The Effect of Upper Extremity Telerehabilitation on Balance and Gait

Study Overview
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Brief Summary
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Parkinson's Disease (PD) is a disease that affects the upper extremity functional skills with clinical findings such as bradykinesia, rigidity, and hypokinesia and causes limitations in the daily living activities of the patients. The influence of fine dexterity, reaching, and grasping movements greatly affects the daily living activities of the patients. Medical treatment and surgical approaches are frequently used among the treatment options for PD today. Physiotherapy and rehabilitation approaches for progressive functional loss in PD, together with optimal medical and surgical treatment, form the basis of PD treatment. Recently, it has been stated that intensive and task-specific rehabilitation interventions in the field of physiotherapy and rehabilitation will be more effective than traditional rehabilitation approaches. On the other hand, telerehabilitation approaches, the use of which has increased rapidly due to technological developments in recent times, enables the delivery of rehabilitation services to patients in distant places by using communication technologies. For this purpose, it is highly valuable to implement a task-oriented training (TOT) program based on motor learning-based principles, which consists of intense exercise content, through telerehabilitation. Although there are very few studies investigating the effectiveness of telerehabilitation-based TOT in PD, these studies have shown that upper extremity motor performance, activities of daily living, and quality of life are improved. On the other hand, no study has been found showing the effect of upper extremity TOT applied through telerehabilitation on balance and walking. Therefore, there is a need to investigate the effectiveness of telerehabilitation-based TOT exercises on balance and walking.

Detailed Description
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This study is a randomized controlled study. The patients will be randomly divided into two groups 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 Task-oriented Training (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, balance, and gait will be evaluated.

Official Title
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The Effect of Upper Extremity Telerehabilitation on Balance and Gait in Parkinson's Patients

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: Telerehabilitation Group
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 40- 80 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

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two groups as exercise group and control group
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Telerehabilitation group<br>In addition to the exercise program consisting of balance and walking activities, the group will receive task-oriented upper extremity training via telerehabilitation accompanied by a physiotherapist. | Other: Telerehabilitation Group<br>* The group that will receive upper extremity training via telerehabilitation in addition to an exercise program consisting of balance and walking activities<br>|
| Experimental: Control group<br>The group that will receive a home exercise program consisting of only balance and walking activities | Other: Control Group<br>* The group that will receive an exercise program consisting of balance and walking activities<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Static Balance- Baseline | Assessment will be made with a Biodex Balance System | Assessment will be conducted before the intervention | 
| Static Balance- Post intervention | Assessment will be made with a Biodex Balance System | Assessment will be conducted immediately after the intervention | 
| Gait speed- Baseline | Assessment will be made with a wearable movement analysis system (G-walk) during gait | Assessment will be conducted before the intervention | 
| Gait speed- Post intervention | Assessment will be made with a wearable movement analysis system (G-walk) during gait | Assessment will be conducted immediately after the intervention | 
| Balance- Baseline | Assessment will be made with the Berg Balance Scale | Assessment will be conducted before the intervention | 
| Balance- Post intervention | Assessment will be made with the Berg Balance Scale | Assessment will be conducted immediately after the intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Parkinson disease, Task oriented training, Balance, Gait