Group Versus Individuals Telehealth Exercise Programs for People With Parkinson Disease
2 augusti 2022 uppdaterad av: 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.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Interventionell
Inskrivning (Faktisk)
20
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
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New York
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Ithaca, New York, Förenta staterna, 14850
- Sarah Fishel
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
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
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Aktiv komparator: 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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Experimentell: 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.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Change in "Mini-Balance Evaluation Systems Test" Score
Tidsram: Prior to and after the 8 week intervention.
|
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
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Change in 10 meter walk test
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Sarah Fishel, Faculty
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
7 juni 2021
Primärt slutförande (Faktisk)
1 augusti 2022
Avslutad studie (Faktisk)
1 augusti 2022
Studieregistreringsdatum
Först inskickad
1 juni 2021
Först inskickad som uppfyllde QC-kriterierna
4 juni 2021
Första postat (Faktisk)
8 juni 2021
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
3 augusti 2022
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
2 augusti 2022
Senast verifierad
1 augusti 2022
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 271
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