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Completed

NCT Number: NCT04982887

Tele-Rehabilitation in Parkinson's Disease

Parkinson's disease (PD) is a neurodegenerative disease that occurs with the effect of dopaminergic pathways in the substantia nigra and causes a progressive decrease in motor functions. When the literature is examined; Physiotherapy and rehabilitation programs applied in PD include conventional physiotherapy methods and neurophysiological based activity training. Classical physiotherapy programs; It includes stretching, strengthening, aerobics, posture exercises, balance and coordination training. PH treatment in recent years; Virtual reality is gradually enriched with motor imagery and robot-assisted physiotherapy applications and different exercise methods including dance, music therapy, yoga, pilates and spinal stabilization exercises.

Stabilization exercises, which form the basis of spinal stabilization training, use the basic principles of motor learning. The aim of the spinal stabilization exercise program is to support the vertebral column by increasing the strength and endurance of the stabilizer muscles, to improve the spinal posture by increasing kinesthetic awareness and to improve balance control.

The COVID-19 pandemic has highlighted the importance of telerehabilitation practices even more. Telerehabilitation can be defined as providing rehabilitation services remotely using information and communication technologies. In order to minimize the risk of transmission in the COVID-19 pandemic, physical activity levels of individuals have been reduced by restricting social life and the access of sick individuals to rehabilitation services is severely restricted. In addition, rehabilitation professionals are at risk in the treatment of these patients due to the serious transmission risk of COVID-19. Considering these situations, it is emphasized by many authorities that telerehabilitation practices should be expanded.

Inactivity, which occurs as a result of restrictions in access to social isolation and rehabilitation services, brought about by the COVID-19 Pandemic in Parkinson's patients, adversely affects the progression of the disease. Telerehabilitation allows patients who cannot access rehabilitation due to their geographical, economic or physical disabilities to benefit from rehabilitation services. It is known that telerehabilitation applied in various neurological diseases reduces the fatigue levels of the patients, improves their functional activities and quality of life.

In line with all these reasons, this study was planned to investigate the effectiveness of two different exercise programs adapted to the telerehabilitation program in Parkinson's patients during the Covid 19 pandemic.

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Key information

Conditions

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

Age range

40 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Rumeli University

Istanbul, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Individuals diagnosed with Parkinson's Disease who came to Hacettepe University between December 2018 and July 2019 were included in the thesis study.
  • Individuals who received physiotherapy training two years ago will be contacted by phone and invited to study.
  • On these dates, among the individuals selected within the scope of the thesis study, those who agree to participate in the study will be included in the study.

Exclusion criteria

-Persons not meeting the above criteria were excluded from the study.

Treatment and study plan

Exercise

Other

The cervical region is one of the most affected regions of the musculoskeletal system due to the intensive proprioceptors. Studies have shown that many position sense proprioceptors are over the deep group cervical muscles such as longus colitis and longus capitis. The deep group cervical muscles, which perform a dynamic ligament function, have an important role in maintaining the stability of the spine as well as the proprioceptive sense. In particular, proprioceptive receptors, which are commonly found in the deep suboccipital muscles; There are cervical and reflex connections with vestibular, visual and postural control systems.

Other names: Exercise (Servical Stabilization exercises and conventional exercise)

Primary outcomes

  1. Unified Parkinson's Disease Rating Scale

    Time frame: baseline to 6 week after

    Unified Parkinson's Disease Rating Scale. There are 4 sub-parameters. 1. mental status, behavior and mental state 2. daily life activities 3. motor inspection 4. treatment complications. mental status, behavior and mental state total 16 points, daily activity total 52 points, Motor parameter total 92 points, treatment complications total 23 points. Total maximum 183 points. the total score is calculated by adding all sub-parameter scores. low value is good, high value is a symptom of bad result.

  2. Numeric Analog Scale

    Time frame: baseline to 6 week after

    Numerical rating scale of pain intensity. 0 to 10 is a scale with a rating. 0 points no pain 10 points is a scale with very severe pain. The participant is asked to say a value in this range according to the severity of pain.

  3. 30 - Second Chair Stand Test

    Time frame: baseline to 6 week after

    It is used to assess individuals' lower extremity strength and static balance. the individual is asked to sit and stand in a chair for 30 seconds.

  4. Static Standing Balance Test

    Time frame: baseline to 6 week after

    Individuals were asked to stand in different positions and their static balance was assessed.

  5. The Fear of Covid-19 Scale

    Time frame: baseline to 6 week after

    It is a test that measures individual's Covid-19 fears. Min:7 Max:35 "high score is bad score."

  6. Short-Form 36

    Time frame: baseline to 6 week after

    SF-36 (Short Form 36). Quality of life survey. examines 8 dimensions of health with 36 items. physical function, social function, role restrictions, mental health, vitality, pain and general health. The scores of each parameter are between 0 and 100. 0 bad, 100 good results. is calculated by taking the values of the sub-parameters.

  7. Beck Anxiety Inventory

    Time frame: baseline to 6 week after

    Assesses anxiety level. Min:0 Max:63 "high score is bad score."

  8. The Beck Depression Inventory

    Time frame: baseline to 6 week after

    Assesses the level of depression. Min:0 Max: 63 "high score is bad score."

  9. ACTIVLIM Scale

    Time frame: baseline to 6 week after

    It is a questionnaire that measures the activity limitation of individuals. Min: 0 Max:36 "high score is good score."

  10. Standardized Mini Mental Test

    Time frame: baseline to 6 week after

    Evaluates the cognitive level of the person

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Collaborators

  • BElibol
  • GYÇakmaklı
  • NKöse

Registry information

Official study title

Comparison of the Effectiveness of Two Different Exercise Programs Adapted to the Tele Rehabilitation Program in Parkinson's Patients During the Covid 19 Pandemic Period

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jul 29, 2021
Registry last updated
May 27, 2022

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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