The Effects of Scapulohumeral Rehabilitation on Scapula Kinematics and Upper Extremity Functionality in Individuals With Parkinson's Disease

Burdur Mehmet Akif Ersoy University

Status: Active, not recruiting

Conditions: Parkinson's Disease (PD); Physiotherapy and Rehabilitation

Treatments: Other: Physiotherapy and rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06861933

E-60116787-020-491421

Details and patient eligibility

About

With this study, individuals diagnosed with PD in Burdur province in Turkey will be provided with a physiotherapy and rehabilitation program for the upper extremity, and it is thought that the treatment received by both groups will have a positive effect on the functionality of the individuals. According to the results of our study, it will be determined whether the scapula kinematics and upper extremity functionality of individuals diagnosed with PD are different from healthy individuals of the same age and gender. After the intervention programs applied to the individuals, it is thought that it will contribute to the physiotherapy and rehabilitation programs of individuals with PD by determining whether the scapulohumeral rehabilitation program is superior to the upper extremity neurorehabilitation program.

Enrollment: 28 estimated patients

Sex: All

Ages: 40 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• For the intervention group:

  • Having been diagnosed with Parkinson's Disease
  • Being between 1-3 according to the Hoehn & Yahr staging

• For the control group:

  • Being of the same age and gender as the individuals diagnosed with Parkinson's disease included in the study

Exclusion criteria

• For the intervention group:

  • Refusing to participate in the study
  • Having a full-thickness rotator cuff muscle rupture
  • Having a history of humerus, clavicle, scapula or shoulder surgery
  • Having a history of humerus, clavicle, scapula or shoulder fracture
  • Having a history of any other disease that may affect the ability to stand independently

• For the control group:

  • Refusing to participate in the study
  • Having a full-thickness rupture of the rotator cuff muscles
  • Having a history of humerus, clavicle, scapula or shoulder surgery
  • Having a history of humerus, clavicle, scapula or shoulder fracture

Study Exclusion Criteria for Volunteers:

• Failure to complete the tests included in the study
• Failure to comply with the study schedule, failure to complete sessions
• Incomplete data
• Failure to attend 3 consecutive sessions
• Voluntary withdrawal

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 3 patient groups

Group 1: Scapulohumeral Rehabilitation

Experimental group

Description:

The scapulohumeral rehabilitation group will receive 20 minutes of scapulohumeral exercises in addition to the 10-minute neurorehabilitation program. Scapulohumeral Exercises: Scapular mobilization, scapular retraction, protraction, elevation in the scapular plane and Proprioceptive Neuromuscular Facilitation (PNF) exercises with the repeated contractions method. The exercises will be applied according to the functional capacities of the individuals in the supine, sitting and standing positions with 10 repetitions at the beginning, without weights, using free weights and resistance bands, and the number of repetitions and sets will be progressed every week. The intervention groups will receive a total of 21 treatment sessions, 3 days a week for 7 weeks.

Treatment:

Other: Physiotherapy and rehabilitation

Group 2: Upper Extremity Neurorehabilitation

Experimental group

Description:

In addition to the 10-minute neurorehabilitation program, a 20-minute upper extremity neurorehabilitation exercises and a total of 30 minutes of physiotherapy and rehabilitation program will be applied. Scapular retraction, protraction, elevation movements will be performed in the form of Wand exercises with the help of a stick or cane. Exercises will be progressed by increasing the number of repetitions and sets in supine, sitting and standing positions according to the functional level of the participants. The intervention groups will receive a total of 21 treatment sessions, 3 days a week for 7 weeks.

Treatment:

Other: Physiotherapy and rehabilitation

Control Group

No Intervention group

Description:

The control group will consist of healthy volunteers of the same age and gender as individuals diagnosed with Parkinson's disease (PD). The control group will not receive any physiotherapy or rehabilitation program and will only receive relevant assessments to compare with the results of individuals with PD.