The Effect of Upper Extremity Telerehabilitation on Balance and Gait

NCT05971784 | Completed

• 1 other identifier: 6- PD-Balance-Telereh-RCT
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Parkinson's Disease (PD) is a disease that affects the upper extremity functional skills with clinical findings such as bradykinesia, rigidity, and hypokinesia and causes limitations in the daily living activities of the patients. The influence of fine dexterity, reaching, and grasping movements greatly affects the daily living activities of the patients. Medical treatment and surgical approaches are frequently used among the treatment options for PD today. Physiotherapy and rehabilitation approaches for progressive functional loss in PD, together with optimal medical and surgical treatment, form the basis of PD treatment. Recently, it has been stated that intensive and task-specific rehabilitation interventions in the field of physiotherapy and rehabilitation will be more effective than traditional rehabilitation approaches. On the other hand, telerehabilitation approaches, the use of which has increased rapidly due to technological developments in recent times, enables the delivery of rehabilitation services to patients in distant places by using communication technologies. For this purpose, it is highly valuable to implement a task-oriented training (TOT) program based on motor learning-based principles, which consists of intense exercise content, through telerehabilitation. Although there are very few studies investigating the effectiveness of telerehabilitation-based TOT in PD, these studies have shown that upper extremity motor performance, activities of daily living, and quality of life are improved. On the other hand, no study has been found showing the effect of upper extremity TOT applied through telerehabilitation on balance and walking. Therefore, there is a need to investigate the effectiveness of telerehabilitation-based TOT exercises on balance and walking.

Conditions

Parkinson Disease

Keywords

Parkinson disease; Task oriented training; Balance; Gait

Outcome Measures

Primary Outcomes (6)

• Static Balance- Baseline

  Assessment will be made with a Biodex Balance System

  Assessment will be conducted before the intervention

• Static Balance- Post intervention

  Assessment will be made with a Biodex Balance System

  Assessment will be conducted immediately after the intervention

• Gait- Baseline

  Assessment will be made with the Time up and Go Test

  Assessment will be conducted before the intervention

• Gait- Post intervention

  Assessment will be made with the Time up and Go Test

  Assessment will be conducted immediately after the intervention

• Balance- Baseline

  Assessment will be made with the Berg Balance Scale

  Assessment will be conducted before the intervention

• Balance- Post intervention

  Assessment will be made with the Berg Balance Scale

  Assessment will be conducted immediately after the intervention

Study Arms (2)

Telerehabilitation group

EXPERIMENTAL

In addition to the exercise program consisting of balance and walking activities, the group will receive task-oriented upper extremity training via telerehabilitation accompanied by a physiotherapist.

Other: Telerehabilitation Group

Control group

EXPERIMENTAL

The group that will receive a home exercise program consisting of only balance and walking activities

Other: Control Group

Interventions

Telerehabilitation Group OTHER

The group that will receive upper extremity training via telerehabilitation in addition to an exercise program consisting of balance and walking activities

Telerehabilitation group

Control Group OTHER

The group that will receive an exercise program consisting of balance and walking activities

Control group

Eligibility Criteria

• Age: 40 Years - 80 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
• Cumhuriyet University: collaborator

Study Sites (1)

Sivas Cumhuriyet University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation

Sivas, Turkey (Türkiye)

Location

Related Publications (1)

• Eldemir S, Guclu-Gunduz A, Eldemir K, Saygili F, Yilmaz R, Akbostanci MC. The effect of task-oriented circuit training-based telerehabilitation on upper extremity motor functions in patients with Parkinson's disease: A randomized controlled trial. Parkinsonism Relat Disord. 2023 Apr;109:105334. doi: 10.1016/j.parkreldis.2023.105334. Epub 2023 Feb 28.

  PMID: 36917914 RESULT

MeSH Terms

Conditions

Parkinson Disease

Interventions

Control Groups

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)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

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

Model Details: Two groups as exercise group and control group

Study Record Dates

• First Submitted: July 25, 2023
• First Posted: August 2, 2023
• Study Start: July 25, 2023
• Primary Completion: May 10, 2024
• Study Completion: June 10, 2024
• Last Updated: July 26, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)