Effects of Dual-Task Training on Upper Extremity Function in Parkinson's Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-65
SponsorAnkara University

About this trial

The goal of this clinical trial is to investigate the effects of dual-task training on upper extremity function and muscle thickness in individuals with Parkinson's disease. The main questions it aims to answer are:

Does dual-task training improve upper extremity function in individuals with Parkinson's disease? Does dual-task training lead to changes in upper extremity muscle thickness measured by ultrasonography?

Researchers will compare a dual-task training group with a control group receiving routine care to determine whether 8 weeks of dual-task training results in greater improvements in upper extremity outco

Participants will:

complete baseline and post-intervention assessments of upper extremity function, muscle thickness, grip strength, and pinch strength be assigned to either a control group or a dual-task training group receive dual-task training 3 days per week for 8 weeks if assigned to the intervention group

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of idiopathic Parkinson's disease confirmed by a neurologist

Modified Hoehn and Yahr stage 2 to 3

No medication or dosage change within the last 6 months

Cognitive capacity sufficient to understand and follow instructions, defined as Montreal Cognitive Assessment score ≥21

Disqualifiers

Atypical or secondary parkinsonism

Advanced orthopedic condition affecting the upper extremity

Surgery, trauma, or immobilization involving the upper extremity within the last 6 months

Wound or dermatological condition preventing upper extremity ultrasonographic evaluation

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dual-Task Training

    Behavioral

    Dual-task training will be applied 3 times per week for 8 weeks, with each session lasting 60 minutes. The program combines motor tasks (such as peg placement, object manipulation, bilateral coordination, and mobility tasks) with simultaneous cognitive tasks (such as backward counting, category-based word generation, and memory tasks).

Treatment groups

38 Participants
are divided into 2 treatment groups
Group A: Dual-Task Training GroupExperimental treatment 1 intervention
Group B: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Upper Extremity Function

Upper extremity function will be assessed using the Purdue Pegboard Test. Performance will be recorded as the number of pins placed within the specified time for dominant hand, nondominant hand, and both hands; higher scores indicate better fine motor performance and manual dexterity.

Time frame
Baseline and 8 weeks
2

Upper Extremity Muscle Thickness

Muscle thickness of the deltoid, biceps brachii, triceps brachii, and forearm flexor muscles will be measured using ultrasonography. The mean of three repeated measurements for each site will be recorded in millimeters.

Time frame
Baseline and 8 weeks
3

Hand Grip Strength

Hand grip strength will be measured using a Jamar hydraulic hand dynamometer according to the ASHT protocol. The mean of three trials will be recorded.

Time frame
Baseline and 8 weeks
4

Pinch Strength

Lateral pinch, three-jaw chuck pinch, and two-point pinch strength will be assessed using a pinch meter. The mean of three trials will be recorded in kilograms or Newtons.

Time frame
Baseline and 8 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ankara University

Lead sponsor

Hacettepe University

Collaborator