Effects of Otago and Frenkel's Exercises on Strengthening of Antigravity Muscles in Parkinson's Disease.

NCT ID: NCT07277699

Last Updated: 2025-12-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-08-18
• Study Completion Date: 2025-08-18

Brief Summary

Using both Otago and Frenkel's exercises offers complementary benefits building muscle strength and refining coordination in anti-gravity muscles making daily activities safer and more fluid for people with Parkinson's.

Detailed Description

Combining Otago and Frenkel's exercises can slow functional decline, reduce falls, and improve quality of life for Parkinson's patients. These programs empower patients and families by promoting active participation in care rather than relying only on medications. Early introduction, guided by physiotherapists, gives the best outcomes helping patients stay mobile, confident, and independent for longer.

Conditions

Parkinson

Study Design

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

Study Groups

Otago Exercise Program

20 Participants in this arm will undergo a combined exercise program consisting of the Otago Exercise Program (OEP) and conventional Physiotherapy. The intervention is designed to strengthen antigravity muscles (hip, knee, and trunk extensors), improve balance, coordination, and functional mobility, and reduce fall risk in patients with Parkinson's disease.

Group Type: EXPERIMENTAL

Otago exercises

Intervention Type: BEHAVIORAL

After collecting the patient's data appropriate modalities will be applied to initiate the treatment session. This includes the use of an Electric Heating pad on the lower limb for 10 mints. Gentle walking will be performed for 1 mints along with arm swing (10 repetitions) and neck stretching focusing on upper trapezius muscle (3 repetition).After that the12 steps of Otago exercise will be performed with 10 repetition.Total session time is 40 mints.

Frenkel's Exercise Program

20 Participants in this arm will under go Frenkel's Exercises program and conventional physiotherapy. This intervention help Parkinsons patient by improving coordination, balance and enhance motor learning and confidence

Group Type: EXPERIMENTAL

Frenkels exercise

Intervention Type: BEHAVIORAL

After collecting the patient's data sessions will be delivered 3 times per week lasting for 40 mints only and than appropriate modalities will be applied to initiate the treatment session. This includes the use of an Electric Heating pad on the lower limb for 10 mints. Gentle walking will be performed for 1 mints along with arm swing (10 repetitions) and neck stretching focusing on upper trapezius muscle (3 repetition).After that the steps of Frenkels exercise program will be performed on patients with 10 repetition.

Interventions

Otago exercises

After collecting the patient's data appropriate modalities will be applied to initiate the treatment session. This includes the use of an Electric Heating pad on the lower limb for 10 mints. Gentle walking will be performed for 1 mints along with arm swing (10 repetitions) and neck stretching focusing on upper trapezius muscle (3 repetition).After that the12 steps of Otago exercise will be performed with 10 repetition.Total session time is 40 mints.

Intervention Type: BEHAVIORAL

Frenkels exercise

After collecting the patient's data sessions will be delivered 3 times per week lasting for 40 mints only and than appropriate modalities will be applied to initiate the treatment session. This includes the use of an Electric Heating pad on the lower limb for 10 mints. Gentle walking will be performed for 1 mints along with arm swing (10 repetitions) and neck stretching focusing on upper trapezius muscle (3 repetition).After that the steps of Frenkels exercise program will be performed on patients with 10 repetition.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Patient diagnosed with parkinsons disease using the Hoehn and Yahr scale

2. Patient age 55-75.

3. Both male and female.

4. Able to walk independently.

5. Willing and ability to provide information consent to participate in study. -

Exclusion Criteria

1. Presence of other neurological condition(stroke, multiple sclerosis).

2. severe cardiovascular disease.

3. major psychiatric disorder.

4. currently participating in other study.

• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

University of Lahore

Gujranwala, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

uol

Identifier Type: OTHER

Identifier Source: secondary_id

UOL/IREB/25/09/0051

Identifier Type: -

Identifier Source: org_study_id