Gait initiation (GI) is a crucial component of walking that requires a balanced muscle activity and postural stability. GI could be challenging for people with neurological condition such as people with Parkinson (PWP), where GI is usually impaired. The purpose of this study is determining effectiveness of comprehensive, balanced-focused exercise programme in controlling the activation of Solus-muscle in people with Parkinson disease. We hypothesise that balance-focus exercise programe could improve Solus-muscle activation during GI.
study type: this is a parallel group prospective (10 weeks) randomised single-blinded controlled trial conduct in Kuwait.
Participant: People with Parkinson, who met the inclusion criteria.
participants diagnosed by their neurologist with Parkinson's disease (moderate to severe stage)
stable on anti-Parkinson's drugs
able to walk independently without a frame or walking stick.
Able to walk for more than 10 mins unaided
are pregnant
cardiac problems exacerbated by exercise
currently complaining of joint or muscle problems that affect walking ability
known to have neurological conditions (other than Parkinson) that affect walking ability
Parallel
balance-focus exercise programe
Other interventionparticipants in the experimental group will receive balance-focused exercise programe integrated into conventional physiotherapy programe provided to people with parkinson.
weight
weight of the person in KG
height
the height of the person in CM
gait analysis
• Three-dimensional motion analysis:Motion capture units will track the movement of reflective markers placed on the skin/clothing of participants.
Gait Analysis
Three-dimensional motion analysis: Motion capture units will track the movement of reflective markers placed on the skin/clothing of participants.
Parkinson severity scale (PDQ-39)
To evaluate the impact of Parkinson's disease on different dimensions of a patient's life and monitor changes over time.
Parkinson severity scale PDQ-39
To evaluate the impact of Parkinson's disease on different dimensions of a patient's life and monitor changes over time.
Parkinson severity scale PDQ-39
To evaluate the impact of Parkinson's disease on different dimensions of a patient's life and monitor changes over time.
Timed Up and Go test (TUG)
widely used clinical test to assess a person's mobility, balance, walking ability, and fall risk. It is especially useful in older adults and individuals with neurological or musculoskeletal impairment
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