The Use of Telerehabilitation to Improve Movement Outcomes for Patients With Parkinson Disease

NCT06246747 | Completed

• 1 other identifier: 00005367
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this pilot randomized clinical trial was to assess the feasibility of telerehabilitation (TR) for patients with Parkinson\'s Disease (PD). The main questions it aims to answer are: 1. whether the recruitment to such a study will be successful and the satisfaction of both participants and clinicians will be good. 2. Clinical effectiveness of TR for patients with PD was also explored. Participants were randomized to 3 groups : 1. Clinic+TR. 2. TR-only group and 3. A usual control group. Results were compared between the groups.

Conditions

Parkinson Disease

Keywords

Parkinson Disease; physical therapy; telerehabilitation; satisfaction; adherence to home exercise

Outcome Measures

Primary Outcomes (1)

• Satisfaction assessment

  We assessed satisfaction with the mode of care delivery using novel surveys, which were administered to the patient and the physical therapist at the in-clinic discharge visit via the Research Electronic Data Captureapture (REDCap) platform. Each survey assessed eight constructs; six satisfaction items were rated on a 5-point Likert scale ("very poor", "poor", "fair", "good", or "very good"). The number 1 stood for "very poor" and the number 5 stood for "very good". The item pertaining to safety asked for a 0 ("very unsafe") to 100 ("very safe") rating.

  From enrollment to end of treatment at 5 weeks

Secondary Outcomes (1)

• Clinical effectiveness of TR

  From enrollment to end of treatment at 5 weeks

Study Arms (3)

Physical therapy treatment in the clinic + telerehabilitation

EXPERIMENTAL

Patients performed treatments in the clinic in the presence of their physical therapist (PT) as well as perform remote treatment from their homes. The remote treatment included using video chat with their PT as well as performing PD-specific exercises which were stored in a specific library on the platform.

Other: In clinic physical therapy; Other: Telerehabilitation only

TR-only

EXPERIMENTAL

Patients received treatment at their homes using the TR platform. This included video chat with their clinician as well as performing PD-specific exercises which were stored in a specific library on the platform.

Other: Telerehabilitation only

Control group

ACTIVE COMPARATOR

Patients received treatment in the clinic in the presence of their PT

Other: In clinic physical therapy

Interventions

In clinic physical therapy OTHER

Patients visit the clinic to receive traditional physical therapy treatment

Control group; Physical therapy treatment in the clinic + telerehabilitation

Telerehabilitation only OTHER

Patients receive remote treatment using the Wizecare platform

Also known as: Wizecare Telerehabilitation Platform

Physical therapy treatment in the clinic + telerehabilitation; TR-only

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient older than 18 with PD of any duration
• The patient was scheduled for a new episode of physical therapy.

You may not qualify if:

• Any outpatient physical therapy episode in the preceding 5 months
• Documented diagnosis of another progressive neurological disease
• History of epilepsy
• Moderate to severe cognitive impairment
• Hemiparesis or hemiplegia
• Current complaints of dizziness

Sponsors & Collaborators

• Wizecare: lead

Study Sites (1)

Cleavelnad Clinic

Cleveland, Ohio, 44195, United States

Location

Related Publications (38)

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  BACKGROUND

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  BACKGROUND

• Johnson JK, Longhurst JK, Gevertzman M, Jefferson C, Linder SM, Bethoux F, Stilphen M. The Use of Telerehabilitation to Improve Movement-Related Outcomes and Quality of Life for Individuals With Parkinson Disease: Pilot Randomized Controlled Trial. JMIR Form Res. 2024 Jul 31;8:e54599. doi: 10.2196/54599.

  PMID: 39083792 DERIVED

MeSH Terms

Conditions

Parkinson Disease; Personal Satisfaction

Condition Hierarchy (Ancestors)

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

Study Officials

• Mary Stilphen, PT, DPT

  The Cleveland Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 14, 2023
• First Posted: February 7, 2024
• Study Start: February 1, 2020
• Primary Completion: January 23, 2023
• Study Completion: January 23, 2023
• Last Updated: March 15, 2024

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)