Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06615115
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-24
Brief Title:
The Effect of Different Types of Focus Instructions in Parkinsons Rehabilitation
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Effects of an External and Combined Focus of Attention-Instructed Exercise Program on Postural Stability and Dual-Task Walking in Parkinsons Disease A Randomized Assessor-Blinded Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Parkinsons disease is the most common progressive neurodegenerative movement disorder Common movement impairments in Parkinsons include balance and walking difficulties These impairments lead to falls increased levels of functional dependency and a decrease in quality of life Exercise in Parkinsons patients improves their functional symptoms in daily life enhancing both motor and non-motor skills and consequently increases their quality of life Recently various additional methods have been developed to increase the effectiveness of exercise in Parkinsons rehabilitation and to contribute to motor skills Focus of attention instructions are fundamental concepts in motor function learning External focus of attention has been shown to facilitate motor function development reduce postural instability and improve dual-task walking by being easier to remember In Parkinsons patients who experience freezing phenomena internal focus of attention instructions enhance walking stability and movement control thereby reducing the risk of falls However there are no studies on the combined focus of attention instructions in Parkinsons patients This study is designed as a randomized controlled single-blind prospective trial to examine the effects of a combination of internal and external focus of attention instructions on walking balance parameters quality of life and patient satisfaction levels taking into account the presence of freezing phenomena in Parkinsons patients
Detailed Description:
Parkinsons disease PD is the most common progressive neurodegenerative movement disorder Common movement impairments in Parkinsons include balance and walking difficulties These impairments lead to falls increased levels of functional dependency and a decrease in quality of life Such deficits are associated with the acquisition of motor function skills Although PD patients are open to learning they experience challenges with motor planning Therefore individuals with PD may require additional training sensory input and motor education for the permanence and ease of motor skill acquisition
The difficulties PD patients face with complex commands indicate that they can learn in a feedforward manner but they show inconsistencies in the use of automatic functions This inconsistency results in challenges in adapting to variable situations and performing complex activities like balance and walking Exercise in Parkinsons patients improves their functional symptoms in daily life enhancing both motor and non-motor skills and consequently increasing their quality of life Recently various additional methods have been developed to enhance the effectiveness of exercise in Parkinsons rehabilitation and to contribute to motor skills One commonly used method to address deficits in motor behavior is motor learning activities which involve repetitive movements and ensure continuity
Many studies have shown that the concept of focus of attention contributes to the efficiency and learning of various motor functions particularly balance Individuals with Parkinsons are highly receptive to external stimuli so a focus-based strategy during balance and walking training can improve these skills Focus of attention instructions are fundamental concepts in motor function learning External focus of attention facilitates motor function development reduces postural instability and improves dual-task walking In Parkinsons patients who experience freezing phenomena internal focus of attention instructions enhance walking stability and movement control thereby reducing the risk of falls However there are no studies on the combined focus of attention instructions in Parkinsons patients
This study is designed as a randomized controlled single-blind prospective trial to examine the effects of a combination of internal and external focus of attention instructions on walking balance parameters quality of life and patient satisfaction levels considering the presence of freezing phenomena in Parkinsons patients Approximately 48 individuals with Parkinsons disease without freezing phenomena will participate in an exercise program for six weeks three days a week Participants will be randomized into a combined focus group an external focus group and a control group Assessments will be repeated at the beginning and end of the six-week exercise program
The difficulties PD patients face with complex commands indicate that they can learn in a feedforward manner but they show inconsistencies in the use of automatic functions This inconsistency results in challenges in adapting to variable situations and performing complex activities like balance and walking Exercise in Parkinsons patients improves their functional symptoms in daily life enhancing both motor and non-motor skills and consequently increasing their quality of life Recently various additional methods have been developed to enhance the effectiveness of exercise in Parkinsons rehabilitation and to contribute to motor skills One commonly used method to address deficits in motor behavior is motor learning activities which involve repetitive movements and ensure continuity
Many studies have shown that the concept of focus of attention contributes to the efficiency and learning of various motor functions particularly balance Individuals with Parkinsons are highly receptive to external stimuli so a focus-based strategy during balance and walking training can improve these skills Focus of attention instructions are fundamental concepts in motor function learning External focus of attention facilitates motor function development reduces postural instability and improves dual-task walking In Parkinsons patients who experience freezing phenomena internal focus of attention instructions enhance walking stability and movement control thereby reducing the risk of falls However there are no studies on the combined focus of attention instructions in Parkinsons patients
This study is designed as a randomized controlled single-blind prospective trial to examine the effects of a combination of internal and external focus of attention instructions on walking balance parameters quality of life and patient satisfaction levels considering the presence of freezing phenomena in Parkinsons patients Approximately 48 individuals with Parkinsons disease without freezing phenomena will participate in an exercise program for six weeks three days a week Participants will be randomized into a combined focus group an external focus group and a control group Assessments will be repeated at the beginning and end of the six-week exercise program
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None