Exercise Management in Parkinson's Disease

Condition(s) studied

Investigational drug(s) / intervention(s)

Telerehabilitation: The exercises will consist of stretching, strengthening, balance, and neuromotor exercises that the patient can perform independently at home.

Study summary

The aim of this study is to examine the benefits that individuals with Parkinson's disease will gain from the rehabilitation program by enabling them to manage their exercise times independently using telerehabilitation method.

The main research questions examined in this study are as follows:

* Are the improvements in quality of life, walking speed and changes in functionality parameters achieved by individuals with Parkinson's disease through managing their own exercise plans as effective as those achieved through a supervised exercise programme?
* Is it effective for Parkinson's patients to manage their own exercise plans in improving their adherence to exercise?

Eligibility

Primary outcome measure(s)

• Change in motor impairment — Baseline and the end of the 8 weeks exercise program
  The Unified Parkinson's Disease Rating Scale (UPDRS) is used to determine the symptoms and clinical severity of PD. The UPDRS-III subscore will be used to assess changes in motor impairment.
• Change in behavioral regulations in exercise — Baseline and the end of the 8 weeks exercise program
  Behavioral Regulations in Exercise Questionnaire-2 consists of 19 items and five subscales. The subscales consist of external regulation, internalized regulation, defined regulation, internal regulation and lack of motivation. It is a 5-point Likert-type scale scored between 0-4.
• Change in lower extremity power and endurance — Baseline and the end of the 8 weeks exercise program
  Five Times Sit to Stand Test will be used to measure repetitive movement performance. The patient will be asked to sit down and stand up 5 times as quickly as possible, and this time will be recorded in seconds.
• Change in walking speed — Baseline and the end of the 8 weeks exercise program
  10-Meter Walk Test will be applied to assess walking speed. The first 2 meters of the 14-meter distance are allocated for acceleration, the last 2 meters for deceleration, and the time taken to walk the 10-meter distance is recorded. Walking speed is calculated in meters per second.
• Change in mobility — Baseline and the end of the 8 weeks exercise program
  Timed Up and Go Test is used to assess mobility, balance, and risk of falling. The patient is asked to stand up from a chair, walk around a cone 3 meters away, and return to sit on the chair. The total time is recorded using a stopwatch.
• Change in body position — Baseline and the end of the 8 weeks exercise program
  Activities-Specific Balance Confidence is a measure that assesses a person's level of confidence in their balance both indoors and outdoors. It consists of 16 different activities and is rated on a scale from no confidence (-0) to complete confidence (-100). A higher score indicates a greater level of confidence in balance.
• Change in quality of life — Baseline and the end of the 8 weeks exercise program
  The Parkinson's Disease Quality of Life Questionnaire (PDQ-39) will be used to assess quality of life. It consists of 39 items and is composed of 8 sub-parameters: mobility, activities of daily living, stigma, social support, communication, emotional well-being, and physical discomfort. As the score increases, quality of life deteriorates.

Trial sites (1)

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