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Completed

NCT Number: NCT02938819

Goal-oriented Intervention in Parkinson's Disease

Upper-limb disorders in patients with Parkinson's disease include decreased speed and amplitude of movements, difficulty in sequential tasks, and disrupted execution of fine manipulative hand activities.The aim of the study was to evaluate the effects of home-based goal-oriented upper limb intervention in patients with Parkinson's disease.

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Key information

Conditions

Parkinson's Disease Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Movement Disorders Nervous System Diseases Neurodegenerative Diseases Parkinson Disease Parkinsonian Disorders Synucleinopathies

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Physical Therapy

Granada, 18071, Spain

About this study

Parkinson's disease is a neurodegenerative neurological disorders involving progressive impairment in motor, mood and cognitive functions. Movement disorders have a negative impact on individual's ability to perform well-learned motor skills. These include akinesia, bradykinesia, rigidity and tremor at rest.

A goal-planning process should be useful to ensure that patients agree on the goals of rehabilitation. Thus, the purpose of the study was to evaluate the effects of home-based goal-oriented upper limb intervention in patients with Parkinson's disease.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Clinical diagnosis of Parkinson's Disease.
  • Stage II-III of disease progression as defined by the Hoehn and Yahr scale.
  • Upper limbs impairment

Exclusion criteria

  • Clinical signs of dementia or psychiatric disturbance.
  • Comprehension deficits that prevented them from following verbal commands.
  • Visual or acoustic limitations.
  • A neurologic condition other than Parkinson's Disease.
  • Musculoskeletal disorders and/or if they had previous trauma or fracture of upper extremity.

Treatment and study plan

Goal-oriented upper-limb intervention

Other

The Goal-oriented upper-limb intervention evaluated patients' expectations and the environmental factors influencing the performance of the specific task were identified for each of the three tasks. Patients were asked to perform the activity at home. After this, the observable target behavior corresponding to the target activity was determined. Then, an occupational and a physical therapist worked together with the patient to identify the assistance required to perform this activity such as human assistance, technical aids, assistive devices or verbal guidance.

Standard upper limb intervention

Other

The standard upper limb intervention involved active upper limb range of motion, manual dexterity involving grasp and manipulation of small pieces such as marbles and stretching upper limb exercises.

Primary outcomes

  1. Goals attainment

    Time frame: Change from baseline goals attainment assessment at 4 weeks.

    Attainment of goals was assessed using the Goal Attainment Scaling, a method for quantifying progress on the achievement of specific goals

Secondary outcomes

  1. Manual dexterity

    Time frame: Change from baseline manual dexterity at 4 weeks

    Manual dexterity was assessed using Purdue Pegboard test (one task with the dominant hand, one with the non-dominant hand, one with both hands and assembly task).

  2. Handgrip strength

    Time frame: Change from baseline handgrip strength at 4 weeks

    Handgrip strength was assessed using a dynamometer

  3. Finger prehension force

    Time frame: Change from baseline finger prehension force at 4 weeks

    Finger prehension force was assessed using a pinch meter

Sponsors and collaborators

Lead sponsor

Universidad de Granada

Other

Registry information

Official study title

Effects of a Goal-oriented Upper-limb Intervention in Patients With Parkinson's Disease

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Oct 19, 2016
Registry last updated
Dec 14, 2016

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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