The aim of this study is to compare the effectiveness of motor-motor dual-task training and cognitive-motor dual-task training in patients with Parkinson's disease.The main questions it aims to answer are:
\- Whether there is a difference between motor-motor dual-task training and cognitive-motor dual-task training in patients with Parkinson's disease in terms of their effects on motor symptoms, balance, gait, functional mobility, activities of daily living, dual-task activities, cognitive functions, and balance confidence.
Researchers will compare single-task training, motor-motor dual task training and cogvitive-motor dual task training.
Participants will:
* Receive exercise training at the study clinic twice a week for approximately 45 minutes each time, for 6 weeks. * Participate in assessments at the study clinic before and after exercise training.
Having been diagnosed with Parkinson's disease by a neurologist according to the UK Brain Bank criteria.
Being in stages 1-3 according to the Hoehn-Yahr Scale.
Presence of a neurological disease other than Parkinson's disease
Cognitive impairment (Standardized Mini Mental Test score less than 24)
Having undergone deep brain stimulation surgery
Having a visual, auditory, or perceptual problem
Parallel
Single Task Exercise Training
Other interventionSingle task balance and walking exercises. 5-minute warm-up period, followed by 15 minutes of balance exercises and 15 minutes of walking exercises with a 5-minute rest in between, and then a 5-minute cool-down period.
Motor-Motor Dual Task Exercise Training
Other interventionMotor-motor dual task balance and walking exercises. Motor-motor dual task balance and walking exercises. 5-minute warm-up period, followed by 15 minutes of balance exercises and 15 minutes of walking exercises concurrently performed with upper extremity motor tasks with a 5-minute rest in between, and then a 5-minute cool-down period.
Cognitive-Motor Dual Task Exercise Training
Other interventionCognitive-motor dual task balance and walking exercises. Cognitive-motor dual task balance and walking exercises. 5-minute warm-up period, followed by 15 minutes of balance exercises and 15 minutes of walking exercises concurrently performed with cognitive tasks with a 5-minute rest in between, and then a 5-minute cool-down period.
Unified Parkinson's Disease Rating Scale (UPDRS) - PART 3
UPDRS is a reliable and valid scale that assesses cognitive skills, mood, daily living activities, motor skills, motor fluctuations, dyskinesias and autonomic dysfunction and is widely used in clinical studies and research in Parkinson's disease. The motor symptoms section, which is the third section of this scale, will be used.
Hoehn & Yahr Scale
It is a staging system that provides information quickly in determining the severity and symptoms of Parkinson's disease.
Single-Leg Stance Test
This is a test method used to assess static balance. The patient's preferred foot is raised without touching the supporting leg, and initially, the eyes are open. The eyes are fixed towards the head, and the patient is expected to maintain their balance for 60 seconds. The time the participant maintains their balance is recorded.
Functional Reach Test
This test is designed to assess dynamic balance. In the test, the participant is positioned sideways next to a wall, with their torso upright, the shoulder on the wall flexed to 90°, and the elbow fully extended. The participant is then asked to make a fist with the same arm, and the position of the third metacarpal head is marked on the wall. The participant reaches forward with their knees fully extended; the position of the third metacarpal head is marked again, and the participant returns to the starting position. The difference between the two marks is measured with a tape measure.
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Saglik Bilimleri Universitesi
Lead sponsor
Eskisehir Osmangazi University
Collaborator
Anadolu University
Collaborator
