Dexterity, Parkinson Disease, Rehabilitation
Conditions
Brief 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.
Detailed 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).
Interventions
4 week MIRT provide: 1. front to front treatment (1 hour/day for 5 days/week) 2. treatment with robotic devices (1 hour/day for 5 days/week) 3. occupational therapy (1 hour/day for 5 days/week)
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of Parkinson's Disease
Exclusion criteria
* other neurological disease * psychosis * auditive or visual deficit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| O'Connor Finger Dexterity Test | 4 weeks | peg-placement test aimed to evaluate the ability to manipulate small objects |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Minnesota Manual Dexterity Test | 4 weeks | test aimed to evaluate the reach-to-grasp movements, gros manual dexterity and left vs right manual impairment |