- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05884944
Effects Of Osteopathic Manipulative Medicine(OMM) On Lower Extremity Muscle Characteristics In Parkinson's Disease(PD) Patients
The purpose of the study is to investigate the effects that Osteopathic Manipulative Medicine has on lower extremity muscle characteristics in PD. Muscle stiffness, range of motion, and gait will be measured.
Participants will be asked to attend one in person session at the NYIT Academic Health Care Center. Participants will be randomly assigned to a control or experimental group. After a visit with the treating physician, both groups will have muscle stiffness tested using a myotonometry meter via a MyotonPRO device, gait measured while walking on a treadmill for 2 minutes before and after treatment, and range of motion tested using a goniometer. One week after the visit, participants will be asked to complete a brief survey over the phone with one of the study investigators.
Study Overview
Status
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sheldon Yao, DO
- Phone Number: 516-686-1300
- Email: syao@nyit.edu
Study Locations
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New York
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Old Westbury, New York, United States, 11568
- Recruiting
- NYIT College of Osteopathic Medicine
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Contact:
- Sheldon Yao, DO
- Phone Number: 516-686-1300
- Email: sheldon.yao@nyit.edu
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis of Parkinson's disease as per a neurologist, a severity of 2-4 on the Hoehn and Yahr (H-Y) Scale
- Able to receive OMM
- Able to be in a supine and prone position for MyotonPRO measurements
- Able to ambulate for gait measurements
- Have musculoskeletal complaints of leg pain/cramping or gait abnormalities due to their PD
Exclusion Criteria:
- Presence of severe fasciculations based on clinical judgment due to interference with measurements
- Gait disorders not attributed to PD
- Presence of other medical neurologic diagnoses that can affect outcome measures such as muscle tone/stiffness and ambulation (ie stroke, multiple sclerosis)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Interventional Group- OMM- Muscle energy
For the OMM treatment group, an osteopathic manipulative treatment protocol will be applied to the lower extremities, specifically muscle energy technique (MET) to the hip, knee, and ankle bilaterally based on the protocol from Atlas of Osteopathic Techniques.
The adductor, extensor, and flexor muscles of the hip joint will be treated, the extensors and flexors of the knee joint will be treated, and the plantar and dorsiflexion muscles of the ankle will be treated
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The interventional group will received Osteopathic Manipulative Medicine, specifically Muscle energy treatment.
An osteopathic manipulative treatment protocol will be applied to the lower extremity joints bilaterally.
Muscle energy technique (MET) will be applied to the hip, knee, and ankle bilaterally based on the protocol from Atlas of Osteopathic Techniques.
The adductor, extensor, and flexor muscles of the hip joint will be treated, the extensors and flexors of the knee joint will be treated, and the plantar and dorsiflexion muscles of the ankle will be treated.
Muscle energy is a direct active treatment asking the subject to move their joint in a direction against a counterforce by the treatment provider for 3 times for 3 seconds and repeating the procedure 3 times and afterwards a passive stretch to the joint is applied by the provider.
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Sham Comparator: Control Group- Sham- Light touch, not reaching restrictive barrier
Joint articulation without engaging joint barriers The sham group will serve as the control group and will receive a sham-control procedure as outlined in the paper by Wells, et al in which they will undergo voluntary ROM and then passive movement with the same joint movements without reaching their barrier and no isometric contraction (Wells et al. 1999) The proposed sham procedure will occupy the same amount of time as MET treatment.
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Sham- Light touch, not reaching restrictive barrier For the control group, the subjects hip, knee, and ankle joints will be moved bilaterally 3 times into each plane to mimic the OMM muscle energy treatment.
The joint will be moved in each plane of motion without reaching the joint barrier.
The hip joint will be moved into adduction, extension, and flexion, the knee joint will be moved into extension and flexion, and the ankle will be moved into plantarflexion and dorsiflexion 3 times in each direction without reaching the barrier passively.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mechanical stress via the MyotonPro
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
Mechanical Stress Relaxation Time [ms]
|
Pre and Post intervention(1 hour)- change is being assessed
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Dynamic Stiffness via the MyotonPro
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
Dynamic Stiffness [N/m]
|
Pre and Post intervention(1 hour)- change is being assessed
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Step Cycle time via the Biodex Gait Trainer 3
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
Gait will be investigated utilizing the Biodex Gait Trainer 3. Measurements will be taken during a two minute walk before and after treatment or sham protocol at the visit.
Step cycle time- Cycles/ second
|
Pre and Post intervention(1 hour)- change is being assessed
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Average step length via the Biodex Gait Trainer 3
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
Gait will be investigated utilizing the Biodex Gait Trainer 3. Measurements will be taken during a two minute walk before and after treatment or sham protocol at the visit. Average Step length in Cm |
Pre and Post intervention(1 hour)- change is being assessed
|
Step Symmetry- time on each foot via the Biodex Gait Trainer 3
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
Gait will be investigated utilizing the Biodex Gait Trainer 3. Measurements will be taken during a two minute walk before and after treatment or sham protocol at the visit.
Measurements include step symmetry via the time on each foot in percentage(%)
|
Pre and Post intervention(1 hour)- change is being assessed
|
Goniometer- Hip ROM (Flexion and Extension)
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the hip in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
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Goniometer- Hip ROM Flexion
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the hip in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
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Goniometer- Hip ROM Extension
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the hip in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
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Goniometer- Knee ROM - Flexion
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the Knee in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
|
Goniometer- Knee ROM - Extension
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the knee in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
|
Goniometer- Ankle ROM- Dorsiflexion
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the ankle in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
|
Goniometer- Ankle ROM- Plantarflexion
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
A goniometer will be used to assess range of motion of the ankle in degrees
|
Pre and Post intervention(1 hour)- change is being assessed
|
The Timed Up & Go- 3 Meter walk
Time Frame: Pre and Post intervention(1 hour)- change is being assessed
|
The Timed Up & Go (TUG) test measures one's ability to rise up from a seated chair position, walk 3 meters, turn, walk back, and sit down in the chair- measure in seconds
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Pre and Post intervention(1 hour)- change is being assessed
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lower Extremity Functional Scale (LEFS)
Time Frame: Pre intervention and 1 week Post intervention - change is being assessed
|
Lower Extremity Functional Scale (LEFS) will be used to assess difficulty with daily activities as a result of lower extremity dysfunction.
Minimum value is 9 Maximum value is 80.
The higher the score, the lower the disability.
|
Pre intervention and 1 week Post intervention - change is being assessed
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- BHS-1850
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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