The Effectiveness of Telerehabilitation in Improving Upper Extremity in Parkinson's Patients

NCT04835649 | Completed

• 1 other identifier: 1- PD- UE-Telerehabilitation
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Parkinson's Disease (PD) is a disease that affects the functional skills of the upper extremity with clinical findings such as bradykinesia, rigidity, and hypokinesia and causes limitations in the daily life activities of the patients. Task-oriented training (TOT) is a highly individualized, client-centered, occupational therapy, functional-based intervention compatible with motor learning and motor control principles such as intensive motor training, variable practice, and intermittent feedback. Few studies have been found on the TOT of the upper extremity in PD. Telerehabilitation of Parkinson's patients shows many strengths, such as cost-related and time-dependent ease, and the possibility of telecommunication with clinicians. In addition, the refinement of digital health solutions with the goal to offer a patient-tailored intervention remains an ongoing process. There are a limited number of studies on TOT and telerehabilitation of the upper extremity in PD. In addition, no studies have been found applying TOT through telerehabilitation. For this purpose, a study including TOT-based telerehabilitation in upper extremity education in PD was planned.

Conditions

Parkinson Disease

Keywords

Parkinson Disease; Telerehabilitation; Task-oriented; upper extremity

Outcome Measures

Primary Outcomes (6)

• Manual dexterity performance - Baseline

  Nine Hole Peg test (9-HPT)

  Assessment will be conducted before the intervention

• Manual dexterity performance - Post intervention

  Nine Hole Peg test (9-HPT)

  Assessment will be conducted immediately after the intervention

• Finger and hand function - Baseline

  Jebsen-Taylor Hand Function Test (JTHFT)

  Assessment will be conducted before the intervention

• Finger and hand function - Post intervention

  Jebsen-Taylor Hand Function Test (JTHFT)

  Assessment will be conducted immediately after the intervention

• Upper extremity performance (coordination, dexterity and functioning) - Baseline

  Action Research Arm Test (ARAT)

  Assessment will be conducted before the intervention

• Upper extremity performance (coordination, dexterity and functioning) - Post intervention

  Action Research Arm Test (ARAT)

  Assessment will be conducted immediately after the intervention

Secondary Outcomes (8)

• Isometric hand strength - Baseline

  Assessment will be conducted before the intervention

• Isometric hand strength - Post intervention

  Assessment will be conducted immediately after the intervention

• Isometric pinch strength - Baseline

  Assessment will be conducted before the intervention

• Isometric pinch strength - Post intervention

  Assessment will be conducted immediately after the intervention

• Disease severity and disability - Baseline

  Assessment will be conducted before the intervention

Study Arms (2)

Exercise group

EXPERIMENTAL

The group that will receive task-oriented training via telerehabilitation

Other: Exercise

Control group

PLACEBO COMPARATOR

The control group only will be given a home program that includes walking and balance exercises

Other: Exercise

Interventions

Exercise OTHER

Both groups will receive exercise-based training

Control group; Exercise group

Eligibility Criteria

• Age: 45 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age
• Having diagnosed with "Parkinson's Disease" by a specialist physician
• Having between 1-3 stages according to the Hoehn and Yahr Scale
• Mini-Mental Test score more than or equal 24

You may not qualify if:

• \- Any orthopedic, vision, hearing, cardiovascular, or perception problems that may affect the research results

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation

Ankara, Turkey (Türkiye)

Location

Related Links

• Related info
• Related info

MeSH Terms

Conditions

Parkinson Disease

Interventions

Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Sefa Eldemir, PT, MSc.

  Research Assistant

  STUDY CHAIR

• Arzu Güçlü-Gündüz, PT, PhD.

  Professor

  STUDY DIRECTOR

Study Design

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

Model Details: Two groups as exercise group and control group

Study Record Dates

• First Submitted: March 30, 2021
• First Posted: April 8, 2021
• Study Start: April 15, 2021
• Primary Completion: May 15, 2022
• Study Completion: May 25, 2022
• Last Updated: May 27, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)