Clinical trial NCT04835649: The Effectiveness of Telerehabilitation in Improving Upper Extremity in Parkinson's Patients
Official title: The Effectiveness of Task-Oriented Training Based Telerehabilitation in Improving Upper Extremity Motor Function in Parkinson's Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Parkinson Disease
Keywords: Parkinson Disease
Telerehabilitation
Task-oriented
upper extremity
Lead sponsor: Gazi University
Sponsor class: OTHER
First posted: 2021-04-08
Enrollment: 30
Sex: ALL
Minimum age (years): 45
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Two groups as exercise group and control group
Primary purpose: TREATMENT

Brief summary: Parkinson's Disease (PD) is a disease that affects the functional skills of the upper extremity with clinical findings such as bradykinesia, rigidity, and hypokinesia and causes limitations in the daily life activities of the patients. Task-oriented training (TOT) is a highly individualized, client-centered, occupational therapy, functional-based intervention compatible with motor learning and motor control principles such as intensive motor training, variable practice, and intermittent feedback. Few studies have been found on the TOT of the upper extremity in PD. Telerehabilitation of Parkinson's patients shows many strengths, such as cost-related and time-dependent ease, and the possibility of telecommunication with clinicians. In addition, the refinement of digital health solutions with the goal to offer a patient-tailored intervention remains an ongoing process. There are a limited number of studies on TOT and telerehabilitation of the upper extremity in PD. In addition, no studies have been found applying TOT through telerehabilitation. For this purpose, a study including TOT-based telerehabilitation in upper extremity education in PD was planned.

Detailed description: This study is a randomized controlled study. The patients will be randomly divided into two groups as 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 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, finger and hand function, hand strength, and quality of life will be evaluated.

Eligibility criteria: Inclusion Criteria:

* 45- 70 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

Primary outcomes:
measure: Manual dexterity performance - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Manual dexterity performance - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
measure: Finger and hand function - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Finger and hand function - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
measure: Upper extremity performance (coordination, dexterity and functioning) - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Upper extremity performance (coordination, dexterity and functioning) - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
Secondary outcomes:
measure: Isometric hand strength - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Isometric hand strength - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
measure: Isometric pinch strength - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Isometric pinch strength - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
measure: Disease severity and disability - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Disease severity and disability - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
measure: Health-related Quality of Life - Baseline
timeFrame: Assessment will be conducted before the intervention
measure: Health-related Quality of Life - Post intervention
timeFrame: Assessment will be conducted immediately after the intervention
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation
Study officials:
affiliation: Research Assistant
name: Sefa Eldemir, PT, MSc.
role: STUDY_CHAIR
affiliation: Professor
name: Arzu Güçlü-Gündüz, PT, PhD.
role: STUDY_DIRECTOR
References: