The Effect of Upper Extremity Telerehabilitation on Balance and Gait

Parkinson Disease Clinical Trial

Official title:

The Effect of Upper Extremity Telerehabilitation on Balance and Gait in Parkinson's Patients

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05971784
• Other study ID #: 6- PD-Balance-Telereh-RCT
• Status: Recruiting
• Phase: N/A
• Start date: July 25, 2023
• Est. completion date: December 10, 2023

Study information

• Verified date: September 2023
• Source: Gazi University
• Contact: Sefa Eldemir, PT,PhD.
• Phone: +90 0530 301 91 58
• Email: sefa.eldemir[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Parkinson's Disease (PD) is a disease that affects the upper extremity functional skills with clinical findings such as bradykinesia, rigidity, and hypokinesia and causes limitations in the daily living activities of the patients. The influence of fine dexterity, reaching, and grasping movements greatly affects the daily living activities of the patients. Medical treatment and surgical approaches are frequently used among the treatment options for PD today. Physiotherapy and rehabilitation approaches for progressive functional loss in PD, together with optimal medical and surgical treatment, form the basis of PD treatment. Recently, it has been stated that intensive and task-specific rehabilitation interventions in the field of physiotherapy and rehabilitation will be more effective than traditional rehabilitation approaches. On the other hand, telerehabilitation approaches, the use of which has increased rapidly due to technological developments in recent times, enables the delivery of rehabilitation services to patients in distant places by using communication technologies. For this purpose, it is highly valuable to implement a task-oriented training (TOT) program based on motor learning-based principles, which consists of intense exercise content, through telerehabilitation. Although there are very few studies investigating the effectiveness of telerehabilitation-based TOT in PD, these studies have shown that upper extremity motor performance, activities of daily living, and quality of life are improved. On the other hand, no study has been found showing the effect of upper extremity TOT applied through telerehabilitation on balance and walking. Therefore, there is a need to investigate the effectiveness of telerehabilitation-based TOT exercises on balance and walking.

Description:

This study is a randomized controlled study. The patients will be randomly divided into two groups exercise and control. Balance and walking exercises consisting of 3 days a week for 6 weeks will be given to both groups as a home program. In addition, the exercise group will receive Task-oriented Training (TOT) based telerehabilitation via video conferencing 3 days a week for 6 weeks. TOT will be formed from daily life activities such as reaching out, grasping, writing, and manual skills, which are frequently used in daily life. As the outcome measures, disease severity, and disability, balance, and gait will be evaluated.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 14
• Est. completion date: December 10, 2023
• Est. primary completion date: October 10, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 80 Years

Eligibility

Inclusion Criteria:

• 40- 80 years of age

• Having diagnosed with "Parkinson's Disease" by a specialist physician

• Having between 1-3 stages according to the Hoehn and Yahr Scale

• Mini-Mental Test score more than or equal 24

Exclusion Criteria:

• Any orthopedic, vision, hearing, cardiovascular, or perception problems that may affect the research results

Related Conditions & MeSH terms

• Parkinson Disease

Intervention

Other:
• Telerehabilitation Group
The group that will receive upper extremity training via telerehabilitation in addition to an exercise program consisting of balance and walking activities
• Control Group
The group that will receive an exercise program consisting of balance and walking activities

Locations

Country	Name	City	State
Turkey	Sivas Cumhuriyet University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation	Sivas

Sponsors (2)

Lead Sponsor	Collaborator
Gazi University	Cumhuriyet University

Country where clinical trial is conducted

Turkey, 

References & Publications (1)

Eldemir S, Guclu-Gunduz A, Eldemir K, Saygili F, Yilmaz R, Akbostanci MC. The effect of task-oriented circuit training-based telerehabilitation on upper extremity motor functions in patients with Parkinson's disease: A randomized controlled trial. Parkins — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Static Balance- Baseline	Assessment will be made with a Biodex Balance System	Assessment will be conducted before the intervention
Primary	Static Balance- Post intervention	Assessment will be made with a Biodex Balance System	Assessment will be conducted immediately after the intervention
Primary	Gait speed- Baseline	Assessment will be made with a wearable movement analysis system (G-walk) during gait	Assessment will be conducted before the intervention
Primary	Gait speed- Post intervention	Assessment will be made with a wearable movement analysis system (G-walk) during gait	Assessment will be conducted immediately after the intervention
Primary	Balance- Baseline	Assessment will be made with the Berg Balance Scale	Assessment will be conducted before the intervention
Primary	Balance- Post intervention	Assessment will be made with the Berg Balance Scale	Assessment will be conducted immediately after the intervention