The Effects of Tele-Rehabilitation-Based Dual-Task Upper Extremity Training in Patients With Parkinson's Disease
2026年7月2日 更新者：Fatih Söke、Saglik Bilimleri Universitesi
Investigating the Effects of Tele-Rehabilitation-Based Dual-Task Upper Extremity Training in Patients With Parkinson's Disease
The aim of this study is to compare the effects of tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training with clinical based dual-task upper extremity training and conventional single-task upper extremity training in patients with Parkinson's disease. The main questions it aims to answer are:
- Whether there are differences in motor symptoms, hand dexterity, upper extremity functions, grip strength, executive functions, daily living activities, and treatment satisfaction between tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training, clinical-based dual-task upper extremity training, and conventional single-task upper extremity training in patients with Parkinson's disease.
- Whether there is a difference in telemedicine satisfaction between tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training in patients with Parkinson's disease.
Researchers will compare conventional single-task upper extremity training, clinical-based dual-task upper extremity training, tele-rehabilitation-based synchronous upper extremity training and tele-rehabilitation-based asynchronous upper extremity training.
Participants will:
- Receive upper extremity exercise training at the study clinic or home, twice a week for approximately 60 minutes each time, for 6 weeks.
- Participate in assessments at the study clinic before and after exercise training.
調査の概要
状態
募集
条件
研究の種類
介入
入学 (推定)
40
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。
研究連絡先
- 名前：Fatih SÖKE
- 電話番号：+90 312 567 15 00
- メール：fatih.soke@sbu.edu.tr
研究場所
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Ankara、トルコ（Türkiye）、06010
- 募集
- Gulhane Faculty of Physiotherapy and Rehabilitation
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コンタクト：
- Fatih SÖKE
- 電話番号：+90 312 567 15 00
- メール：fatih.soke@sbu.edu.tr
-
-
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
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Having been diagnosed with Parkinson's disease by a neurologist according to the UK Brain Bank criteria
- Being in stage 3 or higher according to the Hoehn-Yahr Scale
- Having a caregiver capable of providing the necessary assistance during tele-rehabilitation sessions and using the required equipment and programs.
- Having the device and software to conduct remote video calls for tele-rehabilitation
Exclusion Criteria:
- Presence of a neurological disease other than Parkinson's disease
- Cognitive impairment (Standardized Mini Mental Test score less than 24)
- Having undergone deep brain stimulation surgery
- Having a visual, auditory, or perceptual problem
- Having any orthopedic, rheumatological, or other condition that may affect hand functions
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：支持療法
- 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：Single Task Training
Conventional, clinic-based, single task upper extremity training
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Conventional single task upper extremity exercise training at clinical setting.
The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performed for 3 minutes each, in a random order.
A 2-minute rest period will be given between each activity.
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実験的：Clinic-Based Dual Task Training
Clinic-based, dual task upper extremity training
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Dual task upper extremity exercise training at clinical setting.
The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performed simultaneously with three randomly selected cognitive tasks (arithmetic task, verbal fluency, digit span) for 3 minutes each, in a random order.
A 2-minute rest period will be given between each activity.
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実験的：Tele-Rehabilitation Based Synchronous Dual Task Training
Tele-rehabilitation based synchronous dual task upper extremity training
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Dual task upper extremity exercise training at patient's home, synchronous with a researcher via tele-rehabilitation method.
The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performed simultaneously with three randomly selected cognitive tasks (arithmetic task, verbal fluency, digit span) for 3 minutes each, in a random order.
A 2-minute rest period will be given between each activity.
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実験的：Tele-Rehabilitation Based Asynchronous Dual Task Training
Tele-rehabilitation based asynchronous dual task upper extremity training
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Dual task upper extremity exercise training at patient's home, asynchronous under a researcher supervision.
It will be carried out according to the pre-determined schedule and will be video recorded.
The first 5 minutes of the training session will consist of a warm-up period of stretching and breathing exercises, followed by a cool-down period of the same exercises.Nine different upper extremity activities (using a fork and spoon, tying shoelaces, reaching, throwing a ball, filling water, folding a sheet, drawing shapes, buttoning, and fastening nuts) will be performed simultaneously with three randomly selected cognitive tasks (arithmetic task, verbal fluency, digit span) for 3 minutes each, in a random order.
A 2-minute rest period will be given between each activity.
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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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Unified Parkinson's Disease Rating Scale (UPDRS) - PART 3
時間枠：From enrollment to the end of training at 6 weeks
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UPDRS is a reliable and valid scale that assesses cognitive skills, mood, daily living activities, motor skills, motor fluctuations, dyskinesias and autonomic dysfunction and is widely used in clinical studies and research in Parkinson's disease.
