Effects of OMT on Gait Kinematics and Postural Control in Parkinson Disease
Parkinson Disease
About this trial
This is an interventional treatment trial for Parkinson Disease focused on measuring Osteopathic Manipulation
Eligibility Criteria
Inclusion Criteria:
- For PD participants: Neurologist-diagnosed idiopathic PD, H&Y stages 1.0-3.0
- Ability to stand independently for 1 minute and ambulate 100 yards independently
- Healthy (not under ongoing medical care for health problems that could impact performance on study tasks)
- for controls: age-matched healthy adults
Exclusion Criteria:
- Idiopathic PD in Hoehn & Yahr stages >3.0
- Previous surgical management of PD (pallidotomy, deep brain stimulation
- Central or peripheral nervous system disorders other than PD including, but not limited to multiple sclerosis, cerebral palsy, Alzheimer's diseases, or chronic fatigue syndrome
- Cognitive impairment as defined by the Mini-Mental Status Examination (<26 for subjects with PD and <24 for control subjects)
- Unable to stand independently for 1 minute and to walk independently for 100 yards
- Body weight >400lbs
Sites / Locations
- University of North Texas Health Science Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Sham Comparator
Experimental
Experimental
Sham Protocol
Whole-Body Protocol
Neck-down protocol
The sham protocol will consist of examination of the subject's active and passive range of motion in the spine and extremities, in the joints that would have been treated with OMT. The subject will be positioned in sitting, supine and lateral recumbent in a similar manner to that of the OMT group, but without providing an active intervention. To provide a sham for the OMT-WB protocol, subjects will lie supine with the physician's hands under the occiput, palms toward the table, so that the subject's head rests on the dorsal aspect of the physician's hands. The time used in the sham procedures will be approximately 20-25 minutes.
The whole-body protocol will include all the techniques in the OMT-ND protocol, but will also include techniques focused on the expected cranial dysfunctions [Rivera-Martinez 2002]. The OMT-WB protocol will last approximately 25-30 minutes. The techniques will include: Evaluation for strain pattern(s) Occipitolatlantal decompression Sphenobasilar synchondrosis decompression Occipitomastoid suture V-spread Temporal bone balancing Venous sinus drainage technique
The neck-down protocol takes into consideration previous relevant studies [Lopez 2011, Wells 1999]. OMT will be used bilaterally on the following areas with one or more techniques, including myofascial release, articulatory, muscle energy, and balanced ligamentous tension. The OMT-ND protocol will last approximately 15-20 minutes. Cervical spine Thoracic spine Lumbar spine Shoulder girdle Sacroiliac joint Innominates Leg muscles (including psoas, piriformis, hamstring, adductors) Ankles