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The objective of this study is to investigate the effects of Virtual Reality and Motor Imagery along with Routine Physical Therapy in motor function and balance in patients with Parkinson disease.
This randomized control trial is the single blinded, single centered study. Standard Protocol Items: Recommendations for Interventional Trials guidelines are used as study protocol. Sixty three patients of Parkinson Disease (Modified Hoehn and Yahr stages I-III) will randomly allocate into three groups.
Group A will be given a 60 min session of Virtual Reality along with Routine Physical Therapy.
Group B will be given a 60 min session of Motor Imagery along with Routine Physical Therapy.
Group C will be given a 40 min session of Routine Physical Therapy and after a short period of rest,20 min for walking and cycling.
These treatment sessions will be given to each group at every alternative day (3 days per week) for 12 weeks.
Outcome measures are
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Instrument-assisted Soft Tissue Mobilization | Experimental |
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| Compressive Myofascial Release Technique | Experimental | Compressive myofascial release technique will be applied 5 minutes, after a warmup of 10 to 15 minutes. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Instrument-assisted Soft Tissue Mobilization | Other | Instrument-assisted soft tissue mobilization is used for a mechanical benefit for the therapist providing deeper approach and braces remodeling of connective tissues through dissolution of extravagant fibrosis, while provoking repair and reconstructing forwarded by the recruitment of fibroblast. |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Motion | Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure each joint movement. | 12th Week |
| Visual Analogue Scale | The Visual Analog Scale is a 10 cm line with anchor statements on the left, no pain and on the right, extreme pain. | 12th Week |
| Foot and Ankle Disability Index | The Foot and Ankle Disability Index has 26 items. Each item is scored from 0; unable to do, to 4; no difficulty at all. The Foot and Ankle Disability Index has a total point value of 104 points. | 12th Week |
| Foot and Ankle Ability Measure | The Foot and Ankle Ability Measure (FAAM) is a self-report outcome instrument/questionaire developed to assess physical function for individuals with foot and ankle related impairments. 8-item Sports Subscale. Each item is scored on a 5-point Likert scale (4 to 0) from 'no difficulty at all' to 'unable to do'. Item score totals, which range from 0 to 84 for the ADL subscale and 0 to 32 for the Sports subscale, were transformed to percentage scores. Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction. | 12th Week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Kashif | Riphah International University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ripah International University | Faisalabad | Punjab Province | 38000 | Pakistan |
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| ID | Term |
|---|---|
| D036981 | Fasciitis, Plantar |
| ID | Term |
|---|---|
| D005208 | Fasciitis |
| D009140 | Musculoskeletal Diseases |
| D005534 | Foot Diseases |
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Our study will be single-blinded, outcome assessor-blinded. The assessor will be blinded to avoid being biased during the outcome assessment.
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| Compressive Myofascial Release Technique | Other | Compressive Myofascial Release Technique is a technique of soft tissue stretching that uses compression and sustained myofascial stretches to create a releasing force in the targeted area |
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