The Immediate Effect of Mental Imagery on Upper Extremity Skills With the Patients of Parkinson's Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- The Nine-Hole Peg Test (9PPT) with Mental Chronometry
研究概览
简要总结
Parkinson's disease (PD) is the second most common neurodegenerative disease, characterized pathologically by the progressive loss of dopaminergic neurons in the substantia nigra and clinically by the presence of motor symptoms such as bradykinesia, resting tremor, and/or rigidity. Among the motor deficits frequently observed in PD, patients are known to frequently report difficulties with manual dexterity. Many upper extremity and manual dexterity deficits are present in PD. Motor imagery (MI) is the imaginal execution of motor activities or the activation of specific muscles in the absence of any explicit feedback. This area of rehabilitation has been shown to be effective in improving and developing motor skills in many neurological conditions where patients exhibit motor recognition and execution impairments. MI can be applied at all stages of recovery from PD, is highly effective in movement-related pathologies, and can be performed independently.There is sufficient evidence that MI improves motor performance and learning in individuals with neurological disorders such as multiple sclerosis, stroke, and spinal cord injury. The study was designed to investigate the immediate effects of mental imagery, which is thought to be effective in controlling difficulties in planning and initiating movements in PD, on upper extremity skills. Therefore, the aim of this study was to determine the effect of mental imagery on upper extremity skills in PD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Healthy individuals aged 40-75 years, diagnosed with idiopathic PD according to the UK Parkinson's Disease Association Brain Bank criteria by a specialist neurologist, with a Modified Hoehn & Yahr (m-HY) scale stage ≤4, and with a Mini Mental State Examination score of ≥24 for those with training and ≥18 for those without training, and with no known disease, volunteered to participate in the study.
- •PD individuals with no other known neurological and/or systemic disease
- •PD individuals without any upper extremity contractures
排除标准
- •Individuals with diagnosed and/or treated psychiatric illnesses who are considered unable to complete the tests.
- •Individuals who is taking neuroleptic medications or antidepressants.
- •Individuals with orthopedic conditions that interfere with manual dexterity tests, such as severe dyskinesia, carpal tunnel syndrome, tendon injuries, or finger amputations; rheumatological conditions such as rheumatoid arthritis and osteoarthritis; and individuals with any neurological condition other than PD.
研究组 & 干预措施
1/study group
Upper extremity skill tests will be performed on individuals diagnosed with idiopathic Parkinson's disease and recorded with a mental stopwatch using mental imagery.
干预措施: mental imagination (Other)
2/control group
Upper extremity skill tests will be performed on individuals diagnosed with idiopathic Parkinson's disease.
结局指标
主要结局
The Nine-Hole Peg Test (9PPT) with Mental Chronometry
时间窗: first day of the assesment
Mental Chronometry: Mental chronometry is a method that measures imagery time, considered more objective than questionnaires in the assessment of MI. It examines the time difference between the actual physical execution of a movement and the mental image of the same movement. The Nine-Hole Peg Test (9PPT) is frequently used in the literature, although its validity and reliability as a mental chronometry test are lacking. In this task, the participant is required to remove nine pegs from the board to which they are fixed as quickly as possible and place them in a container on the board. The pegs used in the test (8 mm in diameter, 3 cm long) can be made of wood or plastic. The board (23 cm long, 10 cm wide, and 2 cm high) has a section at one end where the pegs are fixed (arranged in a 3x3 matrix) and a container-shaped space on the side for the pegs to be placed. Participants perform the test on both upper extremities. Before the test, all participants are given the opportunity to ho
次要结局
- sosyodemographic form(first day of the assesment)
- Modified Hoehn & Yahr (m-HY) scale(first day of the assesment)
- Unified Parkinson's Disease Rating Scale (UPDRS)(first day of the asessment)
- Grip Strength Measurement(first day of the assesment)
- Mini Mental State Examination (MMSE)(first day of the assessment)
- Muscle Strength Measurement(first day of the assesment)
- The Kinesthetic and Visual Imagery Questionnaire (KVIQ)(first day of the assesment)
研究者
Hatice Adiguzel
Associate Profesor
Kahramanmaras Sutcu Imam University