Examination of Factors Associated With Fatigue in Individuals Diagnosed With Parkinson's Disease

Parkinson Disease Clinical Trial

Official title:

Examination of Factors Associated With Fatigue in Individuals Diagnosed With Parkinson's Disease

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06230939
• Other study ID #: Gazi University-05.09.2023.3
• Status: Recruiting
• Start date: November 5, 2023
• Est. completion date: November 5, 2025

Study information

• Verified date: January 2024
• Source: Nigde Omer Halisdemir University
• Contact: Asli ÇELIK, MSc.
• Phone: +90388 311 21 05
• Email: fztaslicelik[@]gmail.com
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Fatigue is defined as an overwhelming feeling of weariness, lack of energy, and a feeling of exhaustion. It is common in Parkinson's Disease (PD) and is one of the most disabling symptoms. Fatigue is affected by motor and non-motor symptoms in individuals diagnosed with PD. As a result of this impact, it manifests itself as difficulty in initiating and continuing mental and physical tasks. This study aims to examine the fatigue of individuals diagnosed with PD and the factors associated with this fatigue.

Description:

The study will be carried out in cooperation with Gazi University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation and Nigde Omer Halisdemir University, and the study data will be collected from individuals diagnosed with PD who applied to the Neurology Polyclinic of Nigde Omer Halisdemir University Training and Research Hospital. Necessary permissions have been obtained from all institutions. Modified Hoehn&Yahr staging (HYS) and Unified Parkinson's Disease Rating Scale (UPDRS and its subtests) will be used for disease staging and grading. Parkinson's Fatigue Scale-16 (PFS-16) to evaluate fatigue, Parkinson's Disease Sleep Scale-2 (PDSS-2) to evaluate sleep, Hospital Anxiety and Depression Scale (HAD) to evaluate depression and anxiety, Mini-Mental to evaluate cognitive status (MMSE) will be used. In addition, "Timed Up and Go (TUG)" will be applied for lower extremity performance evaluation. All evaluations will be collected in a single meeting using the face-to-face interview method. It is calculated that 80% power will be reached with a margin of error of 0.05 when 84 individuals diagnosed with PD are included in the study.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 84
• Est. completion date: November 5, 2025
• Est. primary completion date: November 5, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Being 18 years or older,
• Being diagnosed with PD by a neurologist,
• Having stable medical treatment,
• Being able to stand independently for at least 60 seconds without any assistive device,
• Having received 18 points or more according to the MMSD evaluation.

Exclusion Criteria:

• Being illiterate or unable to communicate in Turkish,
• Having undergone a surgery that may affect lower extremity functions,
• Diabetes mellitus is a diagnosis of another neurological and rheumatic disease.

Related Conditions & MeSH terms

• Fatigue
• Parkinson Disease

Intervention

Other:
• Examination
Individual characteristics of the patients (gender, age, height, body weight, marital status, education level, dominant extremity, smoking and alcohol consumption habits, use and type of assistive device, how many years the assistive device has been used) and disease-related (year of diagnosis, disease duration Information (such as CV, family history, medications used, surgeries) will be questioned. HYE and UPDRS will be used for disease staging and grading. PFS-16 will be used to evaluate fatigue and MMSE will be used to evaluate sleep. In addition, "Timed Up and Go (TUG)" will be applied for lower extremity performance evaluation. All evaluations will be collected in a single meeting using the face-to-face interview method.

