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OpenTrials
Completed

NCT Number: NCT03580096

Core Stability and Parkinson Disease

Patients with Parkinson's Disease frequently present impaired postural control that leads to loss of stability and increased risk of falls.Core system, includes passive structures of the thoracolumbar spine and pelvis that work as a unit to stabilize the body and spine against forces generated from distal body segments as well as forces generated from expected or unexpected perturbations.The objective of this study was to evaluate the effects of an intervention based on core stability in patients with Parkinson's Disease.

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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

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Physical Therapy

Granada, 18071, Spain

About this study

Core muscle coordination is important because lack of sufficient core muscle coordination can lead to decreased efficiency of postural control and functional activity. Clinical manifestations of patients with Parkinson's Disease include postural instability. Core system could be relevant to be included in an intervention. Thus, the objective of this study was to evaluate the effects of an intervention based on core stability in patients with Parkinson's Disease.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Parkinson's Disease diagnosis.
  • Stable medication usage
  • Able to maintain standing independent

Exclusion criteria

  • Cognitive impairment
  • Comprehension deficits that prevented them from following verbal commands

Treatment and study plan

Core stability

Other

Core stability intervention will be done with different stages and increasing gradually. The training program starts with exercises that isolate specific core muscles but progressing to include complex movements and incorporate core stability in dynamic tasks.

Other names: Core training

Standard intervention

Other

Standard intervention will include active exercises based on active joint mobilizations, muscle stretching and motor coordination.

Other names: Conventional intervention

Primary outcomes

  1. Change in dynamic balance

    Time frame: Change from baseline dynamic balance at 8 weeks

    Dynamic balance is going to be assessed with the Mini-Balance Evaluation System Test. It was developed to identify the postural control systems that underly poor functional balance. It contains four subscales: anticipatory postural control, reactive postural control, sensory orientation and stability in gait. It includes 14 items scored on a 3 level ordinal scale. The maximum total score is 28 points with higher scores indicating better balance.

Secondary outcomes

  1. Balance confidence

    Time frame: Baseline, 8 weeks

    The perceived level of balance confidence is going to be assessed using the Activities-Specific Balance Confidence Scale (ABC). There are 16 items, representing daily activities. Participants are asked to answer, with a score from 0% (not confident at all) to 100% (completely confident) in increments of 10%. A score lower than 67% suggests substantial risk of falling.

  2. Static balance

    Time frame: Baseline, 8 weeks

    Static balance is going to be assessed using the Wii Balance Board.The 4 sensors in the balance board can sense weight changes and show the distribution of body weight. It will be assessed standing balance with eyes opened and closed, and standing over a foam with eyes opened and closed. Higher time in a stable position indicates greater static balance.

Sponsors and collaborators

Lead sponsor

Universidad de Granada

Other

Registry information

Official study title

Effects of Core Stability Exercise in Patients With Parkinson's Disease

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Jul 9, 2018
Registry last updated
Sep 4, 2019

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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