Core Stability and Parkinson Disease

Not Applicable

Completed

• Conditions: Parkinson Disease
• Interventions: Other: Standard intervention; Other: Core stability

• Registration Number: NCT03580096
• Lead Sponsor: Universidad de Granada

Brief Summary

Patients with Parkinson's Disease frequently present impaired postural control that leads to loss of stability and increased risk of falls.Core system, includes passive structures of the thoracolumbar spine and pelvis that work as a unit to stabilize the body and spine against forces generated from distal body segments as well as forces generated from expected or unexpected perturbations.The objective of this study was to evaluate the effects of an intervention based on core stability in patients with Parkinson's Disease.

Detailed Description

Core muscle coordination is important because lack of sufficient core muscle coordination can lead to decreased efficiency of postural control and functional activity. Clinical manifestations of patients with Parkinson's Disease include postural instability. Core system could be relevant to be included in an intervention. Thus, the objective of this study was to evaluate the effects of an intervention based on core stability in patients with Parkinson's Disease.

Study Timeline

• Study First Submitted: 2018-06-15
• Study First Submitted QC: 2018-07-05
• Study Start: 2018-07-08
• Study First Posted: 2018-07-09
• Primary Completion: 2018-09-20
• Study Completion: 2018-11-04
• Status Verified: 2019-09
• Last Update Submitted: 2019-09-01
• Last Update Posted: 2019-09-04

Recruitment & Eligibility

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

Inclusion Criteria

• Parkinson's Disease diagnosis.
• Stable medication usage
• Able to maintain standing independent

Exclusion Criteria

• Cognitive impairment
• Comprehension deficits that prevented them from following verbal commands

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group	Standard intervention	Standard intervention consisting of exercises aimed at improving balance.
Experimental group	Core stability	Patients were included in a core stability intervention. It will be done with different stages and increasing gradually.

Primary Outcome Measures

Name	Time	Method
Change in dynamic balance	Change from baseline dynamic balance at 8 weeks	Dynamic balance is going to be assessed with the Mini-Balance Evaluation System Test. It was developed to identify the postural control systems that underly poor functional balance. It contains four subscales: anticipatory postural control, reactive postural control, sensory orientation and stability in gait. It includes 14 items scored on a 3 level ordinal scale. The maximum total score is 28 points with higher scores indicating better balance.

Secondary Outcome Measures

Name	Time	Method
Balance confidence	Baseline, 8 weeks	The perceived level of balance confidence is going to be assessed using the Activities-Specific Balance Confidence Scale (ABC). There are 16 items, representing daily activities. Participants are asked to answer, with a score from 0% (not confident at all) to 100% (completely confident) in increments of 10%. A score lower than 67% suggests substantial risk of falling.
Static balance	Baseline, 8 weeks	Static balance is going to be assessed using the Wii Balance Board.The 4 sensors in the balance board can sense weight changes and show the distribution of body weight. It will be assessed standing balance with eyes opened and closed, and standing over a foam with eyes opened and closed. Higher time in a stable position indicates greater static balance.

Trial Locations

Locations (1)

Department of Physical Therapy; 🇪🇸 Granada, Spain