The Effectiveness of Telerehabilitation in Improving Upper Extremity in Parkinson's Patients
- Conditions
- Parkinson Disease
- Interventions
- Other: Exercise
- Registration Number
- NCT04835649
- Lead Sponsor
- Gazi University
- 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.
- Detailed Description
This study is a randomized controlled study. The patients will be randomly divided into two groups as exercise and control. Balance and walking exercises consisting of 3 days a week for 6 weeks will be given to both groups as a home program. In addition, the exercise group will receive TOT-based telerehabilitation via video conferencing 3 days a week for 6 weeks. TOT will be formed from daily life activities such as reaching out, grasping, writing, and manual skills, which are frequently used in daily life. As the outcome measures, disease severity and disability, finger and hand function, hand strength, and quality of life will be evaluated.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- 45- 70 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
- Any orthopedic, vision, hearing, cardiovascular, or perception problems that may affect the research results
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control group Exercise The control group only will be given a home program that includes walking and balance exercises Exercise group Exercise The group that will receive task-oriented training via telerehabilitation
- Primary Outcome Measures
Name Time Method Manual dexterity performance - Post intervention Assessment will be conducted immediately after the intervention Nine Hole Peg test (9-HPT)
Finger and hand function - Post intervention Assessment will be conducted immediately after the intervention Jebsen-Taylor Hand Function Test (JTHFT)
Manual dexterity performance - Baseline Assessment will be conducted before the intervention Nine Hole Peg test (9-HPT)
Finger and hand function - Baseline Assessment will be conducted before the intervention Jebsen-Taylor Hand Function Test (JTHFT)
Upper extremity performance (coordination, dexterity and functioning) - Baseline Assessment will be conducted before the intervention Action Research Arm Test (ARAT)
Upper extremity performance (coordination, dexterity and functioning) - Post intervention Assessment will be conducted immediately after the intervention Action Research Arm Test (ARAT)
- Secondary Outcome Measures
Name Time Method Isometric hand strength - Baseline Assessment will be conducted before the intervention J-Tech ™
Disease severity and disability - Post intervention Assessment will be conducted immediately after the intervention MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The MDS-UPDRS has a maximum score of 272 and is composed of four parts: Part I (non-motor experiences of daily living), Part II (motor experiences of daily living), Part III (motor examination) and Part IV (motor complications) (UPDRS). (0= best , 272= worst)
Disease severity and disability - Baseline Assessment will be conducted before the intervention MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The MDS-UPDRS has a maximum score of 272 and is composed of four parts: Part I (non-motor experiences of daily living), Part II (motor experiences of daily living), Part III (motor examination) and Part IV (motor complications) (UPDRS). (0= best , 272= worst)
Isometric hand strength - Post intervention Assessment will be conducted immediately after the intervention J-Tech ™
Isometric pinch strength - Baseline Assessment will be conducted before the intervention Baseline® pinch meter
Isometric pinch strength - Post intervention Assessment will be conducted immediately after the intervention Baseline® pinch meter
Health-related Quality of Life - Baseline Assessment will be conducted before the intervention Parkinson's Disease Questionnaire 8 (PDQ-8). There are 8 questions in total and each question is scored from 0-4 points. High score indicates decreased quality of life
Health-related Quality of Life - Post intervention Assessment will be conducted immediately after the intervention Parkinson's Disease Questionnaire 8 (PDQ-8). There are 8 questions in total and each question is scored from 0-4 points. High score indicates decreased quality of life
Trial Locations
- Locations (1)
Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation
🇹🇷Ankara, Turkey