Effects of Tai Chi Therapy Versus Qi-Gong in Stage-I Parkinson's Patients.
Effects of Tai Chi Therapy Versus Qi-Gong on Postural Control, Functional Balance , and Motor Function in Stage-I Parkinson's Patients.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Maryam Fayyaz
- Telefonnummer: 03374677916
- E-mail: maryamfayyazawan@gmail.com
Undersøgelse Kontakt Backup
- Navn: Salwa Atta
- Telefonnummer: 03084579229
Studiesteder
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Lahore, Pakistan
- Rekruttering
- The Meer's Physiotherapy and Rehabilitation
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Kontakt:
- Salwa Atta
- Telefonnummer: 03084579229
- E-mail: salwa.atta@ubas.edu.pk
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Punjab Province
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Lahore, Punjab Province, Pakistan
- Rekruttering
- Ghurki Trust and Teaching Hospital
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Kontakt:
- Dr. Mir Shakeel Ahmad
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Diagnosis of PD based on the Hoehn & Yahr staging system (Stages I).
- Male or female patients aged between 50-65 years.
- Currently receiving stable anti-Parkinsonian medication, with no changes in the treatment regimen for at least 3 months.
- Basic self-care ability with no severe cognitive impairment (Mini-Mental State Examination [MMSE] score ≥24).
Exclusion Criteria:
- Depression, as assessed based on a score of >16 for the Beck Depression Inventory-II (BDI-II).
- Recent deep brain stimulation (DBS) treatment.
- Use of medication that interferes with cognition, alertness, or attention.
- Current participation in an exercise training program.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Tai Chi
Tai Chi is a traditional Chinese "moving meditation" that combines slow, gentle movements with deep diaphragmatic breathing and focused attention.
It is designed to cultivate inner energy and harmonize mind and body, making it a popular low-impact, therapeutic exercise.
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Group A will receive 8 weeks of standard conventional physical therapy plus Tai Chi (40 min of Tai Chi and 20 min of conventional physical therapy) total duration of session will be 60 minutes.
The most commonly applied Tai Chi style will be Yang style.
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Eksperimentel: Qi Gong
It is a holistic, low-impact mind-body practice that combines slow, flowing movements, deep rhythmic breathing, and focused intention to balance energy flow, improve health, and enhance overall vitality.
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Group B will receive 8 weeks of standard conventional physical therapy (20 minutes) plus Health Qigong Baduanjin and wuqinxi ( 40 minutes) with total duration of 60 minutes, 2 times a week each pattern for 8 weeks.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Unified Parkinson's Disease Rating Scale
Tidsramme: 8-12 weeks
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It will be used for motor function.
UPDRS shows high ICCs like 0.90 for Motor, 0.85 for ADL).A higher score indicates greater motor impairment and disease severity.
Total score is 108 across 27 items.
It will be used at pre and post intervention.
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8-12 weeks
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Berg Balance Scale (BBS)
Tidsramme: 8-12 weeks
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The Berg Balance Scale (BBS) is a widely used clinical test with 14 functional tasks (like sitting, standing, reaching, turning) to measure static and dynamic postural control and functional balance, primarily to assess fall risk in older adults and neurological patients (stroke, Parkinson's).
It scores tasks from 0 (unable) to 4 (independent) for a total of 56, with lower scores indicating higher fall risk, helping therapists plan interventions.
It Shows very high intra-rater (same tester) and inter-rater (different testers) reliability, with Intraclass Correlation Coefficients (ICC) often around 0.97-0.99.
The Berg Balance Scale have 14-item.
Each item is scored on a 0-4 scale, with a total score of 56 points indicating no balance deficit and lower scores correlating with higher fall risk.
The patients with the scores between 0-20 have High fall risk (may need wheelchair), 21-40: Medium fall risk (may need cane/walker) and 41-56: Low fall risk (independent mobility).
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8-12 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Salwa Atta, Lahore University of Biological & Applied Sciences
Publikationer og nyttige links
Generelle publikationer
- Xu F, Soh KG, Chan YM, Bai XR, Qi F, Deng N. Effects of tai chi on postural balance and quality of life among the elderly with gait disorders: A systematic review. PLoS One. 2023 Sep 28;18(9):e0287035. doi: 10.1371/journal.pone.0287035. eCollection 2023.
- Song R, Grabowska W, Park M, Osypiuk K, Vergara-Diaz GP, Bonato P, Hausdorff JM, Fox M, Sudarsky LR, Macklin E, Wayne PM. The impact of Tai Chi and Qigong mind-body exercises on motor and non-motor function and quality of life in Parkinson's disease: A systematic review and meta-analysis. Parkinsonism Relat Disord. 2017 Aug;41:3-13. doi: 10.1016/j.parkreldis.2017.05.019. Epub 2017 May 25.
- Fidan O, Seyyar GK, Aras B, Colak E, Aras O. The effect of Tai Chi and Qigong on health-related quality of life in Parkinson's disease: a systematic review and meta-analysis of systematic reviews. Int J Rehabil Res. 2019 Sep;42(3):196-204. doi: 10.1097/MRR.0000000000000358.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Synukleinopatier
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Neurodegenerative sygdomme
- Bevægelsesforstyrrelser
- Parkinsonlidelser
- Basal Ganglia Sygdomme
- Parkinsons sygdom
- Terapeutik
- Mind-body terapier
- Komplementære terapier
- Træningsbevægelsesteknikker
- Fysioterapimodaliteter
- Åndedrætsøvelser
- Tai Ji
- Qigong
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- UBAS/ERB/26/4/039
Plan for individuelle deltagerdata (IPD)
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