RecruitingNot ApplicableNCT07322939

Effects of Exercise With Visual Feedback in Parkinson's Disease

Effects of Visual Indicator Exercises for the Trunk and Lower Extremities on Activity and Participation in Parkinson's Disease

Sponsor

Hasan Kalyoncu University

Enrollment

32 participants

Start Date

Dec 1, 2025

Study Type

INTERVENTIONAL

Conditions

Exercise Training Parkinson Disease Balance Impairment Postural Control

Summary

Patients with Parkinson's disease who apply to the Hasan Kalyoncu University Application and Research Center and meet the inclusion criteria will be included in the study. The included participants will be randomly assigned into either the intervention group or the control group using a sealed-envelope method. Both groups will undergo a standard exercise program, consisting of posture, strengthening, and balance training, under the supervision of a physiotherapist for 8 weeks, 3 days per week. In addition to this, the intervention group will receive an additional exercise program incorporating visual feedback using a laser pointer, targeting the trunk and lower extremities, also under the supervision of a physiotherapist for 8 weeks, 3 days per week.

Eligibility

Min Age: 18 YearsMax Age: 85 Years

Plain Language Summary

Simplified for easier understanding

This study is testing an exercise program that uses real-time visual feedback to help people with Parkinson's disease improve their movement, balance, and coordination. By seeing their own movements on a screen as they exercise, participants may be able to correct movement problems more effectively. **You may be eligible if...** - You have been diagnosed with idiopathic Parkinson's disease (not caused by medications or another condition) - Your disease is rated as stage 1 to 3 on the Modified Hoehn and Yahr Scale (mild to moderate) - You take oral Parkinson's medications only (no injections or pumps) **You may NOT be eligible if...** - You have a musculoskeletal, heart, or inner ear (vestibular) condition that would make exercise unsafe or difficult to assess - You have another neurological or psychiatric condition besides Parkinson's - Your vision is too impaired to see the visual feedback on a screen Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERControl Group

The exercises will start with 6-8 repetitions and will increase by 2 repetitions each week. Cervical Region: Cervical rotation, lateral flexion, chin-tuck exercises Upper Extremity: Shoulder joint range of motion exercises with a wand, scapular adduction, shoulder retraction Lower Extremity: Bridge exercise, hip flexion, extension, abduction exercises, knee extension exercises, ankle dorsiflexion - plantar flexion exercises Balance Exercises: Perturbation exercises with eyes open and eyes closed on a hard surface, perturbation exercises with eyes open and eyes closed on a soft surface, maintaining a tandem stance Ambulation: Walking training on a treadmill with a Modified Borg Scale of level 3-4. Walking training will begin with 6 minutes in the first week and will increase by 1 minute each week.

OTHERVisual Feedback Exercise Group

The visual feedback exercise will be performed using a wearable laser pointer attached to the trunk and lower extremities, along with a visual tracking screen. The exercise duration is 20 minutes. The laser placed on the trunk will be used in various exercises, including maintaining stability in a seated position, on a Swiss ball, while standing, during different movements, and on various surfaces. Additionally, trunk control exercises will involve rotational, vertical-horizontal, and circular movements. Exercises targeting trunk control in a crawling position will also be included. For the lower extremities, the program will focus on ankle dorsiflexion, hip abduction and extension, and knee extension. All exercises will be progressively individualized on a weekly basis.