Parkinson Disease
Conditions
Keywords
parkinson disease, physiotherapy, exergames
Brief summary
The purpose of this study is to investigate the effects of virtual reality based games on upper extremities, trunk and cognitive functions in patients with Parkinson's Disease.
Interventions
OTHERVirtual reality based games
In an hour physiotherapy session first 40 minutes of session includes conventional physiotherapy program tailored to patient's needs. Last 20 minutes of session includes virtual reality based games aiming improvement on upper extremities, trunk and cognitive functions.
OTHERConventional exercises
In an hour physiotherapy session first 40 minutes of session includes conventional physiotherapy program tailored to patient's needs. Last 20 minutes of session includes conventional physiotherapy approaches aiming improvement on upper extremities, trunk and cognitive functions.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosed with Parkinson's disease * 50 years old and over * Stage 1.5-3 according to the modified Hoehn-Yahr Staging Scale * Mini mental test score of 24 and above
Exclusion criteria
* Additional neurological disease or symptom other than Parkinson's disease * Orthopedic disorder that will prevent them from doing exercises * Severe mental disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk Functions with Trunk Impairment Scale | Change from Baseline at 8 weeks | It is a valid and reliable scale for evaluating the motor disorders and balance of the trunk in Parkinson's patients. The total score in the scale, which consists of 17 items in 3 sections, ranges from 0 to 23. A higher score indicates better trunk function and balance. |
| Upper extremities performance with 9 hole peg test | Change from Baseline at 8 weeks | The patient sits with a table in front of him/her and places 9 small wooden sticks on the surface with nine holes on them, takes them out again and lays them on his/her side. He/she is asked to do it as quickly as possible and his/her time is saved |
| Upper extremities performance with Minnesota Manual Dexterity Test | Change from Baseline at 8 weeks | It involves taking small disc-shaped objects, each of standard size, to different distances on the table in the shortest possible time and placing them in sequence, while the patient is in a sitting position with a table in front of him/her. |
| Cognitive Status with Montreal Cognitive Assessment | Change from Baseline at 8 weeks | its validity and reliability in Turkish have been established. The total score ranges from 0-30, and a higher score indicates a better cognitive status. Below 21 points indicates cognitive impairment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dynamic balance with functional reach test | Change from Baseline at 8 weeks | Functional reach test is frequently used to assess dynamic balance and fall risk. While the patient is standing by the wall, he/she raises his/her arm to 90 degrees and tries to reach as far as he/she can without taking his/her feet off the ground. Extending a longer distance indicates better balance and less risk of falling |
| Balance and mobility with Timed Up and Go Test | Change from Baseline at 8 weeks | While the patient is in a sitting position, he/she is asked to stand up from the chair, walk 3 meters, turn around, come back and sit down, and the time is recorded. Doing it in less time demonstrates better balance and mobility |
| Quality of life with Parkinson's Disease Questionnaire | Change from Baseline at 8 weeks | The 39-item Parkinson's Disease Questionnaire was developed to evaluate the quality of life of Parkinson's patients and has Turkish validity and reliability. Higher scores mean worse outcome. |
| Disease severity and symptoms with Unified Parkinson Disease Rating Scale Part 2 and 3 | Change from Baseline at 8 weeks | It is one of the most frequently used scales to evaluate the severity of the disease in Parkinson's patients. It evaluates many problems such as motor and non-motor problems, treatment complications, problems in daily living activities and consists of 4 sections. However, in our study, the 2nd and 3rd sections which evaluate motor problems and activities of daily living will be used. Higher scores mean worse outcome. |
Countries
Turkey (Türkiye)
Outcome results
None listed