Effectiveness of Task-Oriented Circuit Training in Improving Functional Mobility and Balance in Moderate Parkinson's Disease: A Case Study.

Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor impairments that significantly affect mobility and daily activities. This case study explores the effectiveness of task-oriented circuit training (TOCT-AT) in improving functional mobility, balance, and indep...

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Published in:Indian Journal of Physiotherapy & Occupational Therapy Vol. 19; no. 3; pp. 1 - 7
Main Author: Shah, Aditi
Format: case study research tables/charts Journal Article
Published: Institute of Medico-legal publications Pvt Ltd Jul-Sep2025
Online Access:View this record in EBSCOhost
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      dt: Jul-Sep2025
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        atl: Effectiveness of Task-Oriented Circuit Training in Improving Functional Mobility and Balance in Moderate Parkinson's Disease: A Case Study.
      aug:
        au: Shah, Aditi
        affil: Assistant Professor, Jayantrao Tilak College of Physiotherapy, Gultekdi, Pune
      sug:
        subj:
          Parkinson Disease Rehabilitation
          Therapeutic Exercise Methods
          Functional Status
          Physical Mobility
          Balance, Postural
          Task Performance and Analysis
          Functional Training
          Training Effect (Physiology)
          Treatment Outcomes
          Human
          Female
          Middle Age
          Accidental Falls Prevention and Control
          Physical Examination
          Physical Therapy Methods
          Clinical Assessment Tools
          Pretest-Posttest Design
          Motor Activity
          Gait Training
          Descriptive Statistics
          Activities of Daily Living
          Quality of Life
          Range of Motion
          Muscle Strength
          Functional Assessment
          Gait Analysis
          Balance Training, Physical
          Middle Aged: 45-64 years
          Female
      ab: Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor impairments that significantly affect mobility and daily activities. This case study explores the effectiveness of task-oriented circuit training (TOCT-AT) in improving functional mobility, balance, and independence in a 60-year-old woman with moderate PD (Modified Hoehn & Yahr Stage3). The subject, who experienced frequent falls and gait instability, underwent a 12-week personalized training program focusing on task-specific motor activities, gait retraining, and sensory-modulated exercises. Outcome measures included the Timed Up and Go (TUG) test, Modified Dynamic Gait Index (m-DGI), and Functional Independence Measure (FIM), assessed at baseline, 6 weeks, and 12 weeks. Results showed a significant reduction in TUG time (32 ± 2s to 18 ± 1.8s), an increase in m-DGI score (32 to 50), and improved FIM scores (98 to 107), exceeding Minimal Clinically Important Difference (MCID) values. The improvements in gait adaptability, postural control, and fall risk reduction suggest that TOCT-AT is a clinically relevant approach for enhancing mobility in PD. This study highlights the potential of personalized, task-based rehabilitation in improving functional outcomes in PD and encourages further research to establish long-term benefits.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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