The Relationship of Trunk Position Sense and Spinal Posture With Balance in Parkinson's

NCT ID: NCT05233943

Last Updated: 2022-07-11

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 35 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2021-12-01
• Study Completion Date: 2022-06-30

Brief Summary

The 4 main motor symptoms seen in Parkinson's patients are tremor, rigidity, postural instability and bradykinesia. In addition to these, another common symptom investigators encounter is balance problems. Increasing balance problems can lead to falls and fractures over time, which will further reduce the independence of Parkinson's patients who are not already active enough and reduce their quality of life. For these reasons, it is very important that balance is achieved and sustainable. It has been found in previous studies that spinal posture and body position sensation are affected in Parkinson's patients. But to our knowledge, no study has been found in the literature to address the effect these have had on balance function. In our planned study, investigators aim to investigate the effects of spinal posture and body position sensation on balance function.

Detailed Description

Resting tremor, muscular rigidity, bradykinesia (slowing of movements) and postural instability in Parkinson's patients constitute the 4 main motor symptoms of Parkinson's. In addition, he has been in various studies where posture is affected in Parkinson's disease and proprioceptive sensory loss is seen. These symptoms reduce the quality of life of patients and can also cause loss of balance. It is very important to maintain balance due to problems such as loss of balance in Parkinson's patients leading to falls and the resulting fractures. Determining the factors that may cause falls in Parkinson's patients is important because of its guidance in terms of preventive approaches and treatment options to be developed afterwards. In our research in literature, no study has been found in Parkinson's exploring the effects of spinal proprioceptive sensory loss and spinal posture on balance function. With this work planned accordingly:

(A) Loss of spinal proprioceptive sensation in Parkinson's, (B) Changes in spinal posture in Parkinson's and (C) It was intended to investigate the effects of spinal proprioceptive sensory loss and spinal postural changes on balance function in Parkinson's patients.

Conditions

Parkinson Disease; Postural Kyphosis, Lumbosacral Region; Postural Kyphosis; Postural Lordosis, Lumbosacral Region; Balance; Distorted

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

Parkinson's patients

The cognitive function of Parkinson's patients will be assessed using the "Standardized Mini Mental Test " .

The spinal posture will be evaluated using "IDIAG M360 Spinal Mouse " .

Parkinson's patients' spinal position sense will be assessed using a "repositioning error test" with J-TECH medical, Salt Lake City, USA Dual Digital Inclinometer.

Dynamic and static components of the balance function will be evaluated with 'four square step tests' and 'stand on one leg' tests respectively

Spinal Mouse and Digital Inclinometer

Intervention Type: DEVICE

The spinal mouse device is non-invasive and does not have any danger. The posture is evaluated by moving from top to bottom on the spine of the person. Data on the device is transferred to the computer via Bluetooth. The person's posture is evaluated in the sagittal plane by making maximum flexion, neutral stance and maximum extension positions, and in the frontal plane by lateral flexion to the right and left.

Digital Inclinometer; It is a non-invasive measurement tool that investigators measure the position sense of the body, which has two parts, one fixed and one movable. The immobile part of the digital inclinometer is placed at the sacrum and the movable part is placed at the T4 spine level. The person is made 30 degrees of trunk flexion. Then, he is expected to perform 5 repetitions of 30 degrees of trunk flexion with his eyes closed. Deviation angles are recorded.

Healthy control group

The cognitive function of Parkinson's patients will be assessed using the "Standardized Mini Mental Test " .

The spinal posture will be evaluated using "IDIAG M360 Spinal Mouse " .

Parkinson's patients' spinal position sense will be assessed using a "repositioning error test" with J-TECH medical, Salt Lake City, USA Dual Digital Inclinometer.

Dynamic and static components of the balance function will be evaluated with 'four square step tests' and 'stand on one leg' tests respectively

Spinal Mouse and Digital Inclinometer

Intervention Type: DEVICE

The spinal mouse device is non-invasive and does not have any danger. The posture is evaluated by moving from top to bottom on the spine of the person. Data on the device is transferred to the computer via Bluetooth. The person's posture is evaluated in the sagittal plane by making maximum flexion, neutral stance and maximum extension positions, and in the frontal plane by lateral flexion to the right and left.

Digital Inclinometer; It is a non-invasive measurement tool that investigators measure the position sense of the body, which has two parts, one fixed and one movable. The immobile part of the digital inclinometer is placed at the sacrum and the movable part is placed at the T4 spine level. The person is made 30 degrees of trunk flexion. Then, he is expected to perform 5 repetitions of 30 degrees of trunk flexion with his eyes closed. Deviation angles are recorded.

Interventions

Spinal Mouse and Digital Inclinometer

The spinal mouse device is non-invasive and does not have any danger. The posture is evaluated by moving from top to bottom on the spine of the person. Data on the device is transferred to the computer via Bluetooth. The person's posture is evaluated in the sagittal plane by making maximum flexion, neutral stance and maximum extension positions, and in the frontal plane by lateral flexion to the right and left.

Digital Inclinometer; It is a non-invasive measurement tool that investigators measure the position sense of the body, which has two parts, one fixed and one movable. The immobile part of the digital inclinometer is placed at the sacrum and the movable part is placed at the T4 spine level. The person is made 30 degrees of trunk flexion. Then, he is expected to perform 5 repetitions of 30 degrees of trunk flexion with his eyes closed. Deviation angles are recorded.

Intervention Type: DEVICE

Other Intervention Names

Four Square Step Tests; One Leg Stance Test

Eligibility Criteria

Inclusion Criteria

• Being 18 years or older
• Receiving a diagnosis of Parkinson Disease made by a specialist neurologist
• Being able to walk independently
• Being between stages 1-4 on the Hoehn & Yahr scale

-Being 18 years or older

Exclusion Criteria

• Having any neurological disease other than Parkinson's
• Presence of cardiovascular, vestibular and musculoskeletal disease
• Having a score of <24 on the Standardized Mini Mental Test

• Having any disease that may affect balance, gait, posture and respiratory functions
• Using sedative - antidepressant medication that will impair physical well-being
• Having a score of <24 on the Standardized Mini Mental Test

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Gulhane School of Medicine

OTHER

Sponsor Role: lead

Responsible Party

Mustafa Ertuğrul Yaşa

Assoc. Prof

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Sağlık Bilimleri Üniversitesi

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2022-48

Identifier Type: -

Identifier Source: org_study_id