The Acute Effect of Cervical Mobilization on Balance and Gait in Patients With Idiopathic Parkinson's Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 33
- 试验地点
- 2
- 主要终点
- Dynamic Gait Index
研究概览
简要总结
Patients with Idiopathic Parkinson's disease have balance and gait problems due to sensory and motor impairments. In the literature, there are lots of studies including various approaches for rehabilitation of these parameters such as sensory interventions, conservative treatments, neurophysiological approaches and motor imagery. However, taking into account of literature, there is no study investigating the effects on balance and gait of cervical mobilization by stimulating proprioceptors and vestibular receptors. Therefore, the aim of this study is to investigate the acute effect of cervical mobilization on balance and gait in patients with idiopathic Parkinson's disease.
详细描述
Patients with Idiopathic Parkinson's disease have balance and gait problems due to sensory and motor impairments. In the literature, there are lots of studies including various approaches for rehabilitation of these parameters such as sensory interventions, conservative treatments, neurophysiological approaches and motor imagery. The posture of the cervical region is impaired by the findings of the disease such as rigidity, flexor posture and loss of axial rotation. Considering that the cervical region is rich in proprioceptors and one of the key points for the vestibular system, interventions to this area can be thought to contribute to postural control and gait. However, taking into account of literature, there is no study investigating the effects on balance and gait of cervical mobilization by stimulating proprioceptors and vestibular receptors. Therefore, the aim of this study is to investigate the acute effect of cervical mobilization on balance and gait in patients with idiopathic Parkinson's disease.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having been diagnosed with Idiopathic Parkinson's disease
- •Being between the ages of 50-80
- •Patients scoring >24 on Standardized Mini Mental State Examination
- •Modified Hoehn and Yahr stage 2-3
- •No medication or dose changes during treatment
- •Not participating in the physiotherapy and rehabilitation program in the last 6 months
- •Volunteering to participate in the study
排除标准
- •Vertebrobasilar insufficiency
- •Other neurological diseases
- •Postural hypotension, visual problems (which can not be compensated with the correct lens) or vestibular disorders that may affect balance
- •Cardiopulmonary diseases that may affect gait
- •Orthopedic problems (such as fracture, osteomyelitis, severe osteoporosis), advanced inflammatory arthritis, knee prothesis
- •Uncontrolled dyskinesia or motor fluctuation
- •Excessive use of alcohol or substance abuse
- •Anticoagulant therapy, blood clotting diseases
- •Long-term use of corticosteroids
结局指标
主要结局
Dynamic Gait Index
时间窗: Baseline and immediately after cervical mobilization
It is a measurement tool that can be used to assess dynamic balance, gait, and risk for falls. Balance and walking pattern changes are scored during tasks such as changing gait speed, gait with vertical and horizontal head turns, pivot turn, step over obstacle, step around obstacles and climbing stairs. A four-point ordinal scale, ranging from 0-3. "0" indicates the lowest level of function and "3" the highest level of function.Total score is 24 for this scale.
Static Posturography Assesment (NeuroCom® Balance Master® Systems)
时间窗: Baseline and immediately after cervical mobilization
Posturography measures postural stability statically and dynamically. Device has lots of test parameters such as Modified Clinical Test of Sensory Integration on Balance Test, limits of stability, rhythmic weight shift, weight bearing squat, unilateral stance, sit to stand, walk across, tandem walk, step/quick turn, step up/over and forward lunge. In addition to assesment, exercise training can also be given by posturography.
次要结局
- Tandem Stance Balance Test(Baseline and immediately after cervical mobilization)
- Clinical Test of Sensory Integration on Balance(Baseline and immediately after cervical mobilization)
- Functional Reach Test(Baseline and immediately after cervical mobilization)
研究者
ayla fil balkan
Assoc. Prof.
Hacettepe University