Effects of Lee Silverman Voice Treatment BIG on Dynamic Balance in Parkinson's Patients

Study Overview
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Brief Summary
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To determine the effects of Lee Silverman Voice Treatment BIG on dynamic balance in Parkinson's patients

Detailed Description
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This study will be conducted to compare the effects of Lee Silverman Voice Treatment BIG and conventional physiotherapy on dynamic balance in patients of PD. Patients will be recruited according to inclusion criteria and data will be collected from Riphah rehabilitation center, National Hospital Lahore. Dynamic gait index will be used as data collection tool to test dynamic balance of patients. Patients will be allocated to intervention groups by randomization. After approval from ethical committee, data collection will be started and informed consent will be taken from all patients.

Official Title
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Effects of Lee Silverman Voice Treatment BIG on Dynamic Balance in Parkinson's Patients

Conditions
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Parkinson Disease, Motor Disorders, Balance; Distorted

Intervention / Treatment
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* Other: Lee Silverman Voice Treatment BIG
* Other: conventional treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Stage I, II, III Parkinson's patients on Hoehn &;Yahr classification Able to walk without assistive devices Stable medication 4 weeks prior to and during study Exclusion Criteria: Patients with depression or dementia Disabling bradykinesia to make sure patients are efficient to engage and cooperate in conventional physical therapy

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: total 26 participants will be randomly assigned to experimental group (Lee Silverman Voice Treatment BIG along with conventional therapy) and control group( conventional treatment)
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Lee Silverman Voice Treatment big with conventional treatment<br>Lee Silverman Voice Treatment big with conventional treatment | Other: Lee Silverman Voice Treatment BIG<br>* Patients assigned to experimental group will get Lee Silverman Voice Treatment BIG along with conventional treatment.<br>|
| Active Comparator: control group<br>Patients assigned to control group received conventional treatment program encompassing set of exercises such as complex motor sequences, stretching, dual tasking, mental imagery and core stability. | Other: conventional treatment<br>* patients in this group will get conventional treatment program encompassing set of exercises such as complex motor sequences, stretching, dual tasking, mental imagery and core stability.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dynamic Gait Index | Dynamic gait index assesses postural stability, gait, and balance. It evaluates various gait- related tasks with challenging situations such as head turn, speed change, obstacles and stairs climbing. | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Balance; Distorted, Parkinson Disease, Motor Disorders