🇹🇷 Ankara, Esenboğa, Turkey