The Effects of Tele-rehabilitation Interventions in Parkinson's Patients

NCT ID: NCT05187195

Last Updated: 2023-04-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 21 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-11-14
• Study Completion Date: 2023-02-17

Brief Summary

Parkinson's Disease (PD) is the most common neurodegenerative movement disorder. The main motor symptoms of PD are tremor, rigidity, bradykinesia, and postural instability. Current treatments of the disease provide control of motor symptoms but do not change its development. Parkinson's patients should receive regular rehabilitation as part of their treatment. Telerehabilitation (TR) practices and studies examining the effectiveness of these practices are needed in order to reduce the impact of the current pandemic period and environmental and personal causes in accessing rehabilitation services.

In this thesis, in order to examine the effects of two different TR methods on physical parameters and activities of daily living in Parkinson's patients, Parkinson's patients who are eligible the inclusion criteria will be randomized according to the row of application and divided into 2 groups. Evaluations to determine the functionality, activities of daily living, falling activity, quality of life and fatigue level will be applied both groups. One group will be applied video exercise program prepared individually via TR system, and the other group will receive an exercise brochure via the TR system and patients will be asked to do the exercises 3 days a week for 8 weeks. Then the initial evaluations will be repeated. It is aimed to increase functional capacity, independence in daily living activities and quality of life, and reduce the number of falls and fatigue levels with exercise training to be applied to people with Parkinson's.

Investigators think that present study not only will contribute to the field of TR applications in PD, but also will provide access to rehabilitation services and help control symptoms of Parkinson's patients who cannot go to hospital, rehabilitation centers and cannot access rehabilitation services at home.

Hypotheses:

H0-TR applications have no effect on the level of independence in physical parameters and activities of daily living in individuals with PD.

H1-TR applications have positive effects on physical parameters and independence in activities of daily living in individuals with PD.

Conditions

Parkinson Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Telerehabilitation-video group

This group will perform their exercises with prepared personalized exercise videos through the telerehabilitation system 3 days a week for 8 weeks.

Group Type: EXPERIMENTAL

Home-based telerehabilitation with exercise videos

Intervention Type: OTHER

Balance, walking, strengthening, posture videos etc. taken in different positions will be uploaded to the telerehabilitation system. A personalized exercise program will be created from these exercises. This program will be defined to the account of the patient and the follow-up of the person will be carried out through the system.

Telerehabilitation-brochure group

This group will perform exercises with personalized exercise brochures defined through the telerehabilitation system 3 days a week for 8 weeks.

Group Type: EXPERIMENTAL

Exercise brochure

Intervention Type: OTHER

Photos and explanations of exercises taken in different positions such as balance, walking, strengthening, posture etc. will be uploaded to the telerehabilitation system. A personalized exercise brochure will be created from these exercises. This program will be defined for the patient's account and the patient will be asked to follow the exercises with this brochure.

Interventions

Home-based telerehabilitation with exercise videos

Balance, walking, strengthening, posture videos etc. taken in different positions will be uploaded to the telerehabilitation system. A personalized exercise program will be created from these exercises. This program will be defined to the account of the patient and the follow-up of the person will be carried out through the system.

Intervention Type: OTHER

Exercise brochure

Photos and explanations of exercises taken in different positions such as balance, walking, strengthening, posture etc. will be uploaded to the telerehabilitation system. A personalized exercise brochure will be created from these exercises. This program will be defined for the patient's account and the patient will be asked to follow the exercises with this brochure.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Having been diagnosed with Parkinson's disease at least 1 year ago by a neurologist
• Hoehn and Yahr score ≤3
• Have an internet infrastructure where the system can be accessed at home
• Not participating in a standardized physiotherapy program in the last 3 months

Exclusion Criteria

• Presence of blurred or low vision problems
• Hearing and speech impairment affecting participation in the system
• Epilepsy
• Presence of pregnancy
• Having any cognitive problems that prevent using the system

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul University - Cerrahpasa

OTHER

Sponsor Role: lead

Responsible Party

Elif Yılmaz

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Elif Yılmaz, M.Sc

Role: PRINCIPAL_INVESTIGATOR

Istanbul University- Cerrahpasa Institute of Postgraduate Education

Yonca Zenginler Yazgan, PhD

Role: STUDY_CHAIR

Istanbul University- Cerrahpasa Faculty of Health Science

Locations

İstanbul University-Cerrahpasa

Istanbul, Buyukcekmece, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

IUC-2021/48

Identifier Type: -

Identifier Source: org_study_id