Effect of Sensorimotor Training on Upper Extremity in Parkinson's Patients

Hacettepe University

Status: Completed

Conditions: Parkinson Disease

Treatments: Other: Control Group; Other: Exercises Group

Study type: Interventional

Funder types: Other

Identifiers

NCT05241015

2021/295 (Erciyes University)

Details and patient eligibility

About

There are many factors affecting the upper extremity such as tremor, bradykinesia, rigidity, and postural instability in Parkinson's patients. According to the International Classification of Functioning, Disability and Health (ICF) model, there are restrictions on people's activities and participation in life due to structural and functional disorders affecting the upper extremity in PD.

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.

Enrollment: 27 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having idiopathic Parkinson's disease over the age of 40
• 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 device-assisted therapy
• 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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27 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Patients in this group will receive standard physiotherapy program used for PD will be applied, 3 times a week for 8 weeks.

Treatment:

Other: Control Group

Exercises Group

Experimental group

Description:

In addition to standard physiotherapy programme, patients in this group will also receive sensorimotor training.

Treatment:

Other: Exercises Group