Effects of Virtual Reality Versus Motor Imagery Versus Routine Physical Therapy in Patients With Parkinson's Disease.

Riphah International University

Status: Completed

Conditions: Parkinson Disease

Treatments: Other: VR with Routine physical therapy and Virtual reality; Other: Routine physical therapy; Other: Motor Imagery with Routine physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04884646

REC/Fsd/0115

Details and patient eligibility

About

The aim of this study is to investigate the effects of VR and MI techniques in addition to routine physical therapy on motor skills, balance and ADL in patients with Parkinson's disease.

Full description

Parkinson's disease is one of the most common, insidious neurological disorders with major motor symptoms, including bradykinesia, resting tremors, rigidity, and postural disorders. Virtual reality and motor imagery are among the more innovative techniques for rehabilitation of patients with Parkinson's disease that promote motor learning through both explicit and implicit processes.This study is unique in that it examines the effects of VR versus MI on motor skills, balance, and daily living activities in individuals with Parkinson's disease

Enrollment: 60 patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Idiopathic Parkinson's disease
• Modified Hoehn and Yahr Scale(H&Y stages I to III)
• Between the ages of 50 and 80 years of both genders
• Independent in transfers
• A score equal to or greater than 24 on the Mini-Mental State Examination (MMSE), and
• Previous lack of participation in balance or motor training.

Exclusion criteria

• History of any neurological conditions such as stroke, multiple sclerosis, epilepsy other than Parkinson's disease,
• History of orthopedic issues such as pain, fracture, or lower limb pathology,
• History of visual abnormalities,
• History of any chronic or cardiovascular pathology that can interfere with the transfer procedure or can affect the training sessions,
• The participants having severe dyskinesia or "on-off" phases,
• Previous history of surgery for PD,
• History of virtual games used for treatment in the past three months, and
• Virtual game phobia.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Virtual Reality with Routine Physical Therapy

Experimental group

Description:

The duration of the VR will be from 10 to 15 minutes during each session and Routine Physical Therapy for 40 minutes which consists of warming-up, stretching, strengthening and active exercises for relaxation, coordination exercises for limbs, trunk, neck, and gait training)

Treatment:

Other: VR with Routine physical therapy and Virtual reality

Motor imagery technique with Routine Physical Therapy

Experimental group

Description:

Motor Imagery techniques will be given for 5 to 10 minutes along with routine physical therapy for 40 minutes which consists of warming-up, stretching, strengthening and active exercises for relaxation, coordination exercises for limbs, trunk, neck, and gait training)

Treatment:

Other: Motor Imagery with Routine physical therapy

Routine Physical Therapy

Experimental group

Description:

Only routine physical therapy will be given (including warming-up, stretching, strengthening and active exercises for relaxation, coordination exercises for limbs, trunk, neck, and gait training)

Treatment:

Other: Routine physical therapy