Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease: a protocol for a randomised controlled trial.
Ryan P Hubble, Geraldine A Naughton, Peter A Silburn...
https://pubmed.ncbi.nlm.nih.gov/25552609Actively Recruiting
Phase Not Applicable
Age: 18Years - 85Years
All Genders
ID04492345
Impact of Isokinetic Rehabilitation on Spinal Postural Disorders in Parkinson's Disease Patients
Led by University Hospital Center of Martinique · Updated on 2024-02-14
30
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Parkinson's disease patients often experience postural disorders that are common in Martinique, especially in those with atypical forms of the disease. These postural problems are usually not improved by standard dopaminergic treatments, making physiotherapeutic rehabilitation important. The study aims to evaluate whether isokinetic muscle strengthening can reduce these postural disorders by improving spinal muscle strength and stability. Participants will be randomly assigned to one of two groups: one group will receive conventional rehabilitation sessions combined with isokinetic reeducation over 7 weeks, while the other group will receive only conventional rehabilitation sessions for the same duration. Isokinetic rehabilitation uses a device that promotes maximum muscle contraction at a constant speed, adjusting resistance to the participant's effort, potentially leading to better postural support than standard therapy. During the study, researchers will assess patient posture after 8 weeks of reeducation as the primary outcome. Secondary outcomes include spinal muscle strength, balance improvement, and walking speed. Participants will undergo evaluations to monitor these measures, and the study will continue until June 2026. This research is sponsored by the University Hospital Center of Martinique and does not involve masking or blinding.
CONDITIONS
Brief Title
Assessment of a Special Modality of Back Muscles Strengthening for Postural Deformations in Parkinsonian Patient
Who Can Participate
Age: 18Years - 85Years
All Genders
Eligibility Criteria
You may qualify if you...
- Patient diagnosed with Parkinson's disease or atypical parkinsonian syndrome
- Age 18 years or older
- Postural disorders with a cervical arrow greater than 6 cm in the sagittal plane and/or C7S2 axis different from 0 in the frontal plane
- UPDRS score between 10 and 25 out of 108
- Antiparkinsonian treatment stabilized for at least 8 weeks
- Mini-Mental State (MMS) test score greater than 25
- Insured or beneficiary of social security
You will not qualify if you...
- Neurological condition other than parkinsonian syndrome
- Rheumatic disease
- History of trunk surgery
- Presence of a brain stimulator
- Unstable cardiac pathology
- Incapacitated adult or under guardianship, curatorship, or judicial protection curatorship
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 7 weeks
Participants undergo either conventional rehabilitation sessions alone or combined with isokinetic reeducation aimed at strengthening back muscles to improve posture over 7 weeks.
Weekly visits for up to 7 weeks
Follow-up
Duration - 1 week
Participants are assessed for improvements in posture, spinal muscle strength, balance, and walking speed after completing the rehabilitation program.
1 follow-up visit (in-person) after treatment completion
Trial Site Locations
Total: 1 location
1
CHU de Martinique
Le Lamentin, Martinique, 97232
Actively Recruiting
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Research Team
S
Sophia SABINE
C
Corine CARPIN
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
Is physical exercise beneficial for persons with Parkinson's disease?
Alexander Michael Crizzle, Ian J Newhouse
https://pubmed.ncbi.nlm.nih.gov/17016120Differences in muscle strength in parkinsonian patients affected on the right and left side.
Giuseppe Frazzitta, Davide Ferrazzoli, Roberto Maestri...
https://pubmed.ncbi.nlm.nih.gov/25806509Further evidence for a distinctive atypical degenerative parkinsonism in the Caribbean: A new cluster in the French West Indian Island of Martinique.
Annie Lannuzel, Régine Edragas, Angéla Lackmy...
https://pubmed.ncbi.nlm.nih.gov/29525296Learning effects of the sensory organization test as a measure of postural control and balance in Parkinson's disease.
Joanne DiFrancisco-Donoghue, Min-Kyung Jung, Pamela Geisel...
https://pubmed.ncbi.nlm.nih.gov/25997862Work and power reduced in L-dopa naïve patients in the early-stages of Parkinson's disease.
Lidiane Oliveira Lima, Francisco Cardoso, Luci Fuscaldi Teixeira-Salmela...
https://pubmed.ncbi.nlm.nih.gov/27097000Lower extremity isokinetic muscle strength in patients with Parkinson's disease.
Bekir Durmus, Ozlem Baysal, Sibel Altinayar...
https://pubmed.ncbi.nlm.nih.gov/20435478Isokinetic dynamometry as a technologic assessment tool for trunk rigidity in Parkinson's disease patients.
Roberto Cano-de-la-Cuerda, Lydia Vela-Desojo, Juan Carlos Miangolarra-Page...
https://pubmed.ncbi.nlm.nih.gov/25260231[Neurorehabilitation in parkinsonian syndromes].
J-M Gracies
https://pubmed.ncbi.nlm.nih.gov/20138321