Group Versus Individuals Telehealth Exercise Programs for People With Parkinson Disease
2022年8月2日 更新者：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.
調査の概要
詳細な説明
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.
研究の種類
介入
入学 (実際)
20
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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New York
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Ithaca、New York、アメリカ、14850
- Sarah Fishel
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
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
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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アクティブコンパレータ：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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実験的：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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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in "Mini-Balance Evaluation Systems Test" Score
時間枠：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
時間枠：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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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in 10 meter walk test
時間枠：Prior to and after 8 week intervention.
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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
時間枠：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
時間枠：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
時間枠：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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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2021年6月7日
一次修了 (実際)
2022年8月1日
研究の完了 (実際)
2022年8月1日
試験登録日
最初に提出
2021年6月1日
QC基準を満たした最初の提出物
2021年6月4日
最初の投稿 (実際)
2021年6月8日
学習記録の更新
投稿された最後の更新 (実際)
2022年8月3日
QC基準を満たした最後の更新が送信されました
2022年8月2日
最終確認日
2022年8月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。