Actively Recruiting
Effects of an External and Combined Focus of Attention-Instructed Exercise Program on Postural Stability and Dual-Task Walking in Parkinson's Disease: A Randomized, Assessor-Blinded, Controlled Trial
Led by Bahçeşehir University · Updated on 2025-02-11
48
Participants Needed
1
Research Sites
30 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Parkinson's disease is a common progressive movement disorder that often causes balance and walking difficulties leading to falls, higher dependence, and reduced quality of life. Exercise can help improve motor and non-motor skills in people with Parkinson's, enhancing their daily function and well-being. This research investigates how combining internal and external focus of attention instructions during exercise affects walking, balance, quality of life, and patient satisfaction, especially considering freezing phenomena in Parkinson's patients. Participants will engage in a six-week exercise program involving stretching, obstacle navigation, balance training, and strength exercises, held three times per week. They will be randomly assigned to one of three groups: exercises with external focus of attention instructions, exercises with combined internal and external focus instructions, or exercises without any specific instructions. The study is a randomized, assessor-blinded controlled trial designed to compare these approaches. Throughout the study, assessments like the Berg Balance Scale and Time Up and Go Dual Task will be conducted at the start and after six weeks. Quality of life will be measured using the Parkinson's Disease Questionnaire-39. The program is led by physiotherapists who provide targeted focus instructions according to group assignment. Participants are monitored for walking stability, balance, and satisfaction to understand how focus instructions influence rehabilitation outcomes in Parkinson's disease.
CONDITIONS
Brief Title
The Effect of Different Types of Focus Instructions in Parkinson's Rehabilitation
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Hoehn and Yahr Stage II or III
- Age between 50 and 70 years
- Able to walk independently but with balance disorders
- Berg Balance Scale score between 21 and 56
- Mini Mental State Test score between 24 and 30
- Agreed to participate and without freezing phenomenon
- In the medication-on period
You will not qualify if you...
- Having malignancy or metabolic diseases
- History of cerebrovascular accident
- History of other neurological diseases
- Presence of cognitive problems
- Presence of visual or hearing disorders
- Presence of deep brain pacemaker
- Presence of freezing phenomenon (FOG-Q above zero)
- Presence of dyskinesia
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants complete a six-week exercise program with different types of focus of attention instructions to improve balance and walking skills.
3 visits per week
Duration - 1 day at 6 weeks after baseline
Assessments are repeated to evaluate balance, walking, and quality of life after the exercise program.
1 visit (in-person)
Trial Site Locations
Total: 1 location
1
Atafiz Tıp Merkezi
Istanbul, Turkey (Türkiye), 34636
Actively Recruiting
Research Team
P
Pelin Pişirici, PT, PhD
S
Selen Gür Özmen, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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