Locations

Country	Name	City	State
Turkey	Gazi University	Ankara
Turkey	Nigde Omer Halisdemir University	Nigde

Sponsors (2)

Lead Sponsor	Collaborator
Nigde Omer Halisdemir University	Gazi University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Ascherio A, Schwarzschild MA. The epidemiology of Parkinson's disease: risk factors and prevention. Lancet Neurol. 2016 Nov;15(12):1257-1272. doi: 10.1016/S1474-4422(16)30230-7. Epub 2016 Oct 11. — View Citation

Opara J, Malecki A, Malecka E, Socha T. Motor assessment in Parkinson;s disease. Ann Agric Environ Med. 2017 Sep 21;24(3):411-415. doi: 10.5604/12321966.1232774. Epub 2017 May 11. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Parkinson Fatigue Scale-16 (PFS-16);	PFS-16, consists of 16 items designed to evaluate the impact of fatigue on daily life and its physical dimensions. The scale allows measuring the presence of fatigue (7 items) and its impact on daily function (9 items). Individuals are asked to respond to statements about fatigue on a 5-point Likert scale between 1 (strongly disagree) and 5 (strongly agree).	Baseline
Primary	Hospital Anxiety and Depression Survey (HAD)	Each item of the scale, which consists of 14 items, is scored between 0 and 3. For anxiety and depression values, 0-7 points are considered normal, 8-10 points are considered borderline, and 11 points and above are considered abnormal. The validity and reliability of this scale in Turkish has been established.	Baseline
Primary	Parkinson's Disease Sleep Scale-2 (PDSS-2)	The scale is a 5-point Likert type (4: Very often, 6-7 days a week; 3: Frequently, 4-5 days a week; 2: Sometimes, 2-3 days a week; 1: Occasionally, 1 day a week; 0: Never) consists of 15 items. The scale includes general night sleep quality (item 1), falling asleep (item 2), insomnia (item 3), night restlessness (items 4 and 5), night psychosis (items 6 and 7), nocturia (item 8). . and items 9), night motor symptoms (items 10, 11, 12 and 13), waking up rested (item 14) and sleep-disordered breathing (item 15) are evaluated.	Baseline
Primary	Time Up and Go Test (TUG)	Timed get up and go test is used for functional evaluation of patients. This test is important in terms of evaluating patients' walking speed as well as testing their ability to maintain balance. In the test application, after the patient gets up from the chair without back support, he walks three meters to the marked area, turns back, and on the way back, the time to sit on the chair is calculated by walking three meters again. The test is repeated three times and the average in seconds is recorded.	Baseline
Secondary	Mini Mental State Examination (MMSE)	MMSE will be used to evaluate cognitive functions. The mini mental test is categorized under five main headings. It consists of 11 items including orientation (10 points), recording memory (3 points), attention and calculation (5 points), recall (3 points) and language (9 points). It is evaluated over 30 points in total. A score between 24-30 points is defined as normal, 18-23 points as mild dementia, and 17 points and below as severe dementia. The average administration time of the test is 10 minutes. Patients scoring 18 and above will be included in the study.	Baseline
Secondary	Unified Parkinson's Disease Rating Scale (UPDRS)	Unified Parkinson's Disease Rating Scale (UPDRS) is a scale created to evaluate the motor performance, mental and spiritual status, and daily life activities of patients diagnosed with PD. The scale consists of a total of 4 sections and 42 items. In the first part, non-motor symptoms such as thoughts, behavior and affect; In the second part, activities of daily living; motor symptoms in the third part; In the fourth section, treatment complications are evaluated. Each item is scored between 0 (no symptoms or signs) and 4 (the most severe symptom or sign possible).	Baseline
Secondary	Modified Hoehn-Yahr Evaluation (MHYE)	Modified Hoehn-Yahr Evaluation (MHYE) used to define the disease stage of patients diagnosed with PD. According to MHYE, the disease consists of 8 stages. It is stated that the disease symptoms worsen as the stage progresses.	Baseline
Secondary	Interview Form	All evaluations will be carried out by face-to-face interview method. Individual characteristics of the patients (gender, age, height, body weight, marital status, education level, dominant extremity, smoking and alcohol consumption habits, use and type of assistive device, how many years the assistive device has been used) and disease-related (year of diagnosis, disease duration Information (such as CV, family history, medications used, surgeries) will be questioned.	Baseline