Tele-Rehabilitation in Parkinson's Disease
Condition: Parkinson Disease
MeSH terms: Parkinson Disease
Study type: Interventional

Summary: 
      Parkinson's disease (PD) is a neurodegenerative disease that occurs with the effect of
      dopaminergic pathways in the substantia nigra and causes a progressive decrease in motor
      functions. When the literature is examined; Physiotherapy and rehabilitation programs applied
      in PD include conventional physiotherapy methods and neurophysiological based activity
      training. Classical physiotherapy programs; It includes stretching, strengthening, aerobics,
      posture exercises, balance and coordination training. PH treatment in recent years; Virtual
      reality is gradually enriched with motor imagery and robot-assisted physiotherapy
      applications and different exercise methods including dance, music therapy, yoga, pilates and
      spinal stabilization exercises.

      Stabilization exercises, which form the basis of spinal stabilization training, use the basic
      principles of motor learning. The aim of the spinal stabilization exercise program is to
      support the vertebral column by increasing the strength and endurance of the stabilizer
      muscles, to improve the spinal posture by increasing kinesthetic awareness and to improve
      balance control.

      The COVID-19 pandemic has highlighted the importance of telerehabilitation practices even
      more. Telerehabilitation can be defined as providing rehabilitation services remotely using
      information and communication technologies. In order to minimize the risk of transmission in
      the COVID-19 pandemic, physical activity levels of individuals have been reduced by
      restricting social life and the access of sick individuals to rehabilitation services is
      severely restricted. In addition, rehabilitation professionals are at risk in the treatment
      of these patients due to the serious transmission risk of COVID-19. Considering these
      situations, it is emphasized by many authorities that telerehabilitation practices should be
      expanded.

      Inactivity, which occurs as a result of restrictions in access to social isolation and
      rehabilitation services, brought about by the COVID-19 Pandemic in Parkinson's patients,
      adversely affects the progression of the disease. Telerehabilitation allows patients who
      cannot access rehabilitation due to their geographical, economic or physical disabilities to
      benefit from rehabilitation services. It is known that telerehabilitation applied in various
      neurological diseases reduces the fatigue levels of the patients, improves their functional
      activities and quality of life.

      In line with all these reasons, this study was planned to investigate the effectiveness of
      two different exercise programs adapted to the telerehabilitation program in Parkinson's
      patients during the Covid 19 pandemic.
    


Intervention name(s): Exercise
Intervention type(s): Other
Intervention description(s): The cervical region is one of the most affected regions of the musculoskeletal system due to the intensive proprioceptors. Studies have shown that many position sense proprioceptors are over the deep group cervical muscles such as longus colitis and longus capitis. The deep group cervical muscles, which perform a dynamic ligament function, have an important role in maintaining the stability of the spine as well as the proprioceptive sense. In particular, proprioceptive receptors, which are commonly found in the deep suboccipital muscles; There are cervical and reflex connections with vestibular, visual and postural control systems.
Other intervention name(s): Exercise (Servical Stabilization exercises and conventional exercise)
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Tele Rehabilitation, Parkinson's Disease