Evidence map›Paper›PMID 38875243›Full record

Trial reportPloS one2024

Effects of activity-oriented physiotherapy with and without eye movement training on dynamic balance, functional mobility, and eye movements in patients with Parkinson's disease: An assessor-blinded randomised controlled pilot trial.

Sarah Mildner, Isabella Hotz, Franziska Kübler, Linda Rausch, Michaela Stampfer-Kountchev, Johanna Panzl, Christian Brenneis, Barbara Seebacher

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07525973 (The Effect of Eye Exercises on Physical Function, Balance, and Fall Risk in Patients With Parkinson's Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07525973 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

The Effect of Eye Exercises on Physical Function, Balance, and Fall Risk in Patients With Parkinson's Disease: A Randomized Controlled Trial

TypeinterventionalSponsorPardis Specialized Wellness InstituteRan2026 to 2026Enrolled34ConditionsParkinson DiseaseArmsSupervised In-Center Eye Exercises
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah MildnerDepartment of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.
Isabella HotzDepartment of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.
Franziska KüblerDepartment of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.
Linda RauschDepartment of Sport Science, University of Innsbruck, Innsbruck, Austria.
Michaela Stampfer-KountchevDepartment of Neurology, Clinic for Rehabilitation Münster, Münster, Austria.
Johanna PanzlDepartment of Neurology, Clinic for Rehabilitation Münster, Münster, Austria.
Christian BrenneisDepartment of Neurology, Clinic for Rehabilitation Münster, Münster, Austria.
Barbara SeebacherDepartment of Rehabilitation Science, Clinic for Rehabilitation Münster, Münster, Austria.ORCID 0000-0001-5699-9077

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe changes in balance, walking speed, functional mobility, and eye movements following an activity-oriented physiotherapy (AOPT) or its combination with eye movement training (AOPT-E) in patients with Parkinson's disease (PD). To explore the feasibility of a full-scale randomised controlled trial (RCT).

methodsUsing an assessor-blinded pilot RCT, 25 patients with PD were allocated to either AOPT or AOPT-E. Supervised interventions were performed 30 minutes, 4x/weekly, for 4 weeks, alongside inpatient rehabilitation. Outcomes were assessed at baseline and post-intervention, including dynamic balance, walking speed, functional and dual-task mobility, ability to safely balance, health-related quality of life (HRQoL), depression, and eye movements (number/duration of fixations) using a mobile eye tracker. Freezing of gait (FOG), and falls-related self-efficacy were assessed at baseline, post-intervention, and 4-week follow-up. Effect sizes of 0.10 were considered weak, 0.30 moderate, and ≥0.50 strong. Feasibility was assessed using predefined criteria: recruitment, retention and adherence rates, adverse events, falls, and post-intervention acceptability using qualitative interviews.

resultsImprovements were observed in dynamic balance (effect size r = 0.216-0.427), walking speed (r = 0.165), functional and dual-task mobility (r = 0.306-0.413), ability to safely balance (r = 0.247), HRQoL (r = 0.024-0.650), and depression (r = 0.403). Falls-related self-efficacy (r = 0.621) and FOG (r = 0.248) showed varied improvements, partly sustained at follow-up. Eye movement improvements were observed after AOPT-E only. Feasibility analysis revealed that recruitment was below target, with less than two patients recruited per month due to COVID-19 restrictions. Feasibility targets were met, with a retention rate of 96% (95% confidence interval [CI]: 77.68-99.79) and a 98.18% (95% CI: 96.12-99.20) adherence rate, exceeding the targets of 80% and 75%, respectively. One adverse event unrelated to the study intervention confirmed intervention safety, and interview data indicated high intervention acceptability.

conclusionsAOPT-E and AOPT appeared to be effective in patients with PD. Feasibility of a larger RCT was confirmed and is needed to validate results.

Indexed as

Eye MovementsParkinson DiseasePhysical Therapy ModalitiesPostural BalanceQuality of LifeAccidental FallsAgedFemaleHumansMaleMiddle AgedPilot ProjectsTreatment Outcome

Identifiers

PMID38875243
PMCPMC11178185

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.