The Effectiveness of Task-Oriented Training Based Telerehabilitation in Improving Upper Extremity Motor Function in Parkinson's Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Gazi University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Manual dexterity performance - Post intervention
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 45 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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
Exclusion Criteria
- •Any orthopedic, vision, hearing, cardiovascular, or perception problems that may affect the research results
Arms & Interventions
Exercise group
The group that will receive task-oriented training via telerehabilitation
Intervention: Exercise (Other)
Control group
The control group only will be given a home program that includes walking and balance exercises
Intervention: Exercise (Other)
Outcomes
Primary Outcomes
Manual dexterity performance - Post intervention
Time Frame: Assessment will be conducted immediately after the intervention
Nine Hole Peg test (9-HPT)
Finger and hand function - Post intervention
Time Frame: Assessment will be conducted immediately after the intervention
Jebsen-Taylor Hand Function Test (JTHFT)
Manual dexterity performance - Baseline
Time Frame: Assessment will be conducted before the intervention
Nine Hole Peg test (9-HPT)
Finger and hand function - Baseline
Time Frame: Assessment will be conducted before the intervention
Jebsen-Taylor Hand Function Test (JTHFT)
Upper extremity performance (coordination, dexterity and functioning) - Baseline
Time Frame: Assessment will be conducted before the intervention
Action Research Arm Test (ARAT)
Upper extremity performance (coordination, dexterity and functioning) - Post intervention
Time Frame: Assessment will be conducted immediately after the intervention
Action Research Arm Test (ARAT)
Secondary Outcomes
- Isometric hand strength - Baseline(Assessment will be conducted before the intervention)
- Disease severity and disability - Post intervention(Assessment will be conducted immediately after the intervention)
- Disease severity and disability - Baseline(Assessment will be conducted before the intervention)
- Isometric hand strength - Post intervention(Assessment will be conducted immediately after the intervention)
- Isometric pinch strength - Baseline(Assessment will be conducted before the intervention)
- Isometric pinch strength - Post intervention(Assessment will be conducted immediately after the intervention)
- Health-related Quality of Life - Baseline(Assessment will be conducted before the intervention)
- Health-related Quality of Life - Post intervention(Assessment will be conducted immediately after the intervention)
Investigators
Sefa Eldemir
Research Assistant
Gazi University