The Acute Effect of Cervical Mobilization in Parkinson's Disease

Hacettepe University

Status: Completed

Conditions: Idiopathic Parkinson's Disease

Treatments: Other: control; Other: cervical mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT04524143

KA-180099

Details and patient eligibility

About

Patients with Idiopathic Parkinson's disease have balance and gait problems due to sensory and motor impairments. In the literature, there are lots of studies including various approaches for rehabilitation of these parameters such as sensory interventions, conservative treatments, neurophysiological approaches and motor imagery. However, taking into account of literature, there is no study investigating the effects on balance and gait of cervical mobilization by stimulating proprioceptors and vestibular receptors. Therefore, the aim of this study is to investigate the acute effect of cervical mobilization on balance and gait in patients with idiopathic Parkinson's disease.

Full description

Patients with Idiopathic Parkinson's disease have balance and gait problems due to sensory and motor impairments. In the literature, there are lots of studies including various approaches for rehabilitation of these parameters such as sensory interventions, conservative treatments, neurophysiological approaches and motor imagery. The posture of the cervical region is impaired by the findings of the disease such as rigidity, flexor posture and loss of axial rotation. Considering that the cervical region is rich in proprioceptors and one of the key points for the vestibular system, interventions to this area can be thought to contribute to postural control and gait. However, taking into account of literature, there is no study investigating the effects on balance and gait of cervical mobilization by stimulating proprioceptors and vestibular receptors. Therefore, the aim of this study is to investigate the acute effect of cervical mobilization on balance and gait in patients with idiopathic Parkinson's disease.

Enrollment: 33 patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having been diagnosed with Idiopathic Parkinson's disease
• Being between the ages of 50-80
• Patients scoring >24 on Standardized Mini Mental State Examination
• Modified Hoehn and Yahr stage 2-3
• No medication or dose changes during treatment
• Not participating in the physiotherapy and rehabilitation program in the last 6 months
• Volunteering to participate in the study

Exclusion criteria

• Vertebrobasilar insufficiency
• Other neurological diseases
• Postural hypotension, visual problems (which can not be compensated with the correct lens) or vestibular disorders that may affect balance
• Cardiopulmonary diseases that may affect gait
• Orthopedic problems (such as fracture, osteomyelitis, severe osteoporosis), advanced inflammatory arthritis, knee prothesis
• Uncontrolled dyskinesia or motor fluctuation
• Excessive use of alcohol or substance abuse
• Anticoagulant therapy, blood clotting diseases
• Long-term use of corticosteroids

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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33 participants in 2 patient groups

control group

Other group

Description:

There was no intervention in the control group during the study (At the end of study all patients were received home-based exercise)

Treatment:

Other: control

mobilization group

Experimental group

Description:

Cervical mobilization was applied to the mobilization group. Cervical mobilization techniques were applied for 10 minutes in the supine position. (At the end of study all patients were received home- based exercise)

Treatment:

Other: cervical mobilization

Other: control