The effect of eight weeks of combination of Frankel and Cawthorne Cooksey exercises on physical and Psychological Function of patients with parkinson disease
to investigate the effect of a week of combined Cawthorne-Cocksey and Frankel exercises on physical and psychological function of patients with Parkinson's disease.
Design
A quasi-experimental trial was conducted, with a sample of 30 people selected from among Parkinson's patients who had referred to the Isfahan Parkinson's Patients Charity Association.
Settings and conduct
This study was conducted at the University of Isfahan under the supervision of a physician and by a researcher, and the patients, the person who took the tests, and the person who analyzed the data were unaware of the researcher's exact purpose.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age range 60-80 years old; Parkinson's disease (score 1-3 of Hoehn and Yahr scale); Voluntary consent to participate in research; without other neurological and musculoskeletal diseases.
Exclusion criteria: Having a history of surgery or fracture in lower limb. Participating in physical programs at the same time; Non-regular participation in sessions; Not completing tests; Occurrence the conditions that prevent the patient from participating in research; Voluntary withdrawal from participation in research; Having inner ear or other neurological diseases.
Intervention groups
The experimental group received the intervention of Cawthorne Cooksey and Frankel combined exercises, and the control group went about their normal life routine and taking their medications.
Main outcome variables
In this study, static balance, dynamic balance, muscle strength, range of motion, walking speed, fear of falling, and quality of life of patients were measured.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20241009063315N1
Registration date:2025-05-27, 1404/03/06
Registration timing:retrospective
Last update:2025-05-27, 1404/03/06
Update count:0
Registration date
2025-05-27, 1404/03/06
Registrant information
Name
Nafise Asadollahi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 3793 2571
Email address
nasadollahi12@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-01-19, 1403/10/30
Expected recruitment end date
2025-03-20, 1403/12/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of eight weeks of combination of Frankel and Cawthorne Cooksey exercises on physical and Psychological Function of patients with parkinson disease
Public title
Studying the effect of exercise on Parkinson's disease
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Age range 60 to 80 years old
Suffering from Parkinson's disease (score 1-3 based on Hoehn and Yahr scale)
Voluntary consent to participate in research
Absence of other neurological and musculoskeletal diseases
Exclusion criteria:
Having a history of surgery or fracture in the lower limb
Participate in the program Physical exercise at the same time as conducting research
Not participating regularly in training sessions (absence in five alternating sessions or three consecutive sessions)
Not completing research tests
Unforeseen circumstances that occur prevent the patient from participating in the research
Voluntary withdrawal from participation in research
Diseases and disorders of the inner ear (vestibular system)
Having other neurological diseases other than Parkinson's, such as MS, Alzheimer's, etc.
Age
From 60 years old to 80 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
First, 30 patients were selected as a sample through a convenient and purposeful method (scores one to three based on the Hoon and Yar scale) and were randomly and pairedly divided into two experimental and control groups of fifteen people based on the Hoehn and Yahr scale.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethical Committee of Isfahan University
Street address
Building No. 4, Vice President for Research and Technology, Isfahan University of Medical Sciences and Health Services, Hezar Jerib Street
City
Isfahan
Province
Isfehan
Postal code
8174673461
Approval date
2024-09-23, 1403/07/02
Ethics committee reference number
IR.UI.REC.1403.088
Health conditions studied
1
Description of health condition studied
Parkinson's disease
ICD-10 code
G20
ICD-10 code description
Parkinson's disease
Primary outcomes
1
Description
The effect of exercise protocol on static balance in patients with Parkinson's disease.
Timepoint
Static balance was measured first before the start of training and then after two months of training.
Method of measurement
Sharpend Romberg test
2
Description
Determining the effect of exercise protocol on dynamic balance in patients with Parkinson's disease.
Timepoint
Dynamic balance was measured first before the start of training and then after two months of training.
Method of measurement
Timed up and Go test
3
Description
Determining the effect of exercise protocol on muscle strength in patients with Parkinson's disease.
Timepoint
Muscle strength was measured first before the start of training and then after two months of training.
Method of measurement
Digital hand-held dynamometer
4
Description
Determining the effect of the exercise protocol on the range of motion of patients with Parkinson's disease.
Timepoint
The patients' range of motion was measured first before starting the exercises and then after two months of training.
Method of measurement
goniometer
5
Description
Determining the effect of the exercise protocol on the walking speed of patients with Parkinson's disease.
Timepoint
Walking speed was measured first before the start of training and then after two months of training.
Method of measurement
10 meter walking test
6
Description
Determining the effect of an exercise protocol on the fear of falling in patients with Parkinson's disease .
Timepoint
Fear of falling was measured first before the training began and then after two months of training.
Method of measurement
Fear of falling questionnaire
7
Description
Determining the effect of an exercise protocol on the quality of life of patients with Parkinson's disease.
Timepoint
Quality of life was measured first before the start of the exercises and then after two months of training.
Method of measurement
Specific questionnaire on quality of life for patients with Parkinson's disease
Secondary outcomes
empty
Intervention groups
1
Description
The first group: the training group that did Cawthorne Cooksey and Frankel combined exercises for 2 months three sessions a week and each one hour session under the supervision of a corrective movement trainer and a neurologist.Each training session consisted of a 10-minute warm-up, 20 minutes of Cawthorne-cooksey exercises, 20 minutes of Frankel exercises, and a 10-minute cool-down.Frankel exercises are an exercise method that focuses on the lower extremities and improves balance and coordination, and involve a series of slow, repetitive movements performed in sitting, standing, and lying positions. Cawthorne-cooksey exercises are part of the vestibular exercises that lead to improved balance.
Category
Rehabilitation
2
Description
Control group: second group: who went about their usual life and taking medicines.