Parkinson's Disease
Conditions
Keywords
upper limbs, physiotherapy
Brief summary
Upper-limb disorders in patients with Parkinson's disease include decreased speed and amplitude of movements, difficulty in sequential tasks, and disrupted execution of fine manipulative hand activities.The aim of the study was to evaluate the effects of home-based goal-oriented upper limb intervention in patients with Parkinson's disease.
Detailed description
Parkinson's disease is a neurodegenerative neurological disorders involving progressive impairment in motor, mood and cognitive functions. Movement disorders have a negative impact on individual's ability to perform well-learned motor skills. These include akinesia, bradykinesia, rigidity and tremor at rest. A goal-planning process should be useful to ensure that patients agree on the goals of rehabilitation. Thus, the purpose of the study was to evaluate the effects of home-based goal-oriented upper limb intervention in patients with Parkinson's disease.
Interventions
OTHERGoal-oriented upper-limb intervention
The Goal-oriented upper-limb intervention evaluated patients' expectations and the environmental factors influencing the performance of the specific task were identified for each of the three tasks. Patients were asked to perform the activity at home. After this, the observable target behavior corresponding to the target activity was determined. Then, an occupational and a physical therapist worked together with the patient to identify the assistance required to perform this activity such as human assistance, technical aids, assistive devices or verbal guidance.
OTHERStandard upper limb intervention
The standard upper limb intervention involved active upper limb range of motion, manual dexterity involving grasp and manipulation of small pieces such as marbles and stretching upper limb exercises.
Sponsors
Universidad de Granada
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of Parkinson's Disease. * Stage II-III of disease progression as defined by the Hoehn and Yahr scale. * Upper limbs impairment
Exclusion criteria
* Clinical signs of dementia or psychiatric disturbance. * Comprehension deficits that prevented them from following verbal commands. * Visual or acoustic limitations. * A neurologic condition other than Parkinson's Disease. * Musculoskeletal disorders and/or if they had previous trauma or fracture of upper extremity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Goals attainment | Change from baseline goals attainment assessment at 4 weeks. | Attainment of goals was assessed using the Goal Attainment Scaling, a method for quantifying progress on the achievement of specific goals |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Manual dexterity | Change from baseline manual dexterity at 4 weeks | Manual dexterity was assessed using Purdue Pegboard test (one task with the dominant hand, one with the non-dominant hand, one with both hands and assembly task). |
| Handgrip strength | Change from baseline handgrip strength at 4 weeks | Handgrip strength was assessed using a dynamometer |
| Finger prehension force | Change from baseline finger prehension force at 4 weeks | Finger prehension force was assessed using a pinch meter |
Countries
Spain
Outcome results
None listed