The Effects of Scapulohumeral Rehabilitation on Scapula Kinematics and Upper Extremity Functionality in Individuals With Parkinson's Disease: A Single Blind Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 28
- 试验地点
- 2
- 主要终点
- Scapular Index
研究概览
简要总结
With this study, individuals diagnosed with PD in Burdur province in Turkey will be provided with a physiotherapy and rehabilitation program for the upper extremity, and it is thought that the treatment received by both groups will have a positive effect on the functionality of the individuals. According to the results of our study, it will be determined whether the scapula kinematics and upper extremity functionality of individuals diagnosed with PD are different from healthy individuals of the same age and gender. After the intervention programs applied to the individuals, it is thought that it will contribute to the physiotherapy and rehabilitation programs of individuals with PD by determining whether the scapulohumeral rehabilitation program is superior to the upper extremity neurorehabilitation program.
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 (Participant)
入排标准
- 年龄范围
- 40 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For the intervention group:
- •Having been diagnosed with Parkinson's Disease
- •Being between 1-3 according to the Hoehn & Yahr staging
- •For the control group:
- •Being of the same age and gender as the individuals diagnosed with Parkinson's disease included in the study
排除标准
- •For the intervention group:
- •Refusing to participate in the study
- •Having a full-thickness rotator cuff muscle rupture
- •Having a history of humerus, clavicle, scapula or shoulder surgery
- •Having a history of humerus, clavicle, scapula or shoulder fracture
- •Having a history of any other disease that may affect the ability to stand independently
- •For the control group:
- •Refusing to participate in the study
- •Having a full-thickness rupture of the rotator cuff muscles
- •Having a history of humerus, clavicle, scapula or shoulder surgery
- •Having a history of humerus, clavicle, scapula or shoulder fracture
- •Study Exclusion Criteria for Volunteers:
- •Failure to complete the tests included in the study
- •Failure to comply with the study schedule, failure to complete sessions
- •Incomplete data
- •Failure to attend 3 consecutive sessions
- •Voluntary withdrawal
研究组 & 干预措施
Group 1: Scapulohumeral Rehabilitation
The scapulohumeral rehabilitation group will receive 20 minutes of scapulohumeral exercises in addition to the 10-minute neurorehabilitation program. Scapulohumeral Exercises: Scapular mobilization, scapular retraction, protraction, elevation in the scapular plane and Proprioceptive Neuromuscular Facilitation (PNF) exercises with the repeated contractions method. The exercises will be applied according to the functional capacities of the individuals in the supine, sitting and standing positions with 10 repetitions at the beginning, without weights, using free weights and resistance bands, and the number of repetitions and sets will be progressed every week. The intervention groups will receive a total of 21 treatment sessions, 3 days a week for 7 weeks.
干预措施: Physiotherapy and rehabilitation (Other)
Group 2: Upper Extremity Neurorehabilitation
In addition to the 10-minute neurorehabilitation program, a 20-minute upper extremity neurorehabilitation exercises and a total of 30 minutes of physiotherapy and rehabilitation program will be applied. Scapular retraction, protraction, elevation movements will be performed in the form of Wand exercises with the help of a stick or cane. Exercises will be progressed by increasing the number of repetitions and sets in supine, sitting and standing positions according to the functional level of the participants. The intervention groups will receive a total of 21 treatment sessions, 3 days a week for 7 weeks.
干预措施: Physiotherapy and rehabilitation (Other)
Control Group
The control group will consist of healthy volunteers of the same age and gender as individuals diagnosed with Parkinson's disease (PD). The control group will not receive any physiotherapy or rehabilitation program and will only receive relevant assessments to compare with the results of individuals with PD.
结局指标
主要结局
Scapular Index
时间窗: From enrollment to the end of treatment at 7 weeks
It is calculated with the formula (distance between sternal notch - coracoid process / posterolateral angle of acromion - horizontal distance between thoracic spine) x 100.
Pectoralis Minor Index
时间窗: From enrollment to the end of treatment at 7 weeks
It is calculated with the formula Pectoralis Minor Index = (Pectoralis Minor Length / Participant's height) x 100.
Lateral Scapular Slide Test
时间窗: From enrollment to the end of treatment at 7 weeks
In the Lateral Scapular Slide Test, the distance to the thoracic spinous process corresponding to the inferior angle of the scapula is measured in three different positions: arms relaxed at the sides, hands on the iliac crest, and arm in 90-degree shoulder abduction and full internal rotation. The distances between the two sides are compared. A difference of more than 1.5 cm between the two sides is considered asymmetric.
Box and Block Test
时间窗: From enrollment to the end of treatment at 7 weeks
150 small wooden cubes are filled from the box where the patient's hand is to be tested to the box next to it. The patient is asked to throw one cube at a time into the empty box next to it. The number of cubes thrown in 60 seconds is counted. The result gives the score. The test is repeated for both hands.
Upper Extremity Functional Index
时间窗: From enrollment to the end of treatment at 7 weeks
It is a scale developed by Stratford et al. in 2001 and consists of twenty activity questions. The person scores between 0-4 according to the difficulty of doing the activity. The lowest score in total is 0, the highest score is 80. Low scores indicate that the person has difficulty doing the activity due to the condition of the upper extremity.
Ultrasound
时间窗: From enrollment to the end of treatment at 7 weeks
During the evaluation, the patient will be in a sitting position, with the arm next to the body, the forearm in supination and the elbow in full extension. Supraspinatus muscle thickness measurement will be performed by positioning the probe on the fossa supraspinata of the scapula, perpendicular to the skin, along the muscle fibers. The hyperechogenic bone cortex of the fossa supraspinata will be accepted as the landmark. When the muscle fibers are visualized, the thickness of the supraspinatus muscle will be measured from the level where the muscle is observed to be thickest. For the infraspinatus muscle thickness measurement, the hyperechogenic bone cortex of the fossa infraspinata of the scapula will be accepted as the landmark, and the probe will be placed perpendicular to the skin, along the muscle fibers. After the muscle fibers are visualized, the thickness of the infraspinatus muscle will be measured from the level where the muscle is observed to be thickest.
次要结局
- Visual Analog Scale (VAS)(From enrollment to the end of treatment at 7 weeks)
- King's Parkinson's Pain Scale(From enrollment to the end of treatment at 7 weeks)
- Range of Motion(From enrollment to the end of treatment at 7 weeks)
- Scapula Angles(From enrollment to the end of treatment at 7 weeks)
- New York Posture Rating Chart(From enrollment to the end of treatment at 7 weeks)
- PostureScreen Mobile Smartphone Application(From enrollment to the end of treatment at 7 weeks)
研究者
Betül Söylemez
Lecturer, PT.MSc.
Burdur Mehmet Akif Ersoy University