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Completed

NCT Number: NCT03763955

Effectiveness of MIRT on Hand and Finger Dexterity in PD Patients

Aims of the study are (1) to evaluate the effectiveness of a specific OT treatment aimed to enhance finger and hand dexterity and (2) its impact on daily living autonomy of PD patients.

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Key information

Conditions

Parkinson Disease Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Dexterity Movement Disorders Nervous System Diseases Neurodegenerative Diseases Parkinsonian Disorders Rehabilitation Synucleinopathies

Sex eligibility

All sexes

Study type

Observational

About this study

Reduction in hand functionality and finger dexterity are significant, but often overlooked, symptoms of Parkinson's Disease (PD). They are strictly correlated with loss of patient's autonomy, due to their significant impact on Activities of Daily Living (ADL) and, consequently in patient's Quality of life (QoL). No studies investigated the effectiveness of a specific and functional-based Occupational Therapy (OT) treatment in improving hand functionality and finger dexterity in PD patients.

Aims of tthe study are to evaluate the effectiveness of a specific OT treatment aimed to enhance finger and hand dexterity and its impact on daily living autonomy of PD patients.

Retrospectively, 482 PD patients, hospitalized for a 4-week Multidisciplinary Intensive Rehabilitation Treatment (MIRT) between January 2015 and January 2018 were identified. All patients underwent 1h/day OT treatment. The outcome measure was the O'Connor finger dexterity test; secondary outcome measures were Minnesota dexterity test, UPDRS II and SPDDS scale. These measures were assessed at admission (T0) and discharge (T1).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • diagnosis of Parkinson's Disease

Exclusion criteria

  • other neurological disease
  • psychosis
  • auditive or visual deficit

Treatment and study plan

MIRT

Behavioral

4 week MIRT provide:

  • front to front treatment (1 hour/day for 5 days/week)
  • treatment with robotic devices (1 hour/day for 5 days/week)
  • occupational therapy (1 hour/day for 5 days/week)

Other names: Multidisciplinary Intensive Rehabilitation Treatment

Primary outcomes

  1. O'Connor Finger Dexterity Test

    Time frame: 4 weeks

    peg-placement test aimed to evaluate the ability to manipulate small objects

Secondary outcomes

  1. Minnesota Manual Dexterity Test

    Time frame: 4 weeks

    test aimed to evaluate the reach-to-grasp movements, gros manual dexterity and left vs right manual impairment

Sponsors and collaborators

Lead sponsor

Ospedale Generale Di Zona Moriggia-Pelascini

Other

Registry information

Acronym: H_F_ D_PD_MIRT

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Dec 4, 2018
Registry last updated
Dec 4, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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