Parkinson Disease
Conditions
Keywords
Parkinson Disease, Telerehabilitation, Task-oriented, upper extremity
Brief 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.
Detailed 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.
Interventions
OTHERExercise
Both groups will receive exercise-based training
Sponsors
Gazi University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Two groups as exercise group and control group
Eligibility
Sex/Gender
ALL
Age
45 Years to 70 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Manual dexterity performance - Baseline | Assessment will be conducted before the intervention | Nine Hole Peg test (9-HPT) |
| Manual dexterity performance - Post intervention | Assessment will be conducted immediately after the intervention | Nine Hole Peg test (9-HPT) |
| Finger and hand function - Baseline | Assessment will be conducted before the intervention | Jebsen-Taylor Hand Function Test (JTHFT) |
| Finger and hand function - Post intervention | Assessment will be conducted immediately after the intervention | Jebsen-Taylor Hand Function Test (JTHFT) |
| Upper extremity performance (coordination, dexterity and functioning) - Baseline | Assessment will be conducted before the intervention | Action Research Arm Test (ARAT) |
| Upper extremity performance (coordination, dexterity and functioning) - Post intervention | Assessment will be conducted immediately after the intervention | Action Research Arm Test (ARAT) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health-related Quality of Life - Baseline | Assessment will be conducted before the 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 |
| Isometric hand strength - Baseline | Assessment will be conducted before the intervention | J-Tech ™ |
| Health-related Quality of Life - Post intervention | Assessment will be conducted immediately after the 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 |
| Isometric hand strength - Post intervention | Assessment will be conducted immediately after the intervention | J-Tech ™ |
| Isometric pinch strength - Baseline | Assessment will be conducted before the intervention | Baseline® pinch meter |
| Isometric pinch strength - Post intervention | Assessment will be conducted immediately after the intervention | Baseline® pinch meter |
| Disease severity and disability - Baseline | Assessment will be conducted before the 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) |
| Disease severity and disability - Post intervention | Assessment will be conducted immediately after the 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) |
Countries
Turkey (Türkiye)
Outcome results
None listed