The Effectiveness of Telerehabilitation in Improving Upper Extremity in Parkinson's Patients

Parkinson Disease Clinical Trial

Official title:

The Effectiveness of Task-Oriented Training Based Telerehabilitation in Improving Upper Extremity Motor Function in Parkinson's Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04835649
• Other study ID #: 1- PD- UE-Telerehabilitation
• Status: Completed
• Phase: N/A
• Start date: April 15, 2021
• Est. completion date: May 25, 2022

Study information

• Verified date: May 2022
• Source: Gazi University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Parkinson's Disease (PD) is a disease that affects the functional skills of the upper extremity with clinical findings such as bradykinesia, rigidity, and hypokinesia and causes limitations in the daily life activities of the patients. Task-oriented training (TOT) is a highly individualized, client-centered, occupational therapy, functional-based intervention compatible with motor learning and motor control principles such as intensive motor training, variable practice, and intermittent feedback. Few studies have been found on the TOT of the upper extremity in PD. Telerehabilitation of Parkinson's patients shows many strengths, such as cost-related and time-dependent ease, and the possibility of telecommunication with clinicians. In addition, the refinement of digital health solutions with the goal to offer a patient-tailored intervention remains an ongoing process. There are a limited number of studies on TOT and telerehabilitation of the upper extremity in PD. In addition, no studies have been found applying TOT through telerehabilitation. For this purpose, a study including TOT-based telerehabilitation in upper extremity education in PD was planned.

Description:

This study is a randomized controlled study. The patients will be randomly divided into two groups as 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 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, finger and hand function, hand strength, and quality of life will be evaluated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: May 25, 2022
• Est. primary completion date: May 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 45 Years to 70 Years

Eligibility

Inclusion Criteria:

• 45- 70 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:
• Exercise
Both groups will receive exercise-based training

Locations

Country	Name	City	State
Turkey	Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Gazi University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Manual dexterity performance - Baseline	Nine Hole Peg test (9-HPT)	Assessment will be conducted before the intervention
Primary	Manual dexterity performance - Post intervention	Nine Hole Peg test (9-HPT)	Assessment will be conducted immediately after the intervention
Primary	Finger and hand function - Baseline	Jebsen-Taylor Hand Function Test (JTHFT)	Assessment will be conducted before the intervention
Primary	Finger and hand function - Post intervention	Jebsen-Taylor Hand Function Test (JTHFT)	Assessment will be conducted immediately after the intervention
Primary	Upper extremity performance (coordination, dexterity and functioning) - Baseline	Action Research Arm Test (ARAT)	Assessment will be conducted before the intervention
Primary	Upper extremity performance (coordination, dexterity and functioning) - Post intervention	Action Research Arm Test (ARAT)	Assessment will be conducted immediately after the intervention
Secondary	Isometric hand strength - Baseline	J-Tech ™	Assessment will be conducted before the intervention
Secondary	Isometric hand strength - Post intervention	J-Tech ™	Assessment will be conducted immediately after the intervention
Secondary	Isometric pinch strength - Baseline	Baseline® pinch meter	Assessment will be conducted before the intervention
Secondary	Isometric pinch strength - Post intervention	Baseline® pinch meter	Assessment will be conducted immediately after the intervention
Secondary	Disease severity and disability - Baseline	MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The MDS-UPDRS has a maximum score of 272 and is composed of four parts: Part I (non-motor experiences of daily living), Part II (motor experiences of daily living), Part III (motor examination) and Part IV (motor complications) (UPDRS). (0= best , 272= worst)	Assessment will be conducted before the intervention
Secondary	Disease severity and disability - Post intervention	MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The MDS-UPDRS has a maximum score of 272 and is composed of four parts: Part I (non-motor experiences of daily living), Part II (motor experiences of daily living), Part III (motor examination) and Part IV (motor complications) (UPDRS). (0= best , 272= worst)	Assessment will be conducted immediately after the intervention
Secondary	Health-related Quality of Life - Baseline	Parkinson's Disease Questionnaire 8 (PDQ-8). There are 8 questions in total and each question is scored from 0-4 points. High score indicates decreased quality of life	Assessment will be conducted before the intervention
Secondary	Health-related Quality of Life - Post intervention	Parkinson's Disease Questionnaire 8 (PDQ-8). There are 8 questions in total and each question is scored from 0-4 points. High score indicates decreased quality of life	Assessment will be conducted immediately after the intervention

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