Mobile Application for Gait Training in Parkinson's Disease
Development and Investigation of the Effectiveness of an External Stimulus-Supported Gait Training Mobile Application for Patients With Parkinson's Disease
研究概览
详细说明
The developed mobile application is a digital tool that provides automated, patient-specific metronome sounds and corresponding tactile vibrations to support optimal walking speed and rhythm. This study aims to investigate the effects of this external stimulus-supported gait training on walking performance and functional mobility in patients with Parkinson's disease in a single-center, controlled design.
Participants will be randomized into two groups: an experimental group receiving both auditory and tactile stimuli (vibration) via the mobile application, and a control group receiving standard gait training without any external stimuli. Both groups will undergo gait training for 30 minutes per day, 3 days a week, over a period of 6 weeks. Assessments will be conducted before and after the intervention by trained clinicians under standardized conditions. Walking and balance performance will be evaluated using the Timed Up and Go Test (TUG) to assess functional mobility and dynamic balance, the Dual-Task TUG to assess cognitive-motor interaction, the 5-Times Sit to Stand Test (5xSST) to measure lower extremity functional strength, the Trunk Impairment Scale (TIS) to evaluate trunk control, and the Falls Efficacy Scale-International (FES-I) to assess fall anxiety. Additionally, spatiotemporal walking parameters, including cadence, walking speed, and step count, will be analyzed using a separate gait analysis mobile application (Gait Analyzer).
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Mehmet Özkeskin, Associate Professor
- 电话号码：+905056631833
- 邮箱：mehmet.ozkeskin76@gmail.com
学习地点
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İzmir
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Izmir、İzmir、土耳其（türkiye）、35350
- 招聘中
- Ege university
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接触：
- Mehmet Özkeskin, Assoc. Prof.
- 电话号码：05056631833
- 邮箱：mehmet.ozkeskin76@gmail.com
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
Diagnosed with idiopathic Parkinson's disease by a neurologist based on clinical and radiological findings.
Disease severity between stages 1 to 3 according to the Modified Hoehn and Yahr Scale.
Able to walk at least 10 meters independently or with an assistive device.
Being in the "ON" period of Parkinson's medication.
Ability to use technological devices such as smartphones (scoring 35 or higher on the Digital Competence Inventory for Older Adults).
Fluent in reading, understanding, and speaking Turkish.
Voluntarily participating in the study.
Exclusion Criteria:
Having neurological disorders other than Parkinson's disease that could affect mobility.
History of knee joint surgery or traumatic injury affecting the knee joint.
History of any surgery within the last 6 months.
Presence of a deep brain stimulator.
Hearing impairment.
Cognitive impairment or inability to understand and follow the study procedures.
Other physical or systemic conditions that could affect walking assessments (e.g., amputation, severe diabetes mellitus, alcohol addiction).
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：Mobile Application Group
Participants will receive gait training with personalized metronome sounds (auditory stimulus) and simultaneous vibrations (tactile stimulus) using a smartphone.
The training is applied for 30 minutes per session, 3 days a week, for 6 weeks.
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A smartphone application providing automated, patient-specific metronome sounds and tactile vibrations to support optimal walking speed and rhythm.
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无干预：Control Group
Participants will receive standard gait training for 30 minutes per session, 3 days a week, for 6 weeks, without any external auditory or tactile stimuli.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Gait Speed
大体时间：Baseline and 6 weeks
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Description: Assessed objectively using the Texas Instruments SensorTag wearable sensor. Participants walk over a level surface at their self-selected speed. The device captures the gait patterns, and the system records the mean gait speed. A higher value indicates better functional mobility and improvements following the dual-task training. Unit of Measure: centimeters/second (cm/s) |
Baseline and 6 weeks
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Timed Up and Go Test (TUG)
大体时间：Baseline and 6 weeks
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Evaluates functional mobility and dynamic balance.
The time taken to stand up from a chair, walk 3 meters, turn, walk back, and sit down is recorded in seconds.
A shorter time indicates better functional mobility.
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Baseline and 6 weeks
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Dual-Task Timed Up and Go Test
大体时间：Baseline and 6 weeks
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Evaluates the effect of a cognitive dual-task on mobility.
Participants perform the standard TUG test while completing a simultaneous cognitive task (e.g., counting backward).
The time is recorded in seconds.
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Baseline and 6 weeks
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Freezing of Gait Questionnaire (FOGQ)
大体时间：Baseline and 6 weeks
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Evaluates freezing episodes and gait-related experiences.
It consists of 6 items evaluated on a 5-point Likert scale.
The total score ranges from 0 to 24.
Higher scores indicate more severe freezing of gait.
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Baseline and 6 weeks
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Falls Efficacy Scale-International (FES-I)
大体时间：Baseline and 6 weeks
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Assesses the fear of falling during physical and social activities.
It consists of 16 items on a 4-point scale.
The total score ranges from 16 to 64.
Higher scores indicate a greater fear of falling.
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Baseline and 6 weeks
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Five Times Sit to Stand Test (5xSST)
大体时间：Baseline and 6 weeks
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Evaluates lower extremity functional strength.
The time taken to stand up and sit down five times as quickly as possible is recorded in seconds.
A shorter duration indicates better lower extremity strength.
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Baseline and 6 weeks
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Trunk Impairment Scale (TIS)
大体时间：Baseline and 6 weeks
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Evaluates trunk control, including static sitting balance, dynamic sitting balance, and trunk coordination.
The total score ranges from 0 to 23.
Higher scores indicate better trunk performance.
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Baseline and 6 weeks
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System Usability Scale (SUS)
大体时间：6 weeks
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Evaluates the usability and user experience of the developed mobile application (assessed only in the experimental group).
It consists of 10 items on a 5-point Likert scale.
Higher scores indicate better usability.
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6 weeks
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Digital Competence Inventory for Older Adults
大体时间：Baseline
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Evaluates the digital competence of participants in using technological devices.
It consists of 24 items across four subscales: information literacy, communication and collaboration, safety, and problem-solving.
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Baseline
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Cadence
大体时间：Baseline and 6 weeks
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Description: Evaluated using the Texas Instruments SensorTag wearable sensor during walking at a self-selected speed. The system records the step rate. A higher value generally indicates a more efficient walking pattern. Unit of Measure: steps/second |
Baseline and 6 weeks
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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