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.
研究概览
地位
招聘中
条件
研究类型
介入性
注册 (估计的)
40
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Fatih SÖKE
- 电话号码：+90 312 567 15 00
- 邮箱：fatih.soke@sbu.edu.tr
学习地点
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Ankara、土耳其（türkiye）、06010
- 招聘中
- Gulhane Faculty of Physiotherapy and Rehabilitation
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接触：
- Fatih SÖKE
- 电话号码：+90 312 567 15 00
- 邮箱：fatih.soke@sbu.edu.tr
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-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
不
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器：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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实验性的：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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实验性的：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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实验性的：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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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Unified Parkinson's Disease Rating Scale (UPDRS) - PART 3
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Treatment Satisfaction
大体时间：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
大体时间：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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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2026年7月1日
初级完成 (估计的)
2026年9月1日
研究完成 (估计的)
2026年9月15日
研究注册日期
首次提交
2026年6月6日
首先提交符合 QC 标准的
2026年6月6日
首次发布 (实际的)
2026年6月11日
研究记录更新
最后更新发布 (实际的)
2026年7月7日
上次提交的符合 QC 标准的更新
2026年7月2日
最后验证
2026年7月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.