Conventional Physical Therapy Action Observation Therapy on Freezing of Gait and Functional Mobility in Parkinson's Disease

NCT ID: NCT07244900

Last Updated: 2025-11-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-06-01
• Study Completion Date: 2024-07-01

Brief Summary

The goal of this study is to determine the effects of action observation therapy with conventional physical therapy on freezing gait and functional limitation in participants with Parkinson's disease.

Detailed Description

Parkinson's disease is a neurodegenerative disorder that is characterized by rigidity, tremors, and bradykinesia, along with non-motor dysfunction. The exercise rehabilitation has a positive impact on motor and non-motor functions in individuals with Parkinson's disease. Conventional physical therapy (CPT) that involves isometric exercises, stretching techniques, and strength and balance training is useful to improve the severity of functional mobility and freezing of gait. In action observation therapy (AOT), small video clips of different goal-directed tasks were added to rehabilitation to determine the combined effects on outcome.

Conditions

Parkinson Disease; Neuro-Degenerative Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Conventional Physiotherapy Group

This group included conventional physical therapy that contains isometric exercise, stretching techniques, and strength and balance training.

Group Type: ACTIVE_COMPARATOR

Conventional Physical Therapy

Intervention Type: OTHER

Group A received conventional physical therapy treatment. The CPT program consists of isometric exercises, stretching, and strength training based on the patient's physical condition and the severity of functional mobility and freezing of Gait.

Experimental Group

This group included action observation therapy in addition to conventional physical therapy, in which small videos containing specific task will be made available to follow to the participants.

Group Type: EXPERIMENTAL

Action Observation plus conventional Physical Therapy

Intervention Type: OTHER

Group B was given action observation therapy with conventional physical therapy treatment. In AOT, the therapist showed small video clips of different goal-directed tasks to participants, and they were asked to follow every step and movement. The therapist maintained the patient's attention with verbal feedback

Interventions

Conventional Physical Therapy

Group A received conventional physical therapy treatment. The CPT program consists of isometric exercises, stretching, and strength training based on the patient's physical condition and the severity of functional mobility and freezing of Gait.

Intervention Type: OTHER

Action Observation plus conventional Physical Therapy

Group B was given action observation therapy with conventional physical therapy treatment. In AOT, the therapist showed small video clips of different goal-directed tasks to participants, and they were asked to follow every step and movement. The therapist maintained the patient's attention with verbal feedback

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Inclusion Criteria: The participants were included based on the UK Parkinson's Disease Society Brain Bank diagnostic criteria, with clinical findings supporting the diagnosis. The eligible participants were aged between 50 and 80 years, of both genders, labelled as stage ≤ 3, with a minimum of 2 years since being diagnosed with PD and a freezing of gait score of 9 or higher on FOG-Q, and able to understand and follow commands.

Exclusion Criteria:

The exclusion criteria were systemic disease and neurological issues that could affect the assessment and outcomes of treatment, implantation for deep brain stimulation, and visual or acoustic limitations.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ishfaq Ahmed, PhD Physiotherapy

Role: STUDY_DIRECTOR

University of Lahore

Locations

The University of Lahore

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Kiran Maqsood

Identifier Type: -

Identifier Source: org_study_id