This study was planned to investigate and compare the effects of variable and fixed priority dual task training on balance, walking skills, mobility and cognition in patients with Parkinson's disease.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
Variable priority dual task training with balance and walking exercises performed simultaneously with cognitive tasks, twice a week for six weeks
Fixed priority dual task training with balance and walking exercises performed simultaneously with cognitive tasks, twice a week for six weeks
Single task training with balance and walking exercises, twice a week for six weeks
Sağlık Bilimleri Üniversitesi, Gülhane Fizyoterapi ve Rehabilitasyon Fakültesi
Ankara, Turkey (Türkiye)
Gazi Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı
Ankara, Turkey (Türkiye)
Hoehn and Yahr Scale
A staging system that quickly provides information in determining the degree and symptom severity of the disease
Time frame: Baseline, 6 weeks
Unified Parkinson's Disease Rating Scale
Evaluates cognitive skills, mood, activities of daily living, motor skills, motor fluctuations, dyskinesias, and autonomic dysfunction in four parts
Time frame: Baseline, 6 weeks
Berg Balance Scale
It includes 14 functional activities to assess static and proactive balance. The total score ranges from 0 to 56, with higher scores indicating better balance.
Time frame: Baseline, 6 weeks
Functional Reach Test
The test is designed to assess dynamic balance by measuring the maximum distance that a person can reach forward beyond arm's length without taking a step.
Time frame: Baseline, 6 weeks
Single Leg Stance Test
It is a test method used to evaluate static balance. One foot is lifted without touching the supporting leg and the person is expected to maintain their balance for 30 seconds.
Time frame: Baseline, 6 weeks
Four Square Step Test
It is a test method used to evaluate dynamic balance. Two canes are placed on a flat surface to create 4 squares. All squares are numbered. The subject starts in one square and steps in one direction into each of the four squares and then reverses direction back to the start. The time (in seconds) taken to complete the sequence is measured.
Time frame: Baseline, 6 weeks
10 Meter Walk Test
Used to assess walking speed. Participants are asked to walk a distance of 10 meters and the time taken is recorded.
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Time frame: Baseline, 6 weeks
Figure-of-Eight Walk Test
The participant stands still at the midpoint of two cones placed 1.52 m apart and begins walking around the cones in a figure eight at his/her usual pace. The total time and number of steps taken to complete the test are recorded.
Time frame: Baseline, 6 weeks
3-Meter Backward Walk Test
The 3-meter distance is measured and marked. Participants are asked to walk backwards as quickly as possible with the "walk" command and to stop when they reach 3 meters. The elapsed time is recorded in seconds.
Time frame: Baseline, 6 weeks
Timed Up and Go Test
It is used to assess functional mobility level. The participant is asked to stand up from the chair, walk 3 m, turn around, walk back to the chair and sit down. The test starts with the "walk" command and the completion time is recorded in seconds.
Time frame: Baseline, 6 weeks
Unified Parkinson's Disease Rating Scale, Part 2
UPDRS Part 2 generally is considered a psychometrically reliable tool for measuring activities of daily living outcomes in people with Parkinson's disease.
Time frame: Baseline, 6 weeks
Dual Task Questionnaire
It is used to obtain information about the difficulties experienced in daily tasks related to dual task. It consists of 10 questions, each question is scored between 0 and 4.
Time frame: Baseline, 6 weeks
Trail Making Test
It is used to evaluate individuals' visual scanning speed, executive functions, visual-motor perception, motor function, planning, organization, abstract thinking and response limitation. The test consists of 2 parts: A and B. In part A, the individual is asked to combine numbers from 1 to 25 and the completion time is recorded. In part B, the individual completes the sequence by corresponding to a number and a letter, and the completion time is recorded.
Time frame: Baseline, 6 weeks
Stroop Test
It is a test that evaluates executive functions and the suppression of inappropriate automatic responses and provides information about frontal functions.
Time frame: Baseline, 6 weeks
Symbol Digit Modalities Test
It is a test that measures working memory and information processing speed. In the upper right corner of the A4 paper used in the test, there is a grid of shapes, each representing a number. In the other parts of the paper, there are randomly arranged shapes in blocks. During the test, patients are asked to match these shapes with the numbers in the grid.
Time frame: Baseline, 6 weeks
Word List Generation
It is a test used to evaluate complex attention functions and vocabulary. It consists of animal and KAS sections. First, the patient is asked to name every animal that comes to mind in one minute, as quickly as possible. In the KAS section, the patient is asked to name every word that comes to mind, except for proper nouns and city names, with the letters K-A-S in order. The time for each letter is again one minute.
Time frame: Baseline, 6 weeks
Tampa Scale for Kinesiophobia
It is a 17-question scale developed to measure fear of movement/re-injury. The scale includes parameters of injury/re-injury and fear-avoidance in work-related activities. Each item is scored between 1-4.
Time frame: Baseline, 6 weeks