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The Effect of Functional Rotational Exercises on Fall Risk and Mobility in Parkinson's Disease Patients
Sponsor: Uskudar University
Summary
Turning is a frequent cause of falls in people with Parkinson's disease, but it is rarely trained specifically in conventional exercise programs. This randomized controlled trial examines whether adding functional turning exercises to a conventional exercise program improves fall risk, gait speed, and balance in patients with early-stage Parkinson's disease. Fifty patients are randomly assigned to conventional exercise or to conventional exercise plus functional turning exercises. Both groups exercise three times per week for 12 weeks with similar session duration. Outcomes are assessed before and after the intervention.
Official title: The Effect of Functional Rotational Exercises on Fall Risk and Mobility in Parkinson's Disease Patients: A Randomized Controlled Study
Key Details
Gender
All
Age Range
50 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
50
Start Date
2026-03-01
Completion Date
2026-08-30
Last Updated
2026-10-07
Healthy Volunteers
Yes
Conditions
Interventions
Conventional Exercise
Stretching (pectorals, trunk rotators, hip flexors, hamstrings, quadriceps, gastrocnemius-soleus; 2 x 20-30 s per muscle group), strengthening (sit-to-stand, mini-squat, standing hip abduction and extension, knee extension, heel raises, trunk extensors; 2 x 10-12 repetitions, with dumbbell resistance increased every two weeks), balance training (weight shifting, reaching, semi-tandem and tandem stance, multidirectional stepping), and gait training (overground walking with emphasis on step length and arm swing, start-stop practice, obstacle crossing, directional changes). In the experimental arm the same exercises are performed with fewer sets and repetitions and shorter balance and gait practice
Functional Turning Exercises
Structured program of about 18-20 minutes per session: (1) seated trunk rotation while reaching with a ball to targets on both sides, 3 x 10 repetitions per direction; (2) seated resisted trunk rotation with an exercise ball against an elastic band, 2 x 10 repetitions per direction; (3) standing object transfer from front to a target behind the body with trunk rotation, 3 x 10 repetitions; (4) figure-of-eight walking around two points about 2 m apart, 3 laps; (5) trunk rotation in single-leg stance, 3 x 30 s; (6) trunk rotation with a ball in tandem stance, 3 x 30 s; (7) sit-to-stand, 90-degree turn on verbal command, return and sit, 3 x 10 repetitions. Elastic band resistance is increased every two weeks (red, green, blue, black).
Locations (1)
NRL Medical Center
Istanbul, Sancaktepe, Turkey (Türkiye)