Dual-Task Balance and Gait Training Combined With Cognitive Training in Parkinson's Patients

Summary

The aim of the study is to examine the effects of a structured, cognitive dimension-specific cognitive training combined with dual-task balance and gait training on balance, gait, and cognition in individuals with Parkinson's disease.

Conditions

• Cognition
• Parkinson's Disease
• Gait Disorders, Neurologic
• Balance Disorders

Interventions

OTHER

Core Stability Training

Core stability training will be designed to prepare participants for subsequent balance and gait exercises by promoting normal proprioceptive input through activation of deep core muscles. This training will be performed in the supine position at the beginning of each session for both groups.

OTHER

Dual-Task Balance and Gait Training

Dual-task balance and gait training will be provided with task-oriented motor-cognitive and motor-motor exercises with the augmented and virtual reality system C-Mill VR+ (Motek Medical, Amsterdam, The Netherlands). Sessions will be individualized based on each participant's current abilities and the difficulty level of the tasks to address specific patient needs. Each training session will have a duration of 30 minutes for both groups.

OTHER

Cognitive Training

Cognitive training will be provided with RehaCom software, a program that emphasizes learning principles, provides task-specific exercises, delivers positive feedback, and allows individualized progression based on patient-specific difficulty levels. In the present study, the cognitive training will target the "Attention," "Memory," and "Executive Functions" domains, which are known to be affected from the early stages of Parkinson's disease. Exercises will be initiated at a level appropriate to each participant's cognitive abilities and will gradually increase in difficulty. Each training session will have a duration of 30 minutes.

Sponsors & Collaborators

• T.C. Sağlık Bakanlığı Ankara Bilkent Şehir Hastanesi

  collaborator OTHER

• Gazi University

  lead OTHER

Principal Investigators

• Emre Adıgüzel, Prof., MD. · Ankara Bilkent City Hospital Physical Medicine and Rehabilitation Hospital

• Arzu Güçlü Gündüz, Prof., PT. · Gazi University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

40 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-03-11

Primary Completion

2026-06-03

Completion

2026-06-03

Countries

• Turkey (Türkiye)

Study Locations