Effect of Sensorimotor Training on Upper Extremity in Parkinson's Patients
NCT ID: NCT05241015
Last Updated: 2024-02-22
Study Results
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Basic Information
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COMPLETED
NA
27 participants
INTERVENTIONAL
2021-12-08
2023-11-20
Brief Summary
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In PD, integrating and using proprioceptive feedback, sensorimotor integration and peripheral sensory functions are reported to be impaired. Numerous studies show that the main source of motor problems in PD is dysfunction of sensorimotor integration. Since the cervical region contains a dense concentration of proprioceptive organs such as muscle spindles, it plays an important role in providing afferent proprioceptive information for postural control. Therefore, sensorimotor training targeting the cervical region gains importance. In this study, we aim to reduce PD-specific upper extremity disorders and related activity and participation limitations by increasing motor control in the cervical region with sensorimotor training. Patients with Parkinson's disease will be included in the study and randomly divided into 2 groups. While the general physiotherapy program will be applied to the control group, sensorimotor training will be given in addition to the exercise group.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Control Group
Patients in this group will receive standard physiotherapy program used for PD will be applied, 3 times a week for 8 weeks.
Control Group
Treatment protocol; It will be applied to improve posture, strengthen muscles, eliminate shortness, increase flexibility, balance/coordination, sit up/stand up and in-bed mobilization, and improve gait. Before taking the treatment, a general evaluation will be made and as a result of this evaluation, muscle shortness, loss of strength, postural disorders and the activities and positions they have the most difficulty in daily life will be determined. Treatment programs will be shaped according to the problems determined in line with the evaluations made.
Exercises Group
In addition to standard physiotherapy programme, patients in this group will also receive sensorimotor training.
Exercises Group
In addition to the standard physiotherapy program, sensorimotor training including the cervical region will be given to the this group. Deep cervical flexor and extensor muscles, which provide stability in the cervical region, will be trained. A Pressure Biofeedback Device will be used to train the deep cervical flexors. Both positional and kinesthetic sensory training will be provided by maintaining the stability of the cervical region by means of the laser kit that provides visual feedback.Additionally, oculomotor exercises will be given.
Interventions
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Control Group
Treatment protocol; It will be applied to improve posture, strengthen muscles, eliminate shortness, increase flexibility, balance/coordination, sit up/stand up and in-bed mobilization, and improve gait. Before taking the treatment, a general evaluation will be made and as a result of this evaluation, muscle shortness, loss of strength, postural disorders and the activities and positions they have the most difficulty in daily life will be determined. Treatment programs will be shaped according to the problems determined in line with the evaluations made.
Exercises Group
In addition to the standard physiotherapy program, sensorimotor training including the cervical region will be given to the this group. Deep cervical flexor and extensor muscles, which provide stability in the cervical region, will be trained. A Pressure Biofeedback Device will be used to train the deep cervical flexors. Both positional and kinesthetic sensory training will be provided by maintaining the stability of the cervical region by means of the laser kit that provides visual feedback.Additionally, oculomotor exercises will be given.
Eligibility Criteria
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Inclusion Criteria
* Meets the diagnostic criteria of the United Kingdom Parkinson's Disease Society Brain Bank
* Hoehn-Yahr Staging \<3
* Mini mental test score of 24 and above
* In the "on" period
* Receiving oral therapy only
Exclusion Criteria
* Patients receiving apomorphine therapy
* Patients with mini mental test scores below 24
* Patients who use drugs (antidepressants, etc.) that will affect cognitive functions
* Patients with hearing and speech problems
* Patients with orthopedic, neurological and vestibular problems other than Parkinson's that may prevent them from completing the tests and treatment
40 Years
ALL
No
Sponsors
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TC Erciyes University
OTHER
Nuh Naci Yazgan University
OTHER
Hacettepe University
OTHER
Responsible Party
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Ozlem Menevse
Principal Investigator
Locations
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Nuh Naci Yazgan University, Department of Physiotherapy and Rehabilitation
Kayseri, , Turkey (Türkiye)
Countries
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Other Identifiers
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2021/295 (Erciyes University)
Identifier Type: -
Identifier Source: org_study_id
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