Effectiveness of MIRT on Hand and Finger Dexterity in PD Patients

Parkinson Disease Clinical Trial

— H_F_ D_PD_MIRT  

Official title:

Effectiveness of MIRT on Hand and Finger Dexterity in PD Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03763955
• Other study ID #: H_F_D_PD_MIRT
• Status: Completed
• Start date: January 1, 2015
• Est. completion date: August 1, 2018

Study information

• Verified date: November 2018
• Source: Ospedale Generale Di Zona Moriggia-Pelascini
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 482
• Est. completion date: August 1, 2018
• Est. primary completion date: August 1, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• diagnosis of Parkinson's Disease

Exclusion Criteria:

• other neurological disease

• psychosis

• auditive or visual deficit

Related Conditions & MeSH terms

• Dexterity
• Parkinson Disease
• Rehabilitation

Intervention

Behavioral:
• MIRT
4 week MIRT provide: front to front treatment (1 hour/day for 5 days/week) treatment with robotic devices (1 hour/day for 5 days/week) occupational therapy (1 hour/day for 5 days/week)

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Ospedale Generale Di Zona Moriggia-Pelascini

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	O'Connor Finger Dexterity Test	peg-placement test aimed to evaluate the ability to manipulate small objects	4 weeks
Secondary	Minnesota Manual Dexterity Test	test aimed to evaluate the reach-to-grasp movements, gros manual dexterity and left vs right manual impairment	4 weeks