Rehabilitation With Dual-task Exercises to Improve Balance in Patients With Parkinson's Disease
NCT07013214 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-05-22
Summary
The goal of this clinical trial is to learn if a rehabilitative pathway based on dual-task exercise improves balance in patients with Parkinson's disease, compared to a traditional rehabilitation program. It will also investigate the reduction of fall risk, and improvement in autonomy and quality of life.
The main questions it aims to answer are:
* Does dual-task exercise improve balance more effectively than traditional rehabilitation in Parkinson's patients?
* Does dual-task exercise reduce the risk of falls?
* Does dual-task exercise improve patient autonomy in daily activities?
* Does dual-task exercise enhance the overall quality of life for Parkinson's patients? Researchers will compare a dual-task exercise program to a standard rehabilitation program. Both groups will receive 20 sessions, 2-3 times a week for two months, each lasting 45 minutes. The study will be double-blinded, meaning neither participants nor researchers involved in treatment administration and data collection will know group assignments. Randomization will be done using dedicated software to ensure unbiased group distribution.
Participants will:
* Have a confirmed diagnosis of Parkinson's disease (Movement Disorder Society criteria).
* Be in an early to moderate stage of the disease (Hoehn and Yahr score \< 3).
* Be over 30 years old.
* Be able to provide informed consent.
* Have a stable medication regimen for at least three months.
Exclusions include:
* Hoehn and Yahr score ≥3.
* Severe cognitive or psychiatric disorders (e.g., dementia).
* Use of interfering medications or treatments.
* Participation in other clinical trials.
* Pregnancy or breastfeeding.
* Need for medication changes during rehabilitation. Evaluations will be conducted at baseline (T=0), after rehabilitation (T=1), and at a two-month follow-up (T=2). Assessments will include the Tinetti Balance and Gait scales, Timed Up and Go (TUG) test, VAS pain scale, TAMPA Scale for Kinesiophobia, Global Perceived Effect (GPE), Barthel Index, EuroQoL-5D-5L, and ABC Scale. UPDRS, Hoehn and Yahr scale, and MOCA Scale will be administered only at baseline (T=0).
Conditions
- Parkinson Disease (PD), Postural Balance
Interventions
- BEHAVIORAL
-
Dual-Task Exercise
This intervention consists of exercises that integrate motor tasks (e.g., balance training, walking) with concurrent cognitive tasks (e.g., counting, verbal fluency, decision-making tasks). The progression of exercises will be tailored to the individual's abilities, gradually increasing the difficulty of both the motor and cognitive components.
- BEHAVIORAL
-
Standard Rehabilitation
This intervention consists of conventional exercises aimed at improving balance, gait, posture, and flexibility, without the integration of simultaneous cognitive tasks. The program will focus on established physical therapy techniques for Parkinson's disease.
Sponsors & Collaborators
-
G. d'Annunzio University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 30 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-07
- Primary Completion
- 2025-12-31
- Completion
- 2026-03-31
Countries
- Italy
Study Locations
More Related Trials
-
Preventing Falls and Participation Restrictions in Neurological Diseases
NCT03570268 ·Status: COMPLETED ·Phase: NA
-
Instrumental or Physical-Exercise Rehabilitation of Balance in Parkinson's Disease? (IPER-PD)
NCT03314597 ·Status: COMPLETED ·Phase: NA
-
A Multifactorial Exercise Program to Reduce Falls in People With Parkinson Disease
NCT02302144 ·Status: COMPLETED ·Phase: NA
-
Dual-Task Balance and Gait Training Combined With Cognitive Training in Parkinson's Patients
NCT07213232 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Sensor-based Assessment and Rehabilitation of Balance in Neurological Diseases
NCT04874051 ·Status: UNKNOWN ·Phase: NA
-
Gait Training With Executive Functions Tasks in Subjects With Parkinson´s Disease: A Randomised Controlled Trial
NCT01650623 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Impact of a Personalized Program of Adapted Physical Activates in Patients With Parkinson Disease
NCT03244813 ·Status: COMPLETED ·Phase: NA
-
Gait Training With Executive Functions Tasks in Subjects With Parkinson´s Disease: A Study Protocol
NCT01650610 ·Status: UNKNOWN ·Phase: NA
-
Quantitative Assessment of Training Effects Using EKSOGT Exoskeleton in Quantitative Assessment of Training Effects Using EKSOGT Exoskeleton in Parkinson Disease Patients
NCT04778852 ·Status: UNKNOWN ·Phase: NA
-
Development of a Fall Prevention and Fall Detection System for Ambulatory Rehabilitation of Parkinson's Patients
NCT01262950 ·Status: TEMPORARILY_NOT_AVAILABLE
-
Clinical Validity of the DANU Sports System for Gait and Balance Assessment in Parkinson's Disease
NCT07281794 ·Status: RECRUITING
-
Cognitive Training and Dual-task Ability
NCT01895608 ·Status: COMPLETED ·Phase: NA
-
Falls Prevention and Balance Rehabilitation in Multiple Sclerosis
NCT02390830 ·Status: COMPLETED ·Phase: NA
-
Interactive Stepping Exercise on Balance and Cognitive Function
NCT04494906 ·Status: UNKNOWN ·Phase: NA
-
Action Observation and Exercise for Balance in Older Adults: A Randomized Trial.
NCT07199790 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Highly Challenging Balance Program to Reduce Fall Rate in PD
NCT03972969 ·Status: COMPLETED ·Phase: NA
-
APA and PAS Training for Gait Initiation in Parkinson's Disease
NCT06363071 ·Status: RECRUITING ·Phase: NA
-
Effects of an Innovative Balance Training Programme in Enhancing Postural Control and Reducing Falls in Patients With Parkinson's Disease
NCT01427062 ·Status: UNKNOWN ·Phase: NA
-
A Randomised, Controlled, Open-Label, Multi-Centre Study to Evaluate the Efficacy of FeetMe® Home-Bases Rehabilitation Program in Comparison to Conventional Physiotherapy in Patients With Parkinson's Disease Using Connected Insoles
NCT05998265 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Benefits of Different Exercise Types to Enhance Walking for PD
NCT04895787 ·Status: UNKNOWN ·Phase: NA
-
Objective Mobility Assessment Using Wearable Technology for Clinical Application in Parkinson's Disease: From Validation to Fall Prediction
NCT07281755 ·Status: RECRUITING
-
Locomotor Adaptation Training to Prevent Mobility Disability
NCT02554916 ·Status: COMPLETED
-
Effect of Training and Use of Cane on Gait in Individuals With Parkinson's Disease
NCT06950255 ·Status: RECRUITING ·Phase: NA
-
Home-based Gait and Balance Training in Patients With Movement Disorders
NCT06617884 ·Status: RECRUITING ·Phase: NA
-
Effect of Perturbation Training on Balance Control in Elderly Persons
NCT01439451 ·Status: COMPLETED ·Phase: NA