Effects of Telerehabilitation Based Motor and Cognitive Dual Task Exercises in Patients With Parkinson's Disease

Study Overview
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Brief Summary
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The ability to respond to multiple stimuli is impaired in Parkinson's patients. Traditional rehabilitation approaches focus only on balance and gait training, but individuals with Parkinson's disease need to perform multiple tasks in daily life.

Detailed Description
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The dual-task (DT) methodology aims to perform two tasks simultaneously. There is no study in which motor and cognitive dual-task exercises are given together and followed up remotely in elderly individuals with PD. Therefore, it was aimed to compare the effects of telerehabilitation method and motor and cognitive dual-task exercises on cognitive function, balance, walking, fall risk and quality of life in individuals with Parkinson's Disease.

Official Title
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Comparison of the Effects of Telerehabilitation Based Motor and Cognitive Dual Task Exercises in Patients With Parkinson's Disease - A Randomized Controlled Study

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: Motor-Motor Dual Task Physical Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being diagnosed with idiopathic Parkinson's Disease Getting at least 21 points from the Montreal Cognitive Assessment Scale test Stability of drug therapy taken in the last 1 month Being in the ten period of the patients Being able to walk independently on flat ground (3 and above according to Functional Ambulation Classification) Exclusion Criteria: • Serious hearing or vision problems Having other neurological, cardiovascular or orthopedic disorders that may prevent walking Any other neurological disorder (eg dementia, cerebrovascular disease) Having an education level of less than 5 years Patients with a pacemaker Having vascular lower extremity pathologies Not having internet access with a smart phone or computer

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 87 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Motor-Motor Dual Task Physical Exercises<br>Motor-Motor Dual Task Physical Exercises will be given to the participants | Other: Motor-Motor Dual Task Physical Exercises<br>* Only physical exercise and motor dual tasks will be given<br>|
| Active Comparator: Cognitive-Motor Dual Task Physical Exercises<br>Cognitive-Motor Dual Task Physical Exercises will be given to the participants | Other: Motor-Motor Dual Task Physical Exercises<br>* Only physical exercise and motor dual tasks will be given<br>|
| Active Comparator: Physical exercise<br>Physical exercise will be given to the participants | Other: Motor-Motor Dual Task Physical Exercises<br>* Only physical exercise and motor dual tasks will be given<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parkinson's Disease Quality of Life Questionnaire | Parkinson's Disease Quality of Life Questionnaire | 8 weeks | 
| Montreal Cognitive Assessment Scale (MoCA) | Montreal Cognitive Assessment Scale (MoCA) | 8 weeks | 
| Berg Balance Scale (BBS) | Berg Balance Scale (BBS) | 8 weeks | 
| 10 meter walking speed test | 10 meter walking speed test | 8 weeks | 
| Timed Up And Go Test | Timed Up And Go Test | 8 weeks | 
| Fall Efficiency Scale - International | Fall Efficiency Scale - International | 8 weeks | 
| Five Times Sit to Stand Test | Five Times Sit to Stand Test | 8 weeks |