Effectiveness of Virtual Reality Supported Upper Extremity Position Matching Exercises in Parkinson's Disease Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Proprioception Assessment
研究概览
简要总结
Upper extremities are the first part of the body to be affected by Parkinson's disease. Although studies have shown that virtual reality-assisted rehabilitation methods are effective on gait and balance, studies on their use for upper extremity rehabilitation are limited. For this reason, the aim of the project is to examine whether virtual reality supported upper extremity position matching exercises, which will be specially prepared according to joint ranges of motion, will provide functional improvement in the upper extremities of individuals with Parkinson's disease.
详细描述
Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor disorders. Difficulties in using the upper limbs caused by these motor impairments are common with the disease. Upper limb motor impairments in PD include slowness of movement, difficulties in performing sequential tasks and limitations in upper limb function. Studies show that the upper extremities are usually the most affected body region in the early stages of PD. Despite this, the number of rehabilitation methods that can be used for upper extremity rehabilitation is limited. Impairments in upper extremity motor function constitute a leading problem in the lives of individuals with PD by affecting their ability to perform activities of daily living. Virtual reality applications stand out as an innovative approach in neurorehabilitation. Previous studies have reported positive effects of virtual reality on gait function and balance in PD. However, the number of studies designed with virtual reality for the upper limb is limited. Therefore, this project aims to fill the gap in the literature by examining the effectiveness of virtual reality-based rehabilitation in PD with a particular focus on upper extremity motor function and proprioception.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
the physiotherapist administering the treatment and the physiotherapist performing the assessments will be different people
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Accepting to participate in the research
- •Being diagnosed with Parkinson's Disease by a neurologist
- •Continuing anti-parkinsonian medication
- •Hoehn-Yahr (H-Y) stage 3 and below
- •Ability to walk independently
- •To have full range of motion in shoulder abduction and elbow extension movements
排除标准
- •Presence of additional neurological diseases other than Parkinson's Disease
- •Scores below 21 on the Montreal Cognitive Assessment Scale
- •Change in medication dosage in the last 1 month
- •Severe visual impairment or complete hearing impairment in both ears
- •Having a rheumatologic, musculoskeletal, etc. disease that may affect upper extremity functions
- •The occurrence of severe tremors or dyskinesias due to the end of the drug dose
- •Failing the Titmus butterfly test
结局指标
主要结局
Proprioception Assessment
时间窗: through study completion, an average of 1 year
Position, i.e. proprioceptive sensation, will be evaluated with the "angle repetition test", one of the methods commonly used in the clinic. The person will be positioned in a sitting position with his/her back unsupported and feet touching the floor. The angle repetition test will be performed with a mobile device fixed above the elbow and between the shoulder. The person's eyes will be closed during the assessment to prevent the learning effect and the use of visual reference. After the shoulder is brought to the reference angle, the person is allowed to perceive the angle by waiting 10 seconds. The person will then be asked to bring his/her shoulder to the side of his/her body and then repeat the taught reference angle as he/she perceived it. The absolute value of the angle deviated from the target will be recorded. Measurements in the shoulder joint will be made at 40° and 100° angles.
Box and Block Test (BBT)
时间窗: through study completion, an average of 1 year
The Box and Block Test (BBT) is widely used in neurological rehabilitation to assess upper extremity motor function, gross manual dexterity, and coordination. The test apparatus consists of a partitioned box measuring 53.7 × 25.4 × 8.5 cm and 150 wooden cubes. During administration, the box is placed in front of the participant with the partition aligned to the midline. The participant is instructed to transfer the cubes from one compartment to the other using the test hand as quickly as possible. At the end of the trial, the therapist records the score by counting the number of cubes successfully transferred.
次要结局
- Parkinson's Disease Questionnaire (PDQ-8)(through study completion, an average of 1 year)
- Unified Parkinson's Disease Rating Scale(through study completion, an average of 1 year)
- Disabilities of the Arm, Shoulder, and Hand Questionnaire(through study completion, an average of 1 year)
- Intrinsic Motivation Inventory (IMI)(average 1 year after the completion of the study)
研究者
Ramazan KURUL
Assistant Professor
Abant Izzet Baysal University