RecruitingNot ApplicableNCT06154356

Action Observation and Motor Imagery Therapy in Parkinson's Disease

Effect of Action Observation and Motor Imagery Therapy on Balance, Functional Status and Quality of Life in Parkinson's Disease, Randomized Controlled Trial

Sponsor

Karamanoğlu Mehmetbey University

Enrollment

54 participants

Start Date

Dec 14, 2023

Study Type

INTERVENTIONAL

Conditions

Parkinson's Disease

Summary

In recent years, motor imagery (MI) and action observation (AO) therapy strategies have been used in rehabilitation programs to increase motor learning in Parkinson's disease (PD). Visuomotor training strategies such as AO and MI therapy rely on the activity of the mirror neuron system to facilitate motor re-learning. Mirror neurons are activated during the performance of goal-directed actions, also when observing the same action and visualizing the action in the mind. The aim of this clinical trial is to test whether the application of AO and MI treatment in PD in addition to conventional rehabilitation programs has an additional effect on Balance, Functional Status and Quality of Life.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria2

Patients with a diagnosis of Parkinson's Disease
Hoehn and Yahr Stage 1-3

Exclusion Criteria7

Patients with cognitive dysfunction (those who cannot follow simple verbal instructions)
Patients with severe hearing problems
Patients with severe vision problems
Patients with additional musculoskeletal system pathology that will affect physical performance (such as amputation, severe joint mobility limitation, peripheral nerve damage)
Patients with uncontrolled hypertension and diabetes mellitus
Patients with a history of symptomatic lung disease (such as asthma, chronic obstructive pulmonary disease, emphysema)
Patients with a history of symptomatic cardiac disease (such as coronary artery disease, arrhythmia, heart failure)

Interventions

OTHERAction observation and motor imagery therapy for rehabilitation

Action observation; Patients will watch some exercises accompanied by music from a previously prepared video for 10 minutes. Exercises include 8-10 repetitions of abduction-adduction, horizontal abduction-adduction, flexion-extension and supination-pronation movements for the upper extremity, and stepping, forward-backward stepping, side stepping and ankle dorsiflexion movements for the lower extremity. Motor imagery training; Patients will be asked to visualize the actions they watched in their minds for 10 minutes. Then the patients will watch the video again and will be asked to perform the exercises while watching.

OTHERSham action observation and motor imagery therapy for rehabilitation

Sham action observation; Patients will watch a video consisting of static nature photographs for 10 minutes with the same music. Sham motor imaginary; Patients will think about the video they watched for 10 minutes. Then, they will watch another video in which the exercises are performed only once, and they will be asked to do the exercises. They will be given enough time to do 8-10 repetitions.