Clinical trial NCT05903755: the Effect of Speed Dependent Treadmill Training on Dual Task Performance in Patient With Parkinson's Disease.
Official title: To Understand the Effect of Speed Dependent Treadmill Training on Dual Task Performance in Patient With Parkinson's Disease.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Parkinson Disease
Keywords: Treadmill training
Dual-task performance
Parkinson disease
Physiotherapy
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-06-15
Enrollment: 22
Sex: ALL
Minimum age (years): 30
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this randomized clinical trail is to identify the impact of treadmill training on walking while doing dual task in patients with Parkinson's disease. By improving walking speed, bradykinesia would be reduced in Parkinson's patients. So, the findings of this study can help in formulation of future guidelines for management of Parkinson's that will help the clinicians to treat such patients in more efficient way.

Detailed description: A RCT that investigated the effect of Treadmill training and physiotherapy in patient with PD using dual tasking as outcome measure.105 Parkinson's disease (PD) patients; these are the subject who received treadmill training and physiotherapy for 14 days. Both intervention helps the patients to enhance the dual task gait velocity.

A study is to identify the effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson's disease to observe the postural stability by incremental speed dependent treadmill training. 54 patient of Parkinson's disease (PD) was randomly allocated in to experimental and control group. 8-week training program was conducted including stretching, Range of motion exercises (ROM), and treadmill training. Walking distance of the training group was gradually increased after 16 training sessions. The training group's scores on the Berg Balance Test, Dynamic Gait Index, and Falls Efficacy Scale dramatically improved after the training program. While the control group, shows no significant improvement in outcome measurements. Specific exercise regimens, such as incremental speed-dependent treadmill training, may increase mobility and minimize fear of fall in-patient with Parkinson's disease.

GAP:The study's relatively small sample size is one of its limitations. There is least work done on speed dependent treadmill training and its effect on dual task performance in-patient with Parkinson's disease. More research is require, to compare various treatment options with incremental speed-dependent treadmill training for Parkinson's disease patients.

Eligibility criteria: Inclusion Criteria:

* Able to walk on treadmill for 20 min
* Cognitively able to perform required task
* Hoehn and yarn disease stage between I to III.

Exclusion Criteria:

* Gait impairment
* Cardiac impairment
* Dementia
* History of fall
* Severe Freezing episodes
* Camptocormia (axial deformity)
* Central or peripheral paresis
* Score less than 20 in mini mental scale.

Primary outcomes:
measure: Unified Parkinson disease rating scale (UPDRS-III)
timeFrame: 1 day
Secondary outcomes:
measure: dual task gait speed test
timeFrame: 1 day
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: General Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Wajiha Shahid, Phd
role: PRINCIPAL_INVESTIGATOR
References:
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