Goal-oriented Intervention in Parkinson's Disease

NCT02938819 | Completed

• 1 other identifier: DF0062UG
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Upper-limb disorders in patients with Parkinson's disease include decreased speed and amplitude of movements, difficulty in sequential tasks, and disrupted execution of fine manipulative hand activities.The aim of the study was to evaluate the effects of home-based goal-oriented upper limb intervention in patients with Parkinson's disease.

Conditions

Parkinson's Disease

Keywords

upper limbs; physiotherapy

Outcome Measures

Primary Outcomes (1)

• Goals attainment

  Attainment of goals was assessed using the Goal Attainment Scaling, a method for quantifying progress on the achievement of specific goals

  Change from baseline goals attainment assessment at 4 weeks.

Secondary Outcomes (3)

• Manual dexterity

  Change from baseline manual dexterity at 4 weeks

• Handgrip strength

  Change from baseline handgrip strength at 4 weeks

• Finger prehension force

  Change from baseline finger prehension force at 4 weeks

Study Arms (2)

Experimental group

EXPERIMENTAL

Patients in the experimental group received a Goal-oriented upper limb intervention.

Other: Goal-oriented upper-limb intervention

Control group

ACTIVE COMPARATOR

Patients in the control group received a standard upper limb intervention

Other: Standard upper limb intervention

Interventions

Goal-oriented upper-limb intervention OTHER

The Goal-oriented upper-limb intervention evaluated patients' expectations and the environmental factors influencing the performance of the specific task were identified for each of the three tasks. Patients were asked to perform the activity at home. After this, the observable target behavior corresponding to the target activity was determined. Then, an occupational and a physical therapist worked together with the patient to identify the assistance required to perform this activity such as human assistance, technical aids, assistive devices or verbal guidance.

Experimental group

Standard upper limb intervention OTHER

The standard upper limb intervention involved active upper limb range of motion, manual dexterity involving grasp and manipulation of small pieces such as marbles and stretching upper limb exercises.

Control group

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis of Parkinson's Disease.
• Stage II-III of disease progression as defined by the Hoehn and Yahr scale.
• Upper limbs impairment

You may not qualify if:

• Clinical signs of dementia or psychiatric disturbance.
• Comprehension deficits that prevented them from following verbal commands.
• Visual or acoustic limitations.
• A neurologic condition other than Parkinson's Disease.
• Musculoskeletal disorders and/or if they had previous trauma or fracture of upper extremity.

Sponsors & Collaborators

• Universidad de Granada: lead

Study Sites (1)

Department of Physical Therapy

Granada, Granada, 18071, Spain

Location

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases

Study Officials

• Marie Carmen Valenza, PhD

  Universidad de Granada

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: October 17, 2016
• First Posted: October 19, 2016
• Study Start: August 1, 2016
• Primary Completion: October 1, 2016
• Study Completion: December 1, 2016
• Last Updated: December 14, 2016

Record last verified: 2016-12

Locations

ES (1)