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Completed

NCT Number: NCT03568903

Changes in Functional Performance in Individuals With Parkinson's Disease Following 2-month Physiotherapy Intervention

Aim of current study was to evaluate the effect of a 2-month comprehensive physiotherapy intervention on different aspects of functional performance. In addition, progression of PD motor symptoms (using standardized clinical tests for the assesment) was of interest

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Key information

Conditions

Parkinson Disease Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Movement Disorders Nervous System Diseases Neurodegenerative Diseases Parkinsonian Disorders Synucleinopathies

Age range

60 year–81 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

The aim of current study was to enroll 50 patients with Parkinson's disease (PD) and randomly assign them into intervention and control group. Patients were randomly contacted through the epidemiological database of patients with Parkinson' disease of South-Estonia. 44 participants agreed to come to the baseline assessment including:

  • Timed-Up-And-Go Test Battery
  • Four square step test
  • Physical performance test
  • Short Physical Performance
  • 10-m walk test
  • Grooved Purdue Pegboard test
  • Assessment of range of motion In addition, current disease status was assessed using Unified Parkinson Disease Rating Scale, Mini Mental Sate Examination. Further, quality of life was assessed using PDQ-39, hand-writing was recorded using white, squared and striped paper and freezing of gait questionaire (FOG-Q) was administered. Within a week from baseline assessment participants randomly assigned to intervention group, started physiotherapy intervention. The intervention was carried out in small groups (3 people in a group) and was carried out as out-patient physiotherapy during 8 week period. During each week 2 sessions with a length of an hour were scheduled. Within a week of the last therapy session, second assessment was conducted (for control group the second assessment was carried out ten weeks post-baseline assessment.

Third assessment was assigned one year after (then the same assessment was performed, in addition body composition was analysed using DXA), forth assessment an other year later.

During forth assessment 15 members starting in the intervention group and 10 starting in the control group participated.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • confirmed diagnosis of idiopathic Parkinson Disease
  • age within the age limits
  • no other untreated medical conditions that might affect gait or postural stability
  • able to walk without assistive device
  • score of Mini Mental State Examination above 24
  • no other neurological conditions in medical anamnesis

Exclusion criteria

Not meeting the inclusion criteria

Treatment and study plan

Comprehensive physical therapy

Other

Each session included exercises for posture, strength, range of motion, balance. In addition, different transfers and gait training was performed. Each session began with exercises in laying position (15 minutes), thereafter exercises in sitting were performed for 10 minutes. Then different exercises in standing position were performed for 15 minutes, followed by 10 minutes of gait training. 10 minutes of exercises for manual dexterity and upper limb function ended the session.

Primary outcomes

  1. Gait speed during transitioning from sitting to walking and its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    Gait speed was calculated based an the performance of Timed up and Go test

  2. Gait speed during transitioning from standing to walking and its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    Gait speed was calculated based an the performance of Short Physical Performance Battery gait test

  3. "Pure" gait speed and its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    Gait speed was calculated based an the performance of 10 m walk test, with excluding the acceleration and deceleration phase (duration of the intermediate 6-meters was measured and based on that gait speed was calculated

Secondary outcomes

  1. body composition (and changes in it in one year period)

    Time frame: was assessed twice (during third and fourth assessment), with a timeperiod of one year in between

    it was assessed with DXA methodology

  2. Timed-up-and-go test: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    The duration of Timed up and go test, executed with a turn over both shoulders was used

  3. Four square step test: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    The duration of Four square step test,was used

  4. Tinetti test: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    The Tinetti test was executed and the score was used

  5. Range of motion: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during three assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later

    Range of motion of major joints (shoulder, hip, knee, ankle) were measured goniometrically. Spinal ROM (including neck) was measured with tapemeasure, aswell as the excursion of the ribcage during maximal inspiration and expiration

  6. Assessment of handwriting:its change as a result of physiotherapy and change over time

    Time frame: it was assessed during three assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later

    To assess the impact of visual cues on handwriting, patients were instructed to write one simple and one complex sentence on white, striped and squared paper. During assessment, the speed of writing was registered.

Other outcomes

  1. Quality of life: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    it was assessed with PDQ-39 questionaire

  2. prevalence of pain: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    it was assessed with patient interview

  3. patient-specific complaints:its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    it was assessed with patient interview

  4. difficulties in executing different activities of daily living: its change as a result of physiotherapy and change over time

    Time frame: it was assessed during all the assessments: at baseline, during second assessment ten weeks later, third assessment was carried out one year later, forth assessment was conducted another year later

    it was assessed with patient interview

Sponsors and collaborators

Lead sponsor

University of Tartu

Other

Collaborators

  • Tartu University Hospital

Registry information

Official study title

Functional Performance in Individuals With Parkinson's Disease: Changes Following 2-month Physiotherapy Intervention in Small Groups and Impact of Disease Progression

Important dates

Study start
2013
Primary completion
2015
Study completion
2017
First posted
Jun 26, 2018
Registry last updated
Jun 26, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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