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Effectiveness of Resistance Exercises Added to Aerobic and Balance Exercises in Parkinson's Disease

1 czerwca 2026 zaktualizowane przez: Nazlı İlgüner, Sisli Hamidiye Etfal Training and Research Hospital

The Effects of Resistive Exercises Added to Aerobic and Balance Exercises on Quality of Life, Activities of Daily Living, Cognitive Functions, and Sarcopenia Parameters in Patients With Early-Stage Parkinson's Disease: A Prospective Randomized Controlled Study.

The purpose of this study is to evaluate the effects of resistive exercises added to aerobic and balance exercises on quality of life, activities of daily living, cognitive functions, and sarcopenia parameters in patients diagnosed with early-stage PD. The main question it aims to answer is: In patients diagnosed with early-stage Parkinson's disease, do resistive exercises added to aerobic and balance exercises have an effect on quality of life, daily living activities, cognitive function, and sarcopenia parameters? If so, what is the nature of this effect? Patients will undergo an exercise program three days a week for eight weeks. Outcomes will be assessed at baseline, on the first day after the treatment and 4 weeks after the end of the treatment.

Przegląd badań

Status

Aktywny, nie rekrutujący

Interwencja / Leczenie

Szczegółowy opis

Parkinson's disease (PD) is a neurodegenerative disease characterized by bradykinesia, rigidity, resting tremor and postural instability. It can lead to numerous motor, neuropsychiatric, cognitive, and autonomic symptoms. In advanced stages, it can increase the risk of falling by causing postural instability. Sarcopenia is characterized by a decrease in muscle mass and function. Sarcopenia prevalence increases with age, leading to increased fragility and risk of falling. Studies have shown that various exercise programs, including aerobic, balance, and resistive exercises, have positive effects on rigidity, tremor, gait disorders, and physical capacity in patients diagnosed with PD. The purpose of this study is to evaluate the effects of resistive exercises added to aerobic and balance exercises on quality of life, activities of daily living, cognitive functions, and sarcopenia parameters in patients diagnosed with early-stage PD.

Adults who aged between 40-70 years, diagnosed with PD and meet predefined inclusion and exclusion criteria will be enrolled and randomly assigned to one of two exercise based treatment groups. Both groups will receive aerobic and balance exercises, while one group will additionaly receive resistive exercises. Both groups will undergo exercise programs three days a week for eight weeks. Evaluations will be conducted using the The Parkinson's Disease Questionnaire-39 (PDQ-39), Short Physical Performance Battery (SPPB), SARC-F Questionnaire, Berg Balance Test, Katz Index of Independence in Activities of Daily Living, Montreal Cognitive Assesment (MoCA), Patient Health Questionnaire-9 (PH-9), functional performance tests, grip strentgh measurements and quadriceps muscle thickness measurement via ultrasonography. Evaluations will be performed at baseline, on the first day after the treatment and 4 weeks after the end of the treatment.

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

34

Faza

  • Nie dotyczy

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

      • Istanbul, Turcja (Türkiye)
        • Sisli Hamidiye Etfal Training and Research Hospital

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Dorosły
  • Starszy dorosły

Akceptuje zdrowych ochotników

Nie

Opis

Inclusion Criteria:

  • Adults aged 40 to 70 years
  • Patients diagnosed with Modified Hoehn-Yahr stage 1-3 Parkinson's disease
  • Patients diagnosed with Parkinson's disease for more than 1 year
  • Patients who can mobilize without an assistive device

Exclusion Criteria:

  • Patients diagnosed with Parkinson Plus syndrome
  • History of uncontrolled hypertension
  • History of uncontrolled diabetes mellitus
  • History of serebrovascular disease within the past 6 months
  • History of miyocardial infarction within the past 6 months
  • History of knee or hip artroplasty surgery
  • History of severe cardiac arrythmia
  • Presence of cardiac pacemaker
  • Presence of severe dementia
  • History of severe psychiatric disorders
  • Patients who have on dialysis
  • Presence of acute infection
  • Pregnancy
  • History of malignancy