The motor symptoms section, which is the third section of this scale, will be used.
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From enrollment to the end of training at 6 weeks
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Hoehn & Yahr Scale
時間枠：From enrollment to the end of treatment at 6 weeks
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It is a staging system that provides information quickly in determining the severity and symptoms of Parkinson's disease.
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From enrollment to the end of treatment at 6 weeks
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Unified Parkinson's Disease Rating Scale (UPDRS) - PART 2
時間枠：From enrollment to the end of treatment at 6 weeks
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It consists of thirteen items.
The assessment is based on anamnesis information regarding how the patient functions in various activities.
The presence of sensory complaints that may be related to tremor and parkinsonism is also included in this section as they can affect daily living activities.
Each item is evaluated using a scoring system between '0' and '4'.
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From enrollment to the end of treatment at 6 weeks
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Trail Making Test
時間枠：From enrollment to the end of treatment at 6 weeks
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It is used to assess executive functions and attention.
The test consists of two parts, A and B. In part A, the individual is asked to combine numbers from 1 to 25, and the completion time is recorded.
In part B, the individual completes a sequence where each number corresponds to a letter, and the completion time is recorded.
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From enrollment to the end of treatment at 6 weeks
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Nine-Hole Peg Test
時間枠：From enrollment to the end of treatment at 6 weeks
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During the test, individuals use only one hand to pick up nine wooden pegs one by one and insert them into the holes as quickly as possible.
After inserting all the pegs, they quickly place them back into the container one by one.
The timer starts when the individual touches the first peg and ends when the last peg is placed back into the container.
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From enrollment to the end of treatment at 6 weeks
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Coin Rotation Test
時間枠：From enrollment to the end of treatment at 6 weeks
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This test assesses the coordination of independent finger movements.
In this test, the person is asked to rotate a coin 180 degrees as many times as possible between their thumb, index finger, and middle finger within 10 seconds without dropping it.
The person's performance is video recorded and later analyzed.
An increase in the number of times the patient rotates the coin within 10 seconds indicates better fine motor skills.
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From enrollment to the end of treatment at 6 weeks
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Manual Ability Measure-36
時間枠：From enrollment to the end of treatment at 6 weeks
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This is a 36-question survey that assesses fine motor skills based on individual self-reports.
The survey includes questions related to daily life, such as drinking water, tying shoelaces, brushing teeth, and turning book pages.
Each question is scored from 0 (almost impossible) to 4 (easy).
The resulting score is converted to a 100-point system.
Higher scores indicate good fine motor skills.
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From enrollment to the end of treatment at 6 weeks
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Grip Strength
時間枠：From enrollment to the end of treatment at 6 weeks
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Grip strength will be assessed using a Jamar hand dynamometer (JAMAR®, Performance Health Holdings, Inc., USA).
During the tests, the individual will be positioned in a chair with the arm at the side of the body, the elbow flexed at 90°, and the wrist in a neutral position.
Individuals will be asked to make a fist to assess their grip strength.
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From enrollment to the end of treatment at 6 weeks
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Dual-Task Impact on Daily-Living Activities Questionnaire
時間枠：From enrollment to the end of treatment at 6 weeks
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This test is used to assess the difficulties experienced in daily tasks involving dual task execution.
It consists of 19 questions, with a scale of 0 (not difficult at all) to 4 (extremely difficult).
A higher overall score indicates a higher perceived level of difficulty when performing dual tasks during daily life activities.
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From enrollment to the end of treatment at 6 weeks
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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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Treatment Satisfaction
時間枠：At end of treatment at 6 weeks
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Patient satisfaction with treatment will be assessed post-treatment using a 100 mm long visual-analog scale.
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At end of treatment at 6 weeks
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Telemedicine Satisfaction Questionnaire
時間枠：At end of treatment at 6 weeks
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This survey consists of 14 items.
It assesses patients' satisfaction levels with the software or system they use for treatment or other remote rehabilitation services.
The total score ranges from 14 to 70, with a maximum of 5 points per question.
A higher score indicates higher satisfaction.
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At end of treatment at 6 weeks
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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)
2026年7月1日
一次修了 (推定)
2026年9月1日
研究の完了 (推定)
2026年9月15日
試験登録日
最初に提出
2026年6月6日
QC基準を満たした最初の提出物
2026年6月6日
最初の投稿 (実際)
2026年6月11日
学習記録の更新
投稿された最後の更新 (実際)
2026年7月7日
QC基準を満たした最後の更新が送信されました
2026年7月2日
最終確認日
2026年7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。