The Effects of Tele-Rehabilitation-Based Dual-Task Upper Extremity Training in Patients With Parkinson's Disease

Официальное название

Investigating the Effects of Tele-Rehabilitation-Based Dual-Task Upper Extremity Training in Patients With Parkinson's Disease

Обзор

The aim of this study is to compare the effects of tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training with clinical based dual-task upper extremity training and conventional single-task upper extremity training in patients with Parkinson's disease. The main questions it aims to answer are: * Whether there are differences in motor symptoms, hand dexterity, upper extremity functions, grip strength, executive functions, daily living activities, and treatment satisfaction between tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training, clinical-based dual-task upper extremity training, and conventional single-task upper extremity training in patients with Parkinson's disease. * Whether there is a difference in telemedicine satisfaction between tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training in patients with Parkinson's disease. Researchers will compare conventional single-task upper extremity training, clinical-based dual-task upper extremity training, tele-rehabilitation-based synchronous upper extremity training and tele-rehabilitation-based asynchronous upper extremity training. Participants will: * Receive upper extremity exercise training at the study clinic or home, twice a week for approximately 60 minutes each time, for 6 weeks. * Participate in assessments at the study clinic before and after exercise training.

Вмешательства

• Другое Conventional Single Task Upper Extremity Exercise Training
  Conventional single task upper extremity exercise training at clinical setting. The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performed for 3 minutes each, in a random order. A 2-
• Другое Clinic-Based Dual Task Upper Extremity Exercise Training
  Dual task upper extremity exercise training at clinical setting. The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performed simultaneously with three randomly selected cognitive task
• Другое Tele-Rehabilitation Based Synchronous Dual Task Upper Extremity Exercise Training
  Dual task upper extremity exercise training at patient's home, synchronous with a researcher via tele-rehabilitation method. The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performe
• Другое Tele-Rehabilitation Based Asynchronous Dual Task Upper Extremity Exercise Training
  Dual task upper extremity exercise training at patient's home, asynchronous under a researcher supervision. It will be carried out according to the pre-determined schedule and will be video recorded. The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, foldi

Первичные конечные точки

• Unified Parkinson's Disease Rating Scale (UPDRS) - PART 3 [Срок оценки: From enrollment to the end of training at 6 weeks]
• Hoehn & Yahr Scale [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Nine-Hole Peg Test [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Coin Rotation Test [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Manual Ability Measure-36 [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Grip Strength [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Trail Making Test [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Unified Parkinson's Disease Rating Scale (UPDRS) - PART 2 [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Dual-Task Impact on Daily-Living Activities Questionnaire [Срок оценки: From enrollment to the end of treatment at 6 weeks]

Вторичные конечные точки (2)

• Treatment Satisfaction [Срок оценки: At end of treatment at 6 weeks]
• Telemedicine Satisfaction Questionnaire [Срок оценки: At end of treatment at 6 weeks]

Критерии участия

Критерии включения

• Having been diagnosed with Parkinson's disease by a neurologist according to the UK Brain Bank criteria
• Being in stage 3 or higher according to the Hoehn-Yahr Scale
• Having a caregiver capable of providing the necessary assistance during tele-rehabilitation sessions and using the required equipment and programs.
• Having the device and software to conduct remote video calls for tele-rehabilitation

Критерии исключения

• Presence of a neurological disease other than Parkinson's disease
• Cognitive impairment (Standardized Mini Mental Test score less than 24)
• Having undergone deep brain stimulation surgery
• Having a visual, auditory, or perceptual problem
• Having any orthopedic, rheumatological, or other condition that may affect hand functions

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Поддерживающая терапия

Центры проведения

Turkey (Türkiye) · 1 центр

• Gülhane Faculty of Physiotherapy and Rehabilitation — Ankara

Идентификаторы

NCT: NCT07641556 · 2026-151

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