Effects of Exer Gaming on Balance and Gait in Parkinson's Patients

Study Overview
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Brief Summary
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To compare the effects of exer-gaming with conventional physiotherapy on balance and gait in Parkinson's patients

Detailed Description
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Parkinsons Disease is a progressive neuro degenerative disorder manifested by a broad spectrum of motor and non-motor features. Approximately 500 000 people suffer from Parkinson's Disease in the United States and there are approximately 50,000 new cases reported annually . Postural instability, impaired gait, and freezing episodes are all common occurrences in Parkinson's. Agility activities, including supine-to-stand, ambulation, turning, and reaching activities, have been used to reduce freezing episodes, particularly in the early stages of disease. Conventional physical therapy(balance training, stretching and strengthening exercises) being used for the balance and gait training in Parkinson. In recent time, there has been development in such treatment plan. Virtual reality based games have been used for such purposes. This study will look at the effects of virtual reality gaming in patients suffering from Parkinson's disease and its outcomes in term of gait and balance training. A randomized clinical trial will be performed. total 16 patients will be included in the study and will be divided into two groups. VR Group will be receiving virtual reality based exercise plan while the CONVENTIONAL group will receive conventional physical therapy . Division will be done through lottery method. Unified parkinson's disease rating scale and dynamic gait index will be used to collect the data. Treatment frequency will be three days per week for three months .

Official Title
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Effects of Exer Gaming on Balance and Gait in Parkinson's Patients

Conditions
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Parkinson Disease, Balance

Intervention / Treatment
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* Combination Product: Exer gaming
* Combination Product: conventional treatment plan


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Diagnosed Parkinson's disease patients in stage I, II,III according to Hoeh n-Yahr classification. Patients with balance and gait disorders Exclusion criteria: Other neurological conditions (stroke, Alzheimer) Red flag signs (tumors, fractures, infections etc) Uncontrolled hypertension. Patients with visual disturbances Patients with cognitive disorders

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 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: each participant will be requested to draw either number one or two from box. Group number one will receive exer gaming treatment plan Each Patient received twenty four sessions. Each treatment session will of 50 minutes with two minutes rest between each exercise. Group two will receive conventional treatment plan which will include balance training, gait training, stretching and strengthening exercises.Treatment session will be of 50 minutes with 2 minutes rest period between each exercise.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exer gaming treatment plan<br>Exer gaming treatment plan | Combination Product: Exer gaming<br>* exer gaming treatment plan will include perfect ten balance, wii skiing, wiicycling. Each Patient will receive twenty four sessions. Each treatment session was of 50 minutes with two minutes rest between each exercise.<br>|
| Active Comparator: conventional treatment plan<br>conventional treatment plan | Combination Product: conventional treatment plan<br>* it will receive conventional treatment plan which includes balance training, gait training, stretching and strengthening exercises.Each patient will receive twenty four sessions of conventional physical therapy. Treatment session will be of 50 minutes with 2 minutes rest period between each exercise.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Unified Parkinson's diseaserating scale (UPDRS) | this test is specifically used in Parkinson patients to check balance | 50 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| dynamic gait index. | to check dynamic balance | 50 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postural instability,, Parkinson Disease,, Exer Game