RecruitingNot ApplicableNCT06416722

Telerehabilitation Dual-Task Training for Parkinson's: A Multidimensional Evaluation

Multidimensional Evaluation of the Effectiveness of Telerehabilitation-Based Dual-Task Training in Parkinson's Patients


Sponsor

Fenerbahce University

Enrollment

30 participants

Start Date

Sep 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

In this clinical study, the aim is to assess the effectiveness of telerehabilitation-based dual-task training in improving balance and gait function among individuals diagnosed with Parkinson's Disease. Parkinson's Disease is characterized by motor symptoms such as tremors and slowness of movement, as well as cognitive impairments. While medical treatments help manage symptoms, exercise programs are vital for enhancing physical and cognitive functions. Dual-task training involves combining motor and cognitive activities to enhance gait and balance control, and recent studies have shown its effectiveness in Parkinson's Disease rehabilitation. However, there's limited research on delivering dual-task training through telerehabilitation and determining the optimal content for maximum benefits. This project involves 30 Parkinson's Disease patients who will be randomly assigned to three groups receiving different dual-task exercise programs via telerehabilitation. Each program focuses on combining balance and functional exercises with either cognitive or motor secondary activities. The exercises will be performed three times a week for four weeks under the guidance of a physiotherapist via Zoom. Before and after the intervention, participants will be evaluated for feasibility, gait, balance, cognition, and activity levels. Researchers of this study hypothesize that telerehabilitation-based dual-task training will significantly improve balance and gait function in Parkinson's Disease patients, offering a convenient and effective treatment option to enhance their quality of life.


Eligibility

Min Age: 30 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a telerehabilitation program — exercise sessions conducted over the internet from home — that combines physical and mental tasks at the same time (called dual-task training) can improve movement, balance, and thinking in people with Parkinson's disease. **You may be eligible if...** - You have been diagnosed with idiopathic (non-secondary-cause) Parkinson's disease - Your Parkinson's is at a mild to moderate stage (Hoehn-Yahr scale 1–3) - You score 21 or above on a cognitive assessment test (MoCA) - Your medication has been stable for at least 1 month - You are in your medication "On" period (when medication is working) - You can walk independently on flat ground - You have at least 5 years of education - You have internet access via smartphone or computer **You may NOT be eligible if...** - You have serious hearing or vision problems - You have other neurological, heart, or musculoskeletal conditions that affect your ability to walk - You have dementia or significant vascular disease - You do not have internet access Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERCognitive-Motor Dual Task Activities

Patients included in this group will be given additional cognitive tasks (e.g. counting months, subtracting 5 from 100) in accordance with the physiotherapist's commands simultaneously with balance and large amplitude functional activities (such as stepping forward-sideways-backwards, sitting and standing).

OTHERMotor-Motor Dual Task Activities

Patients included in this group will be given additional motor tasks (e.g. passing the ball from the right hand to the left hand while standing on a soft surface, clapping) in accordance with the physiotherapist's commands simultaneously with balance and large amplitude functional activities (such as stepping forward-sideways-backwards, sitting and standing).

OTHERCognitive-Motor & Motor-Motor Dual Task Activities

Simultaneously with balance and large amplitude functional activities (such as stepping forwards-sideways-backwards, sitting and standing), patients included in this group will be given additional cognitive (e.g. counting while standing with feet closed) and motor (e.g. passing the ball from the right hand to the left hand while standing on a soft surface) tasks in accordance with the physiotherapist's commands.


Locations(1)

Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi

Istanbul, Bakırköy, Turkey (Türkiye)

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NCT06416722


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