Effectiveness of Rebound Therapy in Parkinson's Patients

Study Overview
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Brief Summary
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Today, physiotherapy approaches in Parkinson's Disease (PD) form the basis of optimal treatment together with medical and surgical treatment. It is stated that various rehabilitation interventions may be effective in the field of physiotherapy. The frequently preferred among these rehabilitation interventions is the conventional treatment approach. In the conventional treatment, various exercises are preferred to improve balance and walking, as well as stretching and strengthening. On the other hand, rebound therapy require strong integration of the neuromuscular system and provide more active use of lower extremity muscle strength. Rebound therapy have been shown to be effective in improving balance in many neurological disease groups, but there is very little study on rebound therapy in PD. It was shown that rebound therapy improve proprioceptive sense, joint range of motion and quality of life. On the other hand, no study has been found showing its effect on balance and walking. Therefore, there is a need to investigate the effectiveness of rebound therapy on balance and walking.

Detailed Description
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This study is a randomized controlled study. The patients will be randomly divided into two groups as rebound and control. The rebound group will perform exercises on a trampoline, consisting of 15 minutes of trunk and extremity stretching, 10 minutes of walking, and approximately 30 minutes of task-oriented exercises, twice a week for six weeks. While the control group will follow the same program as the rebound group, they will only perform task-oriented exercises on a stable surface, unlike the rebound group. As the outcome measures, disease severity and disability, balance, and gait performance will be evaluated.

Official Title
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Effectiveness of Rebound Therapy on Balance and Gait in Parkinson's Patients

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: Rebound therapy
* Other: Exercises on a stable surface


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 40-80 years of age Having diagnosed with Parkinson's Disease by a specialist physician Having between 1-3 stages according to the Hoehn and Yahr Scale Mini-Mental Test score more than or equal 24 Exclusion Criteria: - Any orthopedic, vision, hearing, cardiovascular, or perception problems that may affect the research results

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 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: Two groups as rebound group and control group
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Rebound therapy<br>The group that will perform exercises on a trampoline. | Other: Rebound therapy<br>* Participants will receive exercise-based training on a trampoline<br>|
| Experimental: Control group<br>The group that will perform exercises on a stable surface. | Other: Exercises on a stable surface<br>* Participants will receive exercise-based training on a stable surface<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Static Balance- Baseline | Assessment will be made with the Biodex Balance System | Assessment will be conducted before the intervention | 
| Static Balance- Post intervention | Assessment will be made with the Biodex Balance System | Assessment will be conducted immediately after the intervention | 
| Gait speed- Baseline | Assessment will be made with the BTS G-Walk, (BTS SpA, Via della Croce Rossa, 11 Padova, Italy; SN: 0213-0378) during gait | Assessment will be conducted before the intervention | 
| Gait speed- Post intervention | Assessment will be made with the BTS G-Walk, (BTS SpA, Via della Croce Rossa, 11 Padova, Italy; SN: 0213-0378) during gait | Assessment will be conducted immediately after the intervention | 
| Knee strength- Baseline | Assessment will be made with an isokinetic dynamometer (Cybex Humac Norm Testing and Rehabilitation System, CSMI, USA) | Assessment will be conducted before the intervention | 
| Knee strength-Post intervention | Assessment will be made with an isokinetic dynamometer (Cybex Humac Norm Testing and Rehabilitation System, CSMI, USA) | Assessment will be conducted immediately after the intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Parkinson's disease, rebound therapy, task oriented training, balance and walking performance