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Completed

NCT Number: NCT02118506

Effects of Mental Practice in Gait of Individuals With Parkinson Disease: Randomized Clinical Trial

The purpose of this study is to compare the effects of mental practice, associated with physical practice, on gait (cinematic parameters and mobility) in individuals with idiopathic Parkinson's disease. It is believed that familiarity with the normal gait pattern, associated with mental practice and physical practice can trigger significant changes in spatiotemporal and angular parameters that are not observed in the group not submitted to mental practice.

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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

44 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Federal University of Rio Grande do Norte

Natal, Rio Grande do Norte, 59078-970, Brazil

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • the subjects should be in use of antiparkinsonian medication,
  • be between stages 2 and 3 of the Hoehn and Yahr modified scale);
  • walk without any brace or aid device, independently (scores between 3 and 5 of the Functional Ambulatory Category - FAC) for at least 10 meters
  • were not undergoing stereotactic surgery.

Exclusion criteria

  • We excluded those who were unable or declined to complete the training protocol.

Treatment and study plan

Physical practice

Other

The control group underwent familiarization of gait phases using cards with gait phases and physical gait training.

Familiarization with gait cycle: Cards with pictures of an elderly person performing movements related to the adjustment of posture, gait initiation and gait phases were shown to the subjects. They should have organized them sequentially, showing that they learned gait phases. Then, they were submitted to a physical gait training. They underwent a single training session during 1 hour and 30 minutes and were reassessed 10 minutes and 1 day after the end of the session, in respect of the kinematic gait and mobility.

Mental and physical practice

Other

The experimental group underwent familiarization of gait phases using cards with gait phases, mental practice of gait and physical gait training.

Familiarization with gait cycle: Cards with pictures of an elderly person performing movements related to the adjustment of posture, gait initiation and gait phases were shown to the subjects. They should have organized them sequentially, showing that they learned gait phases.

Then, they were submitted to a mental training of gait. They imagined the gait steps per 400 repetitions. While imagining, they verbalized the gait phases.

Finally, they were submitted to a physical gait training. They executed 400 steps.

They underwent a single training session during 1 hour and 30 minutes and were reassessed 10 minutes and 1 day after the end of the session, in respect of the kinematic gait and mobility.

Primary outcomes

  1. Change from Baseline in Step length at 10 minutes and 1 day

    Time frame: Three observetions were done. At baseline, 10 minutes and 1 day after intervention.

Secondary outcomes

  1. Change from Baseline in Double Limb Support Time at 10 minutes and 1 day

    Time frame: Three observetions were done. At baseline, 10 minutes and 1 day after intervention.

    Double Limb Support Time is the period when both feet are on the ground at the same time. The first period of double limb support begins at initial contact, and lasts, in healthy people, 10 to 12 percent of the cycle. The second period of double limb support occurs in the final 10 to 12 percent of stance phase. As the stance limb prepares to leave the ground, the opposite limb contacts the ground and accepts the body's weight. The two periods of double limb support account for 20 to 24 percent of the gait cycle's total duration. In people with Parkinson disease, this period lasts longer.

Sponsors and collaborators

Lead sponsor

Universidade Federal do Rio Grande do Norte

Other

Registry information

Official study title

Immediate Effects of Mental Practice in Gait of Individuals With Parkinson Disease: Randomized Clinical Trial

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Apr 21, 2014
Registry last updated
Apr 21, 2014

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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