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Pojedynczy

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Aktywny komparator: Aerobic and Balance Exercise Group
Participants will receive an exercise program with 3 days a week for 8 weeks. Each treatment session will not exceed 45 minutes. Program will include aerobic exercises with 15 minutes on a treadmill, aiming not to exceed 85% of maximum heart rate and balance exercises including tandem stance, tandem walk, side stepping, backward walking, single leg stance.
An 3 days a week for 8 weeks aerobic and balance exercises program
Inne nazwy:
  • Aerobic and Balance Exercises
A 3 days a week for 8 weeks aerobic, balance and resistive exercises program
Inne nazwy:
  • Aerobic, Balance and Resistive Exercises
Eksperymentalny: Aerobic, Balance and Resistive Exercise Group
Participants will receive an exercise program with 3 days a week for 8 weeks. Each treatment session will not exceed 45 minutes. Program will include aerobic exercises with 15 minutes on a treadmill, aiming not to exceed 85% of maximum heart rate; balance exercises including tandem stance, tandem walk, side stepping, backward walking, single leg stance and resistive exercises for upper and lower extremity
An 3 days a week for 8 weeks aerobic and balance exercises program
Inne nazwy:
  • Aerobic and Balance Exercises
A 3 days a week for 8 weeks aerobic, balance and resistive exercises program
Inne nazwy:
  • Aerobic, Balance and Resistive Exercises

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Grip strenght
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Grip strength is measured using a hydraulic hand dynamometer with the dominant hand.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Chair Stand Test
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Chair Stand Test is used to assess muscle function. Patients asked to sit and stand on a chair for 5 times.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Gait Speed
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Gait speed is assessed by measuring the time it takes the patient to walk a distance of 4 meters.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Quadriceps Muscle Thickness Measurement
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Quadriceps muscle thickness measurement is performed ultrasonographically with a linear probe, without compression, with the patient in the supine position, from the anterior side, at the midpoint of the linear line passing between the anterior superior iliac spine (ASIS) and the upper pole of the patella.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Time-Up And Go Test
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
It is measured by the time it takes for a person to get up from their chair, walk 3 meters, return, and sit back down.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
SARC-F Questionnaire
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
SARC-F is a screening tool to identify propable sarcopenic patients. The total score ranges from 0 to 10; a score of 4 or higher indicates a risk of sarcopenia.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Short Physical Performance Battery (SPPB)
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Short Physical Performance Battery (SPPB) is a assessment tool for evaluating physical performance. The total score ranging from 0 to 12 where 0 indicates worst performance and 12 indicates best performance.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Berg Balance Scale
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Berg Balance Scale is a 14-item test used to evaluate functional balance and fall risk in patiens. Each item is scored on a 0-4 scale. The total score is ranging 0 to 56 where lower scores indicates higher fall risk.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Parkinson's Disease Questionnaire-39 (PDQ-39)
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Parkinson's Disease Questionnaire-39 (PDQ-39) is used to assess quality of life among with patients with Parkinson's disease. The scale consists of 39 multiple-choice items covering 8 factors. Each question is scored between 0 and 4. Higher scores indicate a deterioration in quality of life.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Patient Health Questionnaire (PHQ)
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Patient Health Questionnaire-9 (PHQ-9) is diagnostic and screening tool for depression. The PHQ-9 measures symptoms over the past 2 weeks on a scale of 0 (not at all) to 3 (nearly every day). Total score ranges 0 to 27.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Katz Index of Independence in Activities of Daily Living
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
Katz Index of Independence in Activities of Daily Living is used to assess basic functional status and the level of independency. The total score ranging from 0 to 6, where 0 indicates severe functional impairment and 6 indicates full function.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Montreal Cognitive Assessment (MoCA)
Ramy czasowe: Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment
The Montreal Cognitive Assessment (MoCA) is used to detect cognitive impairment. The total score ranges 0 to 30 which scores of 26 to 30 are generally considered normal cognitive function.
Baseline (pre-treatment), Day 1 post-treatment, Week 4 post-treatment

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Publikacje i pomocne linki

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Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

1 września 2025

Zakończenie podstawowe (Szacowany)

15 czerwca 2026

Ukończenie studiów (Szacowany)

15 czerwca 2026

Daty rejestracji na studia

Pierwszy przesłany

1 czerwca 2026

Pierwszy przesłany, który spełnia kryteria kontroli jakości

1 czerwca 2026

Pierwszy wysłany (Rzeczywisty)

5 czerwca 2026

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

5 czerwca 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

1 czerwca 2026

Ostatnia weryfikacja

1 czerwca 2026

Więcej informacji

Terminy związane z tym badaniem

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

NIE

Opis planu IPD

Individual participant data will not be shared, as this is a single-center, academic study, and there is no plan or requirement to make the raw dataset publicly available.

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

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