Investigation of the Effects of Pilates Training in Parkinson Patients

NCT ID: NCT04928833

Last Updated: 2021-06-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-01

Study Completion Date

2020-05-01

Brief Summary

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This study was planned to examine the effects of Pilates training in Parkinson's Patients. The study included 34 Parkinson's patients between Hoehn \& Yahr Stage 1-2.5. Pilates training was applied to the Pilates group for 8 weeks, 3 days per week. To the control group; Breathing exercises, active range of motion exercises and relaxation exercises were given as a home program 3 days per week for 8 weeks. It was concluded that Pilates training performed to Parkinson's patients 3 times a week for 8 weeks was effective on "core" stability, thickness of "core" muscles, functional exercise capacity, motor functions, freezing, fatigue and QOL.

Detailed Description

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This study was planned to examine the effects of Pilates training, which is a "core" stability based exercise method that improves body alignment, postural control and balance, on "core" stability, the thickness of the "core" muscles, functional exercise capacity, motor functions, freezing, fatigue and daily life activities (ADLs) in Parkinson's Patients. The study included 34 Parkinson's patients between Hoehn \& Yahr Stage 1-2.5. The patients were randomly divided into two groups as as Pilates (n: 17) and control (n: 17). Pilates training was applied to the Pilates group for 8 weeks, 3 days per week. To the control group; Breathing exercises, active range of motion exercises and relaxation exercises were given as a home program 3 days per week for 8 weeks. The "core" power with the "sit-ups" and the modified "push-ups" tests, the "core" endurans with lateral bridge, trunk flexor endurance and "prone bridge" tests, the thickness of the "core" muscles by ultrasonography, functional strength of the lower limbs with 5 Times Sit Up Test (5TSST), balance with the Berg Balance Scale (BBS), functional mobility; with the Timed Up and Go Test (TUG), functional exercise capacity and walking with the 6-Minute Walk Test (6-MWT), motor impairment with the United Parkinson's Disease Rating Scale (UPDRS)-III, freezing with Freezing of Gait Questionnaire (FOGQ), fatigue with Parkinson's Fatigue Scale (PFS-16), ADLs with UPDRS-II, quality of life (QOL) with Parkinson's Disease Questionnaire-39 (PDQ-39) were evaluated before and after treatment.

Conditions

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Parkinson Disease Pilates Core Stability Balance Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Pilates Group

Pilates training was carried out as group exercises for about 1 hour, 3 days a week for 8 weeks.

Group Type EXPERIMENTAL

Pilates Training

Intervention Type OTHER

Pilates training was carried out as group exercises for about 1 hour, 3 days a week for 8 weeks. Before starting the exercise training, all subjects were taught the key elements of Pilates in 1 session. Pilates training started with standing exercises for warming up and centering in the supine position. Training continued with upper and lower extremity movements. The intensity of the exercises was increased using different positions and elastic bands. Stretching exercises and posture exercises were used during the cooling period. All exercises were started with 10 repetitions and then increased to 20. In order for the patients to perform the movements correctly, each movement was first demonstrated by the physiotherapist. The movements that the patients could not do were applied by modifying them in a suitable way.

Control Group

Breathing exercises, active range of motion exercises and relaxation exercises were given to the control group as a home program. They were asked to do the exercises 3 days a week for 8 weeks.

Group Type ACTIVE_COMPARATOR

Control group

Intervention Type OTHER

Breathing exercises, active range of motion exercises and relaxation exercises were given to the control group as a home program. They were asked to do the exercises 3 days a week for 8 weeks.

Evaluation of 'Core' Stability

"Core" stability was evaluated with two important dimensions, "core" strength and endurance tests.

Group Type NO_INTERVENTION

No interventions assigned to this group

Ultrasound Examination of M. Transversus Abdominus and M. Multifidus

M. transversus abdominus (TrA) and m. multifidus (MF) muscles were visualized by ultrasonography and the evaluations were performed by an experienced radiologist who was blind to the case groups.

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Lower Extremity Functional Strength

Lower extremity functional strength was evaluated with the 5-Times Sit-and-Stand Test.

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Balance

Balance was evaluated using the Berg Balance Scale (BBS).

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Functional Mobility

Functional mobility was evaluated using the Timed Up and Go Test (TUG).

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Functional Exercise Capacity

Functional exercise capacity was evaluated using the 6 Minute Walking Test (6-MWT).

Group Type NO_INTERVENTION

No interventions assigned to this group

Activities of Daily Living and Evaluation of Motor Impairment

Activities of daily living and motor impairment were evaluated with activities of daily living (II) and motor impairment (III) sub-dimensions of the Unified Parkinson's Disease Rating Scale (UPDRS).

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Freezing

The Freezing of Gait Questionnaire (FOGQ) was used to identify and evaluate the subjective perception of Parkinson's patients regarding the severity and effect of freezing on gait performance.

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Fatigue

Fatigue, one of the non-motor findings associated with Parkinson's, was evaluated with the Parkinson's Fatigue Scale-16 (PFS-16).

Group Type NO_INTERVENTION

No interventions assigned to this group

Evaluation of Quality of Life

Quality of Life was evaluated with Parkinson's Disease Questionnaire-39 (PDQ-39).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Pilates Training

Pilates training was carried out as group exercises for about 1 hour, 3 days a week for 8 weeks. Before starting the exercise training, all subjects were taught the key elements of Pilates in 1 session. Pilates training started with standing exercises for warming up and centering in the supine position. Training continued with upper and lower extremity movements. The intensity of the exercises was increased using different positions and elastic bands. Stretching exercises and posture exercises were used during the cooling period. All exercises were started with 10 repetitions and then increased to 20. In order for the patients to perform the movements correctly, each movement was first demonstrated by the physiotherapist. The movements that the patients could not do were applied by modifying them in a suitable way.

Intervention Type OTHER

Control group

Breathing exercises, active range of motion exercises and relaxation exercises were given to the control group as a home program. They were asked to do the exercises 3 days a week for 8 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* After providing information about the research, agreeing to participate in the research
* Being 40 years or older
* Being diagnosed with '' Idiopathic Parkinson's Disease '' by a specialist
* To be between 1-2.5 values according to Hoehn and Yahr (H\&Y) Scale

Exclusion Criteria

* Standardized Mini Mental Test score is less than 24
* Presence of cardiovascular, pulmonary, orthopedic or other medical conditions that limit participation in Pilates training
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Recep Tayyip Erdogan University Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Derya Çağlar

Research Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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DERYA CAGLAR, MSc

Role: STUDY_DIRECTOR

Recep Tayyip Erdogan University Vocational School of Physical Therapy and Rehabilitation

Locations

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Recep Tayyip Erdogan University

Güneysu, Rize Province, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2019/10

Identifier Type: -

Identifier Source: org_study_id

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