Comparison of synchronous and asynchronous tele-rehabilitation for individuals with Parkinson’s disease at a tertiary care centre
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 84
- Locations
- 2
- Primary Endpoint
- MDS-UPDRS-Part3
Study Overview
Brief Summary
Parkinson’s disease (PD) is a progressive neurodegenerative condition, causing impairments primarily in the motor system. There is increase in burden of Parkinson’s disease, due to increase life expectancy of individual with PD (improved medical facilities) leading to longer disease duration. Also, growing industrialization causes more use of pesticides, solvents and metals leads to increase incidence and prevalence of PD.
There is enormous supportive scientific evidence that established important role of physiotherapy in PD. However many barriers are recognized in utilization of in-person physiotherapy services by individuals with PD like cost of transportation and lack of physiotherapy services in vicinity. This calls for urgent need of alternate models of rehabilitation and in this regard tele-rehabilitation seems to be very viable option for rehabilitation of individuals with PD.
Individuals with PD, form an optimal target population for tele-rehabilitation because they require long–term rehabilitation and tele-rehabilitation will help to prevent discontinuity in continuum of care during outpatient rehabilitative phase. Depending upon the tool used in tele-rehabilitation, it can be classified as synchronous (i.e., interaction between therapist and patient at the real time, through audio and video calls), or asynchronous (i.e., interactions between therapist and patient do not occur in real time). So, present study intends to investigate and compare effectiveness of synchronous and asynchronous model of tele-rehabilitation for individuals with Parkinson’s disease.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 30.00 Year(s) to 80.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1.Patient diagnosed with Parkinson’s disease as per United Kingdom Parkinson’s disease society brain bank clinical diagnostic criteria confirmed by the Neurologist. 2.Hoehn and Yahr classification stage.
- •stage 1 to stage
- •3 Has been receiving a stable dose of Antiparkinsonian medication in the previous 3 months. 4.Availability of technical instrumentation for remote Video call (Smart phone) and ability to use them by patients and/or caregiver. 5.Availability of a caregiver during tele-rehabilitation sessions for patients with Hoehn and Yahr score more than
- •6.Mini Mental Status Examination (MMSE) scores more than 24.
Exclusion Criteria
- •1.Patients diagnosed with Parkinson’s plus syndromes or drug- induced Parkinsonism will be excluded.
- •2.Had brain surgery in the past including implanted deep brain-stimulation.
- •3.Presence of medical/musculoskeletal conditions that would limit safe participation in an exercise program (e.g. no underlying cardio-vascular disease, severe pulmonary disease, renal failure, total knee replacement, total hip replacement).
- •4.Patients who are localized in poor network connectivity area.
Outcomes
Primary Outcomes
MDS-UPDRS-Part3
Time Frame: Data will be recorded at baseline before intervention and at end of 10th week after intervention
Berg balance scale
Time Frame: Data will be recorded at baseline before intervention and at end of 10th week after intervention
Time-up and Go test
Time Frame: Data will be recorded at baseline before intervention and at end of 10th week after intervention
Parkinson’s disease Questionnaire-39
Time Frame: Data will be recorded at baseline before intervention and at end of 10th week after intervention
Secondary Outcomes
- Telehealth Usability Questionnaire
Investigators
Shiv Priya
Punjabi University, Patiala