Parkinson Disease Clinical Trial
Official title:
Responses of Modified Exercise Programme on Improvement of Axial Rigidity and Turning Dysfunction in Individuals With Parkinson's Disease
A feasibility study using measures of turning function derived from Inertial Measurement Unit sensory before, and after, a modified exercise programme approach.
Participants will be patients diagnosed as having idiopathic PD by a neurologist. Patients
will be recruited from the Movement Disorder Clinic, Division of Neurology, Faculty of
Medicine Siriraj Hospital, Mahidol University, Thailand. Participants will be classified into
two groups; the treatment and the control groups. All participants will be asked to sign an
informed consent form approved by the ethical committee of Mahidol University Institutional
Review Board, Mahidol University, Thailand. Only patients with PD who meet the inclusion and
exclusion criteria will be invited to participate in the study. All participants will be
assessed for daily activity and motor skill using the Unified Parkinson's Disease Rating
Scale (UPDRS). At pre- and post- assessments, eye movement and turning characteristics will
be assessed using Inertial Measurement Unit sensors and Electroocculography (EOG). The
treatment group will receive a rehabilitation program by the physiotherapist. The
rehabilitation sessions will take place at the Faculty of Physical Therapy, Mahidol
University, Thailand. The control group will receive a diary for recording their daily
activities during the duration of participation in this study. In addition, the researcher
will phone participants once per week to remind then to maintain their diary records.
Data Processing & Analysis: this study will be used the outcome measures and processing data
in MATLAB.
Statistical analysis: Kolmogorov Smirnov Goodness of Fit Test will be used to test the data
distribution. If the data are normal or non-normal distribution, data comparisons will be
tested as the following;
- Normal distribution: Mixed model ANOVA will be used to compare outcome measures between
pre- and post- and between the treatment and the control groups
- Non-normal distribution: The Mann-Whitney U test will be used to compare outcome
measures between the treatment and control groups. Wilcoxon Signed-Rank test will be
used to compare outcome measures between pre- and post- assessments within group.
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