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the Effect of Speed Dependent Treadmill Training on Dual Task Performance in Patient With Parkinson's Disease.

Primary Purpose

Parkinson Disease

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
speed dependent treadmill training on moderate speed
speed dependent treadmill training on slow speed
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease focused on measuring Treadmill training, Dual-task performance, Parkinson disease, Physiotherapy

Eligibility Criteria

30 Years - 90 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Able to walk on treadmill for 20 min Cognitively able to perform required task Hoehn and yarn disease stage between I to III. Exclusion Criteria: Gait impairment Cardiac impairment Dementia History of fall Severe Freezing episodes Camptocormia (axial deformity) Central or peripheral paresis Score less than 20 in mini mental scale.

Sites / Locations

  • General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

speed dependent treadmill training on moderate speed

speed dependent treadmill training on slow speed

Arm Description

speed dependent treadmill training on moderate speed along with strengthening, stretching and range of motion exercises.

Speed dependent treadmill training on slow speed along with physiotherapy.

Outcomes

Primary Outcome Measures

Unified Parkinson disease rating scale (UPDRS-III)
UPDRS-III is a "Gold standered" for Parkinson disease. It completely access the body function, activities and participation of Parkinson's patient. It consist of 6 session. We will only use Scale's motor component, which consist of 14 item. Each sign and symptom is rated on a 5-point scale (ranging from 0 to 4) higher score represent severe impairment. Highest point represent total or maximal disability.

Secondary Outcome Measures

dual task gait speed test
This test use to access the dual-task gait speed. the gait speed will be measured in single task first, and then in dual task before and after the treatment.

Full Information

First Posted
June 6, 2023
Last Updated
June 13, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05903755
Brief Title
the Effect of Speed Dependent Treadmill Training on Dual Task Performance in Patient With Parkinson's Disease.
Official Title
To Understand the Effect of Speed Dependent Treadmill Training on Dual Task Performance in Patient With Parkinson's Disease.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 2, 2023 (Actual)
Primary Completion Date
October 2023 (Anticipated)
Study Completion Date
October 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this randomized clinical trail is to identify the impact of treadmill training on walking while doing dual task in patients with Parkinson's disease. By improving walking speed, bradykinesia would be reduced in Parkinson's patients. So, the findings of this study can help in formulation of future guidelines for management of Parkinson's that will help the clinicians to treat such patients in more efficient way.
Detailed Description
A RCT that investigated the effect of Treadmill training and physiotherapy in patient with PD using dual tasking as outcome measure.105 Parkinson's disease (PD) patients; these are the subject who received treadmill training and physiotherapy for 14 days. Both intervention helps the patients to enhance the dual task gait velocity. A study is to identify the effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson's disease to observe the postural stability by incremental speed dependent treadmill training. 54 patient of Parkinson's disease (PD) was randomly allocated in to experimental and control group. 8-week training program was conducted including stretching, Range of motion exercises (ROM), and treadmill training. Walking distance of the training group was gradually increased after 16 training sessions. The training group's scores on the Berg Balance Test, Dynamic Gait Index, and Falls Efficacy Scale dramatically improved after the training program. While the control group, shows no significant improvement in outcome measurements. Specific exercise regimens, such as incremental speed-dependent treadmill training, may increase mobility and minimize fear of fall in-patient with Parkinson's disease. GAP:The study's relatively small sample size is one of its limitations. There is least work done on speed dependent treadmill training and its effect on dual task performance in-patient with Parkinson's disease. More research is require, to compare various treatment options with incremental speed-dependent treadmill training for Parkinson's disease patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
Treadmill training, Dual-task performance, Parkinson disease, Physiotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
22 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
speed dependent treadmill training on moderate speed
Arm Type
Experimental
Arm Description
speed dependent treadmill training on moderate speed along with strengthening, stretching and range of motion exercises.
Arm Title
speed dependent treadmill training on slow speed
Arm Type
Active Comparator
Arm Description
Speed dependent treadmill training on slow speed along with physiotherapy.
Intervention Type
Device
Intervention Name(s)
speed dependent treadmill training on moderate speed
Intervention Description
Experimental group will receive 14 session of speed dependent treadmill training on moderate speed (3 to 6) for 25 minutes along with strengthening, stretching and range of motion exercises.
Intervention Type
Device
Intervention Name(s)
speed dependent treadmill training on slow speed
Intervention Description
Control group will receive 14 session of speed dependent treadmill training on slow speed (1 to 2) for 25 min along with physiotherapy.
Primary Outcome Measure Information:
Title
Unified Parkinson disease rating scale (UPDRS-III)
Description
UPDRS-III is a "Gold standered" for Parkinson disease. It completely access the body function, activities and participation of Parkinson's patient. It consist of 6 session. We will only use Scale's motor component, which consist of 14 item. Each sign and symptom is rated on a 5-point scale (ranging from 0 to 4) higher score represent severe impairment. Highest point represent total or maximal disability.
Time Frame
1 day
Secondary Outcome Measure Information:
Title
dual task gait speed test
Description
This test use to access the dual-task gait speed. the gait speed will be measured in single task first, and then in dual task before and after the treatment.
Time Frame
1 day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Able to walk on treadmill for 20 min Cognitively able to perform required task Hoehn and yarn disease stage between I to III. Exclusion Criteria: Gait impairment Cardiac impairment Dementia History of fall Severe Freezing episodes Camptocormia (axial deformity) Central or peripheral paresis Score less than 20 in mini mental scale.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Imran Amjad, Phd
Phone
03324390125
Email
imran.amjad@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wajiha Shahid, Phd
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
General Hospital
City
Lahore
State/Province
Punjab
ZIP/Postal Code
54000
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wajiha Shahid, Phd
Phone
03214885079
Email
wajiha.shahid@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
Rahma A. Hameed, MS-NMPT
First Name & Middle Initial & Last Name & Degree
Wajiha Shahid, PhD

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
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33611557
Citation
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