Tai Chi Intervention by Telerehabilitation

Study Overview
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Brief Summary
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Rational : A lot of people in the province of Quebec suffer from Parkinson's disease and they are mostly vulnerable because they gradually lose their autonomy with the worsening of the disease. Physiotherapy was proven to be an effective treatment method for these patients. However, accessibility to care remains a major issue. Objective: This project aims to establish the clinical feasibility of a Tai chi rehabilitation program through tele rehabilitation to patients suffering of Parkinson's disease. Methodology : This pilot study will be conduct with a pre/post-test device. Therefore, to reach the objective, an evaluation will be done before the intervention and directly after the end of the 12 weeks program. Also, the obstacles encountered during the interventions will be noted in a logbook. Benefits: This is a priority research because its aim is to develop a care system that is efficient and accessible for a target population. The results of this study will confirm the possibility to put in place a telerehabilitation program who could reach, on a larger scale, more patients suffering from Parkinson's disease.

Official Title
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Tai Chi Intervention by Telerehabilitation as an Innovative Solution for Parkinson's Disease Population

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: Rehabilitation intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: to be diagnosed with Parkinson Disease according to the  Movement Disorders Society's diagnostic criteria  for at least 3 years Presence of a postural instability measured by the pull test according to Movement Disorders Society-Sponsored revision scale of Unified Parkinson Disease Rating scale  (MDS-UPDRS) with a score to item 3, 12 ≥ 1, Have access to Internet Have a caregiver available during rehabilitation sessions Exclusion Criteria: Have a une cognitive impairment measured by the  Mini-Mental State Examination  (MMSE), with a total score < 24.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Interventional Model Description: Single group receiving the intevention, one evaluation before and 1 one after the intervention period.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Telerehabilitation<br>Tai Chi intervention by telerehabilitation (3-month intervention, three sessions per week: two supervised session and one unsupervised session). | Other: Rehabilitation intervention<br>* Rehabilitation sessions based on Tai Chi through telerehabilitation<br>* Other names: Télérehabilitation (Tai Chi);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in balance | Mini BESTest | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in quality of life | PDQ-39 (Parkinson Disease Questionnaire - 39)This questionnaire assesses how often people affected by Parkinson's experience difficulties across 8 dimensions of daily living.Percentage score ranging between 0 and 100 (100%: more health problems). | 3 months | 
| Satisfaction with service received | Satisfaction with health care services received (questionnaire, total score on 100%, 0% not satisfied at all with service received, 100%: very satisfied) ) | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tai Chi, Telerehabilitation, Parkinson Disease