Goal-oriented Intervention in Parkinson's Disease

Not Applicable

Completed

• Conditions: Parkinson's Disease
• Interventions: Other: Standard upper limb intervention; Other: Goal-oriented upper-limb intervention

• Registration Number: NCT02938819
• Lead Sponsor: Universidad de Granada

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.

Detailed Description

Parkinson's disease is a neurodegenerative neurological disorders involving progressive impairment in motor, mood and cognitive functions. Movement disorders have a negative impact on individual's ability to perform well-learned motor skills. These include akinesia, bradykinesia, rigidity and tremor at rest.

A goal-planning process should be useful to ensure that patients agree on the goals of rehabilitation. Thus, the purpose of the study was to evaluate the effects of home-based goal-oriented upper limb intervention in patients with Parkinson's disease.

Study Timeline

• Study Start: 2016-08
• Primary Completion: 2016-10
• Study First Submitted: 2016-10-17
• Study First Submitted QC: 2016-10-17
• Study First Posted: 2016-10-19
• Status Verified: 2016-12
• Study Completion: 2016-12
• Last Update Submitted: 2016-12-13
• Last Update Posted: 2016-12-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

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

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group	Standard upper limb intervention	Patients in the control group received a standard upper limb intervention
Experimental group	Goal-oriented upper-limb intervention	Patients in the experimental group received a Goal-oriented upper limb intervention.

Primary Outcome Measures

Name	Time	Method
Goals attainment	Change from baseline goals attainment assessment at 4 weeks.	Attainment of goals was assessed using the Goal Attainment Scaling, a method for quantifying progress on the achievement of specific goals

Secondary Outcome Measures

Name	Time	Method
Finger prehension force	Change from baseline finger prehension force at 4 weeks	Finger prehension force was assessed using a pinch meter
Handgrip strength	Change from baseline handgrip strength at 4 weeks	Handgrip strength was assessed using a dynamometer
Manual dexterity	Change from baseline manual dexterity at 4 weeks	Manual dexterity was assessed using Purdue Pegboard test (one task with the dominant hand, one with the non-dominant hand, one with both hands and assembly task).

Trial Locations

Locations (1)

Department of Physical Therapy; 🇪🇸 Granada, Spain