Group Versus Individuals Telehealth Exercise Programs for People With Parkinson Disease
2 de agosto de 2022 actualizado por: Ithaca College
Comparison of Individualized Versus Group Telehealth Physical Therapy Programs for Individuals With Parkinson Disease
This study will compare the impact of physical therapist led telehealth exercise programs on people with Parkinson disease.
Eligible participants will complete this program individually or in a group of 9 other participants.
The impact of participation in this program on motor function, postural control, gait, quality of life, and self-efficacy for exercise will be measured.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Descripción detallada
This program will be delivered 2 times per week for 8 weeks with examination of outcome measures prior to and after completion.
The investigators plan to enroll 20 participants with 10 completing a group program led by a physical therapist and 10 completing an individual exercise program led by a physical therapist.
Tipo de estudio
Intervencionista
Inscripción (Actual)
20
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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New York
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Ithaca, New York, Estados Unidos, 14850
- Sarah Fishel
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- have a diagnosis of idiopathic Parkinson disease
- been prescribed a stable dose of levadopa medication for at least 4 weeks prior to study participation
- be able to walk independently
- have a referral from a physician to participate in the program
- have access to a computer/tablet/or phone to use for telehealth sessions with reliable internet and access to the Zoom platform
Exclusion Criteria:
- have any other neurological condition other than Parkinson disease
- have a score less than 20/28 on the Mini-Balance Systems Evaluation Test (reflecting a higher risk of falls)
- demonstrate unstable/unsafe blood pressure or heart rate responses during the initial evaluation with response to submaximal exercise
- have any musculoskeletal condition that affected their ability to participate in the exercise group
- score less than 24/30 on the Mini Mental Status Examination during the initial evaluation
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Comparador activo: Individual Exercise Instruction
The participant will receive individual exercise instruction.
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The multidirectional exercise program will include cardiovascular training, strengthening, balance training, and flexibility training.
This will be delivered 2 times per week for 8 weeks using telehealth and will be delivered by a physical therapist.
The exercises will be modified to meet the participants needs.
Intensity of exercise interventions will be monitored through patient self report and use of continuous heart rate monitoring.
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Experimental: Group Exercise Instruction
The participant will receive the instruction in a group of up to 9 other participants.
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The multidirectional exercise program will include cardiovascular training, strengthening, balance training, and flexibility training.
This will be delivered 2 times per week for 8 weeks using telehealth and will be delivered by a physical therapist.
The exercises will be modified to meet the participants needs.
Intensity of exercise interventions will be monitored through patient self report and use of continuous heart rate monitoring.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change in "Mini-Balance Evaluation Systems Test" Score
Periodo de tiempo: Prior to and after the 8 week intervention.
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This is a 14 item outcome measure that examines postural control in standing.
The measure includes items that assess anticipatory postural control, reactive postural control, somatosensory integration, and dynamic gait.
The scores range from 0-28 points with 28 reflecting the best possible balance performance.
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Prior to and after the 8 week intervention.
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Change in "Five Times Sit to Stand" test time
Periodo de tiempo: Prior to and after the 8 week intervention.
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For this outcome the participant is asked to perform sitting to standing transitions 5 times as quickly as possible.
The time to complete the task is recorded.
A lower time is associated with faster and more agile performance with sitting to standing transitions.
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Prior to and after the 8 week intervention.
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change in 10 meter walk test
Periodo de tiempo: Prior to and after 8 week intervention.
|
This outcome measure examines gait speed at comfortable and fast speeds.
This will be performed using the Gait Rite mat which will collect information about gait characteristics, including step length, step width, and gait symmetry as well.
A faster time is associated with better balance and walking ability.
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Prior to and after 8 week intervention.
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Change in Six Minute Walk Test Distance
Periodo de tiempo: Prior to and after 8 week intervention.
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This outcome examines gait endurance by measuring the distance walked over 6 minutes on a level surface.
A greater number of meters on the test is associated with better walking endurance.
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Prior to and after 8 week intervention.
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Change in Parkinson Disease Questionnaire-39 score
Periodo de tiempo: Prior to and after 8 week intervention.
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This is a self report quality of life measure designed for individuals with Parkinson disease.
There are 8 subsections which can be reported individually and the score can be calculated as a summary score out of 100%.
A lower percentage is associated with lower disability related to Parkinson disease.
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Prior to and after 8 week intervention.
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Change in Self Efficacy for Exercise Scale score
Periodo de tiempo: Prior to and after 8 week intervention.
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This measures a person's confidence that they will exercise in a variety of situations.The score ranges from 0 to 90 with a higher score associated with a higher self efficacy for exercise behavior.
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Prior to and after 8 week intervention.
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Sarah Fishel, Faculty
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
7 de junio de 2021
Finalización primaria (Actual)
1 de agosto de 2022
Finalización del estudio (Actual)
1 de agosto de 2022
Fechas de registro del estudio
Enviado por primera vez
1 de junio de 2021
Primero enviado que cumplió con los criterios de control de calidad
4 de junio de 2021
Publicado por primera vez (Actual)
8 de junio de 2021
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
3 de agosto de 2022
Última actualización enviada que cumplió con los criterios de control de calidad
2 de agosto de 2022
Última verificación
1 de agosto de 2022
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 271
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .