The Acute Effect of Cervical Mobilization in Parkinson's Disease
Condition: Idiopathic Parkinson's Disease
MeSH terms: Parkinson Disease
Study type: Interventional

Summary: 
      Patients with Idiopathic Parkinson's disease have balance and gait problems due to sensory
      and motor impairments. In the literature, there are lots of studies including various
      approaches for rehabilitation of these parameters such as sensory interventions, conservative
      treatments, neurophysiological approaches and motor imagery. However, taking into account of
      literature, there is no study investigating the effects on balance and gait of cervical
      mobilization by stimulating proprioceptors and vestibular receptors. Therefore, the aim of
      this study is to investigate the acute effect of cervical mobilization on balance and gait in
      patients with idiopathic Parkinson's disease.
    

Detailed description: 
      Patients with Idiopathic Parkinson's disease have balance and gait problems due to sensory
      and motor impairments. In the literature, there are lots of studies including various
      approaches for rehabilitation of these parameters such as sensory interventions, conservative
      treatments, neurophysiological approaches and motor imagery. The posture of the cervical
      region is impaired by the findings of the disease such as rigidity, flexor posture and loss
      of axial rotation. Considering that the cervical region is rich in proprioceptors and one of
      the key points for the vestibular system, interventions to this area can be thought to
      contribute to postural control and gait. However, taking into account of literature, there is
      no study investigating the effects on balance and gait of cervical mobilization by
      stimulating proprioceptors and vestibular receptors. Therefore, the aim of this study is to
      investigate the acute effect of cervical mobilization on balance and gait in patients with
      idiopathic Parkinson's disease.
    

Intervention name(s): cervical mobilization; control
Intervention type(s): Other; Other
Intervention description(s): Cervical mobilization techniques were applied in the study. Within the scope of application; rotation with traction, lateral gliding, anterior-posterior gliding with traction, bridging and stroking techniques to the paravertebral muscles were used. Mobilization were performed at grade A (mobilization in painless joint range) and grade B (continuous stretching at the end of the joint range). The mobilization were applied during 10 minutes.
At the end of study all patients were received home-based exercise tailored to each individual's needs which include stretching, strengthening, balance and gait exercise and posture exercise; There was no intervention in the control group during study. At the end of study all patients were received home-based exercise tailored to each individual's needs which include stretching, strengthening, balance and gait exercise and posture exercise
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: randomized controlled
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Parkinson's disease; Cervical Spine; Postural Balance; Gait; Manual Therapies