Effects of Motor Imagery Training

Kahramanmaraş Sütçü İmam University (KSU)

Status: Enrolling

Conditions: Gait Balance; Mental Imagery; PARKINSON DISEASE (Disorder)

Treatments: Other: Mental Imagery Application Protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT07193355

Parkinson lower extremity

Details and patient eligibility

About

Parkinson's disease (PD) is the second most common neurodegenerative disease, characterized pathologically by the progressive loss of dopaminergic neurons in the substantia nigra and clinically by the presence of motor symptoms such as bradykinesia, resting tremor, and/or rigidity. Among the motor deficits frequently observed in PD, patients are known to frequently report difficulties with manual dexterity.Typical features of balance deficits in PD include decreased sway, decreased base of support, rigidity, abnormal intersegmental coordination, and postural misalignment. Related somatosensory deficits in PD include problems orienting to and processing sensory and somatosensory information.Motor imagery (MI) is the imaginal execution of motor activities or the activation of specific muscles in the absence of any explicit feedback. This area of rehabilitation has been shown to be effective in improving and developing motor skills in many neurological conditions where patients exhibit motor recognition and execution impairments. MI can be applied at all stages of recovery from PD, is highly effective in movement-related pathologies, and can be performed independently.Studies evaluating the effect of mental imagery training on balance measures in PD are limited. One study evaluating the effect of combined MI-physical therapy versus physical therapy alone group treatment noted positive trends toward balance improvements in the combined group. In a case study of a single participant with PD, a 3-month neurocognitive rehabilitation program incorporating mental imagery over 20 sessions resulted in balance improvements and a reduced risk of falls in both the "OFF" and "ON" phases, as measured by the Tinetti Balance and Gait Assessment Scale.The aim of this study is to investigate the effects of motor imagery training on kinesiophobia, walking and balance in patients with Parkinson's disease.

Enrollment: 50 estimated patients

Sex: All

Ages: 40 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Individuals aged 40-75 diagnosed with idiopathic PD, with a Modified Hoehn & Yahr (m-HY) scale stage ≤4, and a score of ≥22 on the Mini Mental State Examination for those with formal training and ≥18 for those without formal training;
• Individuals with no other known neurological and/or systemic disease;
• Individuals without any upper extremity contractures;

Exclusion criteria

• Individuals with diagnosed and/or treated psychiatric illnesses;
• Individuals who are taking neuroleptic medications or antidepressants;
• Individuals with orthopedic conditions such as severe dyskinesia, carpal tunnel syndrome, tendon injuries, and finger amputations that interfere with manual dexterity tests; rheumatological conditions such as rheumatoid arthritis and osteoarthritis; and individuals with any neurological disease other than PD.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

50 participants in 2 patient groups

study group

Experimental group

Description:

'Mental Imagery Application Protocol' will be applied to this group. The timed up and go test (TUG) and gyko test will be used as mental chronometry tests with the patients of parkinson diesase.Therefore, the walking mental imagery protocol will be applied to this group.

Treatment:

Other: Mental Imagery Application Protocol

control group

No Intervention group

Description:

This group will have routin medical treatment.