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Completed

NCT Number: NCT04835649

The Effectiveness of Telerehabilitation in Improving Upper Extremity in Parkinson's Patients

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.

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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

45 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation

Ankara, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Exercise

Other

Both groups will receive exercise-based training

Primary outcomes

  1. Manual dexterity performance - Baseline

    Time frame: Assessment will be conducted before the intervention

    Nine Hole Peg test (9-HPT)

  2. Manual dexterity performance - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    Nine Hole Peg test (9-HPT)

  3. Finger and hand function - Baseline

    Time frame: Assessment will be conducted before the intervention

    Jebsen-Taylor Hand Function Test (JTHFT)

  4. Finger and hand function - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    Jebsen-Taylor Hand Function Test (JTHFT)

  5. Upper extremity performance (coordination, dexterity and functioning) - Baseline

    Time frame: Assessment will be conducted before the intervention

    Action Research Arm Test (ARAT)

  6. Upper extremity performance (coordination, dexterity and functioning) - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    Action Research Arm Test (ARAT)

Secondary outcomes

  1. Isometric hand strength - Baseline

    Time frame: Assessment will be conducted before the intervention

    J-Tech ™

  2. Isometric hand strength - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    J-Tech ™

  3. Isometric pinch strength - Baseline

    Time frame: Assessment will be conducted before the intervention

    Baseline® pinch meter

  4. Isometric pinch strength - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    Baseline® pinch meter

  5. Disease severity and disability - Baseline

    Time frame: Assessment will be conducted before the intervention

    MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The MDS-UPDRS has a maximum score of 272 and is composed of four parts: Part I (non-motor experiences of daily living), Part II (motor experiences of daily living), Part III (motor examination) and Part IV (motor complications) (UPDRS). (0= best , 272= worst)

  6. Disease severity and disability - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The MDS-UPDRS has a maximum score of 272 and is composed of four parts: Part I (non-motor experiences of daily living), Part II (motor experiences of daily living), Part III (motor examination) and Part IV (motor complications) (UPDRS). (0= best , 272= worst)

  7. Health-related Quality of Life - Baseline

    Time frame: Assessment will be conducted before the intervention

    Parkinson's Disease Questionnaire 8 (PDQ-8). There are 8 questions in total and each question is scored from 0-4 points. High score indicates decreased quality of life

  8. Health-related Quality of Life - Post intervention

    Time frame: Assessment will be conducted immediately after the intervention

    Parkinson's Disease Questionnaire 8 (PDQ-8). There are 8 questions in total and each question is scored from 0-4 points. High score indicates decreased quality of life

Sponsors and collaborators

Lead sponsor

Gazi University

Other

Registry information

Official study title

The Effectiveness of Task-Oriented Training Based Telerehabilitation in Improving Upper Extremity Motor Function in Parkinson's Patients

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Apr 8, 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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