RecruitingNot ApplicableNCT06248073

Effectiveness of Online Program and Task-related Training for Parkinson's Disease

Comparing the Effectiveness of Online Self-management Program and On-site Task-related Training for People With Early Stage Parkinson's Disease on Activity Participation and Quality of Life

Sponsor

Chang Gung University

Enrollment

100 participants

Start Date

Mar 1, 2024

Study Type

INTERVENTIONAL

Conditions

Telerehabilitation Parkinson Disease Occupational Therapy Activities of Daily Living

Summary

The goal of this clinical trial is to compare the effectiveness of online self-management program and on-site task-related training for people with early stage Parkinson's disease. people with early stage of Parkinson's disease (age range: 45-70 years) will be randomly assigned into the following three groups: control group, online self-management program group and on-site task-related training group.The control group will receive no treatment during the experimental period. For the other two groups, participants will receive the intervention twice a week, one hour per session and 12 sessions in total. The main questions it aims to answer are: 1. the potential impact of motor and non-motor symptoms on activity participation and quality of life for people with early stage of Parkinson's disease (PD). 2. compare and examine the the effectiveness of online self-management program and on-site task-related training for people with early stage Parkinson's disease on activity participation and quality of life.

Eligibility

Min Age: 45 YearsMax Age: 70 Years

Inclusion Criteria10

Willingness to sign the informed consent form.
Age between 45 and 70 years, with mild idiopathic Parkinson's disease and Hoehn and Yahr stage 1-2.
No cognitive impairment.
No severe depression that could affect the motivation to participate in the study.
No history of shoulder dislocation or fracture that could affect body proprioception.
No diseases that could affect the ability to reach for objects, such as stroke.
No diseases that could affect peripheral sensation, such as diabetes.
No severe tremors; patients whose hands, when relaxed and placed on the apparatus, still exhibit significant tremor interfering with the experiment will not be included.
Able to follow instructions and complete the assessment process.
Have not received physical or occupational therapy in the past year.

Exclusion Criteria3

Other central nervous system diseases, such as stroke.
Have major surgery on the head or upper limbs.
Inability to perform the reaching task while sitting.

Interventions

BEHAVIORALon-line self-management training

To encourage adherence to the home program among early-stage Parkinson's disease participants, the investigators have developed various self-management topics, including medication adherence and exercise benefits. The home program is categorized into two dimensions: daily function and exercise. The investigators will provides participants with detailed guidelines to ensure safe execution of the program independently.

BEHAVIORALonsite task-related training

Participants will receive interventions at Chang Gung Memorial Hospital. A certified occupational therapist will conduct the interventions. These sessions will involve functional tasks tailored to each participant's skill level, with two to four varied tasks per session. Additionally, participants will be given booklets to guide them in self-managing similar exercises at home, mirroring the home program of the self-management group.