Tele-Rehabilitation in Parkinson's Disease
- Conditions
- Parkinson Disease
- Interventions
- Other: Exercise
- Registration Number
- NCT04982887
- Lead Sponsor
- Hacettepe University
- Brief Summary
Parkinson's disease (PD) is a neurodegenerative disease that occurs with the effect of dopaminergic pathways in the substantia nigra and causes a progressive decrease in motor functions. When the literature is examined; Physiotherapy and rehabilitation programs applied in PD include conventional physiotherapy methods and neurophysiological based activity training. Classical physiotherapy programs; It includes stretching, strengthening, aerobics, posture exercises, balance and coordination training. PH treatment in recent years; Virtual reality is gradually enriched with motor imagery and robot-assisted physiotherapy applications and different exercise methods including dance, music therapy, yoga, pilates and spinal stabilization exercises.
Stabilization exercises, which form the basis of spinal stabilization training, use the basic principles of motor learning. The aim of the spinal stabilization exercise program is to support the vertebral column by increasing the strength and endurance of the stabilizer muscles, to improve the spinal posture by increasing kinesthetic awareness and to improve balance control.
The COVID-19 pandemic has highlighted the importance of telerehabilitation practices even more. Telerehabilitation can be defined as providing rehabilitation services remotely using information and communication technologies. In order to minimize the risk of transmission in the COVID-19 pandemic, physical activity levels of individuals have been reduced by restricting social life and the access of sick individuals to rehabilitation services is severely restricted. In addition, rehabilitation professionals are at risk in the treatment of these patients due to the serious transmission risk of COVID-19. Considering these situations, it is emphasized by many authorities that telerehabilitation practices should be expanded.
Inactivity, which occurs as a result of restrictions in access to social isolation and rehabilitation services, brought about by the COVID-19 Pandemic in Parkinson's patients, adversely affects the progression of the disease. Telerehabilitation allows patients who cannot access rehabilitation due to their geographical, economic or physical disabilities to benefit from rehabilitation services. It is known that telerehabilitation applied in various neurological diseases reduces the fatigue levels of the patients, improves their functional activities and quality of life.
In line with all these reasons, this study was planned to investigate the effectiveness of two different exercise programs adapted to the telerehabilitation program in Parkinson's patients during the Covid 19 pandemic.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 12
- Individuals diagnosed with Parkinson's Disease who came to Hacettepe University between December 2018 and July 2019 were included in the thesis study.
- Individuals who received physiotherapy training two years ago will be contacted by phone and invited to study.
- On these dates, among the individuals selected within the scope of the thesis study, those who agree to participate in the study will be included in the study.
-Persons not meeting the above criteria were excluded from the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental Group Exercise - Control Group Exercise -
- Primary Outcome Measures
Name Time Method Numeric Analog Scale baseline to 6 week after Numerical rating scale of pain intensity. 0 to 10 is a scale with a rating. 0 points no pain 10 points is a scale with very severe pain. The participant is asked to say a value in this range according to the severity of pain.
Unified Parkinson's Disease Rating Scale baseline to 6 week after Unified Parkinson's Disease Rating Scale. There are 4 sub-parameters. 1. mental status, behavior and mental state 2. daily life activities 3. motor inspection 4. treatment complications. mental status, behavior and mental state total 16 points, daily activity total 52 points, Motor parameter total 92 points, treatment complications total 23 points. Total maximum 183 points. the total score is calculated by adding all sub-parameter scores. low value is good, high value is a symptom of bad result.
Standardized Mini Mental Test baseline to 6 week after Evaluates the cognitive level of the person
30 - Second Chair Stand Test baseline to 6 week after It is used to assess individuals' lower extremity strength and static balance. the individual is asked to sit and stand in a chair for 30 seconds.
Static Standing Balance Test baseline to 6 week after Individuals were asked to stand in different positions and their static balance was assessed.
The Fear of Covid-19 Scale baseline to 6 week after It is a test that measures individual's Covid-19 fears. Min:7 Max:35 "high score is bad score."
Short-Form 36 baseline to 6 week after SF-36 (Short Form 36). Quality of life survey. examines 8 dimensions of health with 36 items. physical function, social function, role restrictions, mental health, vitality, pain and general health. The scores of each parameter are between 0 and 100. 0 bad, 100 good results. is calculated by taking the values of the sub-parameters.
ACTIVLIM Scale baseline to 6 week after It is a questionnaire that measures the activity limitation of individuals. Min: 0 Max:36 "high score is good score."
Beck Anxiety Inventory baseline to 6 week after Assesses anxiety level. Min:0 Max:63 "high score is bad score."
The Beck Depression Inventory baseline to 6 week after Assesses the level of depression. Min:0 Max: 63 "high score is bad score."
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Istanbul Rumeli University
🇹🇷Istanbul, Turkey