Effectiveness of MIRT on Hand and Finger Dexterity in PD Patients

Completed

• Conditions: Parkinson Disease; Dexterity; Rehabilitation
• Interventions: Behavioral: MIRT

• Registration Number: NCT03763955
• Lead Sponsor: Ospedale Generale Di Zona Moriggia-Pelascini

Brief Summary

Aims of the study are (1) to evaluate the effectiveness of a specific OT treatment aimed to enhance finger and hand dexterity and (2) its impact on daily living autonomy of PD patients.

Detailed Description

Reduction in hand functionality and finger dexterity are significant, but often overlooked, symptoms of Parkinson's Disease (PD). They are strictly correlated with loss of patient's autonomy, due to their significant impact on Activities of Daily Living (ADL) and, consequently in patient's Quality of life (QoL). No studies investigated the effectiveness of a specific and functional-based Occupational Therapy (OT) treatment in improving hand functionality and finger dexterity in PD patients.

Aims of tthe study are to evaluate the effectiveness of a specific OT treatment aimed to enhance finger and hand dexterity and its impact on daily living autonomy of PD patients.

Retrospectively, 482 PD patients, hospitalized for a 4-week Multidisciplinary Intensive Rehabilitation Treatment (MIRT) between January 2015 and January 2018 were identified. All patients underwent 1h/day OT treatment. The outcome measure was the O'Connor finger dexterity test; secondary outcome measures were Minnesota dexterity test, UPDRS II and SPDDS scale. These measures were assessed at admission (T0) and discharge (T1).

Study Timeline

• Study Start: 2015-01-01
• Primary Completion: 2018-08-01
• Study Completion: 2018-08-01
• Status Verified: 2018-11
• Study First Submitted: 2018-11-26
• Study First Submitted QC: 2018-12-02
• Last Update Submitted: 2018-12-02
• Study First Posted: 2018-12-04
• Last Update Posted: 2018-12-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 482

Inclusion Criteria

• diagnosis of Parkinson's Disease

Exclusion Criteria

• other neurological disease
• psychosis
• auditive or visual deficit

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
PD patients	MIRT	PD patients at 1-5 H\&Y stage undergoes 4week Multidisciplinary Intensive Rehabilitation Treatment

Primary Outcome Measures

Name	Time	Method
O'Connor Finger Dexterity Test	4 weeks	peg-placement test aimed to evaluate the ability to manipulate small objects

Secondary Outcome Measures

Name	Time	Method
Minnesota Manual Dexterity Test	4 weeks	test aimed to evaluate the reach-to-grasp movements, gros manual dexterity and left vs right manual impairment