Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover
IntroductionBalance disturbances in Parkinson’s Disease (PD) are usually assessed in a single-task as well as standard balance physiotherapy is carried out in isolated environments. Conversely, daily activities are developed in highly challenging environments. Although functional balance training (F...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-04-01
|
| Series: | Frontiers in Aging Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1137360/full |
| _version_ | 1797825209703596032 |
|---|---|
| author | Sara Monleón Guinot Constanza San Martín Valenzuela Constanza San Martín Valenzuela Constanza San Martín Valenzuela Vivina Aranda Asensi Concepción de Salazar Antón Manuel Villanueva Navarro Jose M. Tomás |
| author_facet | Sara Monleón Guinot Constanza San Martín Valenzuela Constanza San Martín Valenzuela Constanza San Martín Valenzuela Vivina Aranda Asensi Concepción de Salazar Antón Manuel Villanueva Navarro Jose M. Tomás |
| author_sort | Sara Monleón Guinot |
| collection | DOAJ |
| description | IntroductionBalance disturbances in Parkinson’s Disease (PD) are usually assessed in a single-task as well as standard balance physiotherapy is carried out in isolated environments. Conversely, daily activities are developed in highly challenging environments. Although functional balance training (FBT) is included in the latest protocols, several methodological issues have not yet been considered. In the proposed single-blinded randomized control trial with crossover (NCT04963894), the aims are (1) to quantify the effects achieved by domiciliary FBT (balanceHOME program) in participants with and without cognitive impairment, and (2) to compare them with the effects of a passive-control period and a conventional face-to-face physiotherapy program for PD.MethodsThe initial recruitment was estimated at 112 people with idiopathic PD. Two-thirds of the participants will be randomized to one of the two groups to make the crossover. In contrast, the other third will do a face-to-face group program only. The balanceHOME protocol consists of challenging balance exercises incorporated into functional daily tasks, developed in-home and conducted two times per week for 60-min over an 8-weeks period. The primary strategy will consist of splitting functional tasks of daily life into static and dynamic balance components, besides standardized facilitate and disturbing strategies to execution of each exercise. Biomechanics and clinical performance of balance and gait, perception of quality of life, cognitive and mental functioning, and severity of PD will be measured at baseline (T0), post-8 weeks training (T1), and follow-up (T2).ResultsThe primary outcome of the study will be the center of pressure sway area. The secondary outcomes consist of biomechanics and clinical variables related to static and dynamic balance. Outcomes from biomechanical of gait, quality of life, cognitive and mental state, and severity of PD, represent the tertiary outcomes.DiscussionThe balanceHOME program standardizes the FBT in demanding and daily environments for people with PD who prefer individualized treatment from home. This is the first time that the effects of group versus individual balance rehabilitation have been compared in people with and without cognitive impairment and evaluated in complex environments. This still-to-be-finished study will open the possibility of new strategies according to changes in post-pandemic therapeutic approaches. |
| first_indexed | 2024-03-13T10:50:40Z |
| format | Article |
| id | doaj.art-d3618998c9d44125bd13726416300ca2 |
| institution | Directory Open Access Journal |
| issn | 1663-4365 |
| language | English |
| last_indexed | 2024-03-13T10:50:40Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj.art-d3618998c9d44125bd13726416300ca22023-05-17T16:55:05ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652023-04-011510.3389/fnagi.2023.11373601137360Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossoverSara Monleón Guinot0Constanza San Martín Valenzuela1Constanza San Martín Valenzuela2Constanza San Martín Valenzuela3Vivina Aranda Asensi4Concepción de Salazar Antón5Manuel Villanueva Navarro6Jose M. Tomás7Department of Methodology for the Behavioral Sciences, Faculty of Psychology, University of Valencia, Valencia, SpainUnit of Personal Autonomy, Dependency, and Mental Disorders Assessment, INCLIVA Biomedical Research Institute, Valencia, SpainDepartament of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, SpainAsociación Parkinson Valencia Neurorehabilitation Center, Valencia, SpainAsociación Parkinson Valencia Neurorehabilitation Center, Valencia, SpainAsociación Parkinson Valencia Neurorehabilitation Center, Valencia, SpainDepartment of Methodology for the Behavioral Sciences, Faculty of Psychology, University of Valencia, Valencia, SpainIntroductionBalance disturbances in Parkinson’s Disease (PD) are usually assessed in a single-task as well as standard balance physiotherapy is carried out in isolated environments. Conversely, daily activities are developed in highly challenging environments. Although functional balance training (FBT) is included in the latest protocols, several methodological issues have not yet been considered. In the proposed single-blinded randomized control trial with crossover (NCT04963894), the aims are (1) to quantify the effects achieved by domiciliary FBT (balanceHOME program) in participants with and without cognitive impairment, and (2) to compare them with the effects of a passive-control period and a conventional face-to-face physiotherapy program for PD.MethodsThe initial recruitment was estimated at 112 people with idiopathic PD. Two-thirds of the participants will be randomized to one of the two groups to make the crossover. In contrast, the other third will do a face-to-face group program only. The balanceHOME protocol consists of challenging balance exercises incorporated into functional daily tasks, developed in-home and conducted two times per week for 60-min over an 8-weeks period. The primary strategy will consist of splitting functional tasks of daily life into static and dynamic balance components, besides standardized facilitate and disturbing strategies to execution of each exercise. Biomechanics and clinical performance of balance and gait, perception of quality of life, cognitive and mental functioning, and severity of PD will be measured at baseline (T0), post-8 weeks training (T1), and follow-up (T2).ResultsThe primary outcome of the study will be the center of pressure sway area. The secondary outcomes consist of biomechanics and clinical variables related to static and dynamic balance. Outcomes from biomechanical of gait, quality of life, cognitive and mental state, and severity of PD, represent the tertiary outcomes.DiscussionThe balanceHOME program standardizes the FBT in demanding and daily environments for people with PD who prefer individualized treatment from home. This is the first time that the effects of group versus individual balance rehabilitation have been compared in people with and without cognitive impairment and evaluated in complex environments. This still-to-be-finished study will open the possibility of new strategies according to changes in post-pandemic therapeutic approaches.https://www.frontiersin.org/articles/10.3389/fnagi.2023.1137360/fullParkinson’s diseasefunctional balancephysiotherapyhomedomiciliaryprotocol |
| spellingShingle | Sara Monleón Guinot Constanza San Martín Valenzuela Constanza San Martín Valenzuela Constanza San Martín Valenzuela Vivina Aranda Asensi Concepción de Salazar Antón Manuel Villanueva Navarro Jose M. Tomás Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover Frontiers in Aging Neuroscience Parkinson’s disease functional balance physiotherapy home domiciliary protocol |
| title | Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover |
| title_full | Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover |
| title_fullStr | Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover |
| title_full_unstemmed | Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover |
| title_short | Functional balance training in people with Parkinson’s disease: a protocol of balanceHOME randomized control trial with crossover |
| title_sort | functional balance training in people with parkinson s disease a protocol of balancehome randomized control trial with crossover |
| topic | Parkinson’s disease functional balance physiotherapy home domiciliary protocol |
| url | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1137360/full |
| work_keys_str_mv | AT saramonleonguinot functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT constanzasanmartinvalenzuela functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT constanzasanmartinvalenzuela functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT constanzasanmartinvalenzuela functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT vivinaarandaasensi functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT concepciondesalazaranton functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT manuelvillanuevanavarro functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover AT josemtomas functionalbalancetraininginpeoplewithparkinsonsdiseaseaprotocolofbalancehomerandomizedcontroltrialwithcrossover |