Effects of Routine Physical Therapy With and Without Proprioceptive Neuromuscular Facilitation on Balance, Gait and Function in Patients With Parkinson's Disease
Parkinson Disease
About this trial
This is an interventional treatment trial for Parkinson Disease focused on measuring Parkinson' disease, Proprioceptive Neuromuscular Facilitation, Freezing of gait, Berg Balance Scale, Functional Independence Measure, Freezing of Gait Questionnaire
Eligibility Criteria
Inclusion Criteria:
- Male and female patients of age between 60 and 85 years, diagnosed with Parkinson's disease by a neurologist.
- Patients with Hoehn and Yahr stages 1-3.
- Patients with a stable drug program and acclimated to their current medication use for at least 2 weeks.
Exclusion Criteria:
- Cognitive deficits (scores of <26 on the Mini-Mental State Examination).
- Moderate or severe depression (scores of >17 on the Beck Depression Inventory).
- Patients with neurological diseases, arthrosis, or total hip joint replacement.
Sites / Locations
- Sir Ganga Raam Hospital
- University of Lahore Teaching Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
group A/ routine physical therapy and PNF
group B/ routine physical therapy
In group A, PNF based gait training (15 minutes) and conventional physical therapy (45 minutes) will be performed. PNF exercises involved PNF pelvic patterns (pelvic interior elevation and posterior depression), PNF lower extremity D1 Flexion and PNF lower extremity D1 extension (Unilateral during 1st to 3rd week and bilateral from 4th week onwards). Exercises will progress from rhythmic initiation and then progress to slow reversal and agonistic reversal up to 6th week of therapy and continues until 12th week. Each exercise will be repeated for 10 to 20 times. Conventional physiotherapy will be administered according to the European Physiotherapy guidelines for Parkinson's disease. Other exercises include: Range of motion exercises Stretching exercises Upper and lower limb strengthening exercises
Conventional physical therapy (45 minute session) will be performed in group B.Conventional physiotherapy will be administered according to the European Physiotherapy guidelines for Parkinson disease. Other exercises include: Range of motion exercises Stretching exercises Upper and lower limb strengthening exercises