Effects of Gait Training With and Without PNF on Balance ,Gait and Activities of Daily Living in Parkinson's Patients
NCT ID: NCT06789133
Last Updated: 2025-01-23
Study Results
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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COMPLETED
NA
36 participants
INTERVENTIONAL
2024-02-01
2024-11-01
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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PNF exercises and Body weight supported treadmill gait training
PNF exercises and Body weight supported treadmill gait training
PNF exercises and Body weight supported treadmill gait training
PNF Exercises:
.Proprioceptive neuromuscular facilitation exercises include D1 Flexion and D1 Extension of lower limb ,D2 flexion D2 extension of lower limb .rhythmic initiation ,hold relax ,pelvic pattern and contract relax technique . subjects will perform each exercise for 30sec with resting interval of 30 to 60 seconds Will be provided after completion of each exercise. 3 sessions will be held per week, For 8 weeks
Gait training:
Body weight supported treadmill gait training for 20 minutes 3 sessions per week.
In total all PNF exercises with gait training will be held for 40-45 minutes.
Gait training without PNF
Treadmil gait training and Routine physical therapy
Body weight supported treadmill gait training and Routine physical therapy
Body Weight Supported Treadmill Training (BWSTT):
This will include body weight supported treadmill gait training. 10 % BWSTT or 20% BWSTT. The session will of 20 minutes .3 sessions will be Held per week.
Routine physical therapy:
Stretching and strengthening of lower extremities In total all BWSTT along with routine physical therapy protocol will be held for 40-45minutes .3 sessions will be held per week.
Interventions
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PNF exercises and Body weight supported treadmill gait training
PNF Exercises:
.Proprioceptive neuromuscular facilitation exercises include D1 Flexion and D1 Extension of lower limb ,D2 flexion D2 extension of lower limb .rhythmic initiation ,hold relax ,pelvic pattern and contract relax technique . subjects will perform each exercise for 30sec with resting interval of 30 to 60 seconds Will be provided after completion of each exercise. 3 sessions will be held per week, For 8 weeks
Gait training:
Body weight supported treadmill gait training for 20 minutes 3 sessions per week.
In total all PNF exercises with gait training will be held for 40-45 minutes.
Body weight supported treadmill gait training and Routine physical therapy
Body Weight Supported Treadmill Training (BWSTT):
This will include body weight supported treadmill gait training. 10 % BWSTT or 20% BWSTT. The session will of 20 minutes .3 sessions will be Held per week.
Routine physical therapy:
Stretching and strengthening of lower extremities In total all BWSTT along with routine physical therapy protocol will be held for 40-45minutes .3 sessions will be held per week.
Eligibility Criteria
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Inclusion Criteria
* Patients from both gender around the age of 45-65.
* Patient with a score of 42 above on the Berg Balance Scale.
* Patients with shuffling gait
* Patient with good cognitive function minimum score of 20 or more on Mini-mental Status Examination MMSE scale
Exclusion Criteria
* Patient with peripheral vascular disease.
* Patient with fracture or dislocation of lower limb.
* Patient with peripheral nerve injury
45 Years
65 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Arnab Altaf, MSDPT
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Arthritis and spine care , Lahore General hospital
Lahore, Punjab Province, Pakistan
Countries
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References
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Mazhar T, Jameel A, Sharif F, Asghar M. Effects of conventional physical therapy with and without proprioceptive neuromuscular facilitation on balance, gait, and function in patients with Parkinson's disease. J Pak Med Assoc. 2023 Jun;73(6):1280-1283. doi: 10.47391/JPMA.6710.
Giardini M, Nardone A, Godi M, Guglielmetti S, Arcolin I, Pisano F, Schieppati M. Instrumental or Physical-Exercise Rehabilitation of Balance Improves Both Balance and Gait in Parkinson's Disease. Neural Plast. 2018 Mar 7;2018:5614242. doi: 10.1155/2018/5614242. eCollection 2018.
Alexandre de Assis IS, Luvizutto GJ, Bruno ACM, Sande de Souza LAP. The Proprioceptive Neuromuscular Facilitation Concept in Parkinson Disease: A Systematic Review and Meta-Analysis. J Chiropr Med. 2020 Sep;19(3):181-187. doi: 10.1016/j.jcm.2020.07.003. Epub 2020 Dec 15.
Mak MKY, Wong-Yu ISK. Exercise for Parkinson's disease. Int Rev Neurobiol. 2019;147:1-44. doi: 10.1016/bs.irn.2019.06.001. Epub 2019 Jun 27.
Pelicioni PHS, Menant JC, Latt MD, Lord SR. Falls in Parkinson's Disease Subtypes: Risk Factors, Locations and Circumstances. Int J Environ Res Public Health. 2019 Jun 23;16(12):2216. doi: 10.3390/ijerph16122216.
Mirelman A, Bonato P, Camicioli R, Ellis TD, Giladi N, Hamilton JL, Hass CJ, Hausdorff JM, Pelosin E, Almeida QJ. Gait impairments in Parkinson's disease. Lancet Neurol. 2019 Jul;18(7):697-708. doi: 10.1016/S1474-4422(19)30044-4. Epub 2019 Apr 8.
Nonnekes J, Nieuwboer A. Towards Personalized Rehabilitation for Gait Impairments in Parkinson's Disease. J Parkinsons Dis. 2018;8(s1):S101-S106. doi: 10.3233/JPD-181464.
Other Identifiers
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REC/RCR&AHS/24/0215KainatAhmad
Identifier Type: -
Identifier Source: org_study_id
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