Motor Learning-based Clinical Pilates Rehabilitation Protocol for Patients with Parkinson's Disease

European University of Lefke

Status: Completed

Conditions: Parkinson Disease

Treatments: Other: motor learning based clinical pilates; Other: Conventional Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05899426

BAYEK022.05

Details and patient eligibility

About

Individuals with Parkinson's disease demonstrate impaired motor learning, including a slower acquisition rate and poor retention, which may result from deficits in cognitive function, especially executive function. Considering the reduced motor learning ability in this patient group, exercises should be designed with a focus on strengthening sensory inputs and basic functional training. Therefore, the investigators established this program according to previous experience published study [NCT04063605]. Therefore, the feasibility of this rehabilitation protocol, which combines motor learning and clinical pilates principles and is adapted to the needs of individuals with Parkinson's disease, will be examined.

Full description

The patients with Parkinson's Disease will be randomly assigned into two groups: Motor Learning based Clinical Pilates (MLCP) Group and Conventional Physiotherapy (CP) Group. Both groups will be treated for 12 weeks. The evaluation of the patients will be done before the beginning of exercise program, midterm evaluation in the 6th week and will be repeated at the end. Also there will be followed up evaluation with the same assessments at the 3rd month. Physical function/motor function of patients will be evaluated with The Unified Parkinson's Disease Rating Scale (UPDRS) III subscale, dynamic balance with Functional Reach Test (FRT), postural control and dynamic balance will also be evaluated with Berg Balance Scale and functional mobility by Timed Up and Go Test. Gait, balance and functional domains of the patients will be evaluated with Gait and Balance Scale (GABS), Nelson foot reaction test will be used for the reaction time.

Enrollment: 32 patients

Sex: All

Ages: 45 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Having modified Hoehn & Yahr Scale grade 2-3 symptoms
• Be over 45 years old
• Having a score of 24 or 24< on the Mini Mental test
• To be able to read and write in Turkish
• Having at least 2 years Parkinson's Disease

Exclusion criteria

• Serious mental and psychological disorder
• Significant musculoskeletal disorders
• Lower extremity deformation
• Having another neurological disease
• Drug or dose change during treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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32 participants in 2 patient groups

Motor learning based clinical pilates

Experimental group

Description:

Participants in this group will receive training for 60 minutes 2 times a week for 12 weeks and will be followed up with the same assessments at the 3rd months after the treatment.

Treatment:

Other: motor learning based clinical pilates

Conventional Physiotherapy

Active Comparator group

Description:

Participants in this group will receive training for 60 minutes 2 times a week for 12 weeks and will be followed up with the same assessments at the 3rd months after the treatment.

Treatment:

Other: Conventional Physiotherapy