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Minimal Clinically Important Difference of the Box and Block Test in Parkinson

ConditionParkinson Disease
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-80
SponsorEmre Şenocak

About this trial

The aim of this study is to examine the level of clinical change in gross manual skills of Parkinson's patients who receive conventional physiotherapy. For this purpose, the Box-Block Test will be used, and the amount of change that must occur in the patient's hand functions will be determined for the test to be considered clinically meaningful.

Patients will continue their routine physical therapy sessions and the researchers will not interfere with this program. The treatment program will be created by the clinical specialist physician and physiotherapist.

Upper extremity rehabilitation programs for Parkinson's patients generally consist of methods such as stretching, strengthening, reaching, coordination and recreational activities. Patients will receive physiotherapy for 30 sessions.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Being Hoehn & Yahr Stage between 1-3,

Individuals in the "On" phase,

Those who were not exposed to any physiotherapy intervention during the initial assessment

Disqualifiers

Mini-mental status assessment < 24 points;

Presence of severe dyskinesia,

Those who experience fluctuations in the on-off phase,

Those who have undergone stereotaxic brain surgery for Parkinson's,

Trial design

Design model

Single group

Treatments tested in this trial

  • Physiotherapy

    Other intervention

    Parkinson\'s upper extremity rehabilitation generally consists of stretching, strengthening, coordination, recreational activities and skill activities. Exercises will be prescribed by the clinical specialist physician and physiotherapist.

Treatment groups

44 Participants
are divided into 1 treatment group
Group A: Routine Physiotherapy GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Box and Block Test

This test assesses gross manual dexterity. The number of wooden blocks moved during 60 seconds gives the total score. A high score indicates good dexterity.

Time frame
Baseline of the study
2

Box and Block Test

This test assesses gross manual dexterity. The number of wooden blocks moved during 60 seconds gives the total score. A high score indicates good dexterity.

Time frame
6 weeks (5 session days for 6 weeks)
3

Global Rating of Patient-Perceived Changes (GRP-PC)

GRP-PC will used to assess patient-perceived hand dexterity changes after the routine intervention. The patient will first asked, "Has your hand dexterity changed compared to when you did not receive interventions?". If the answer is no, the person will given a score of 0 (i.e. no change). In the case of positive response, the patient will asked, "How much better or worse is your hand dexterity" and the patient response will scored on the following 14-point Likert scale: +7 (very much better), +6 (much better), +5 (better), +4 (relatively better), +3 (somewhat better), +2 (a little better), +1 (very little better), -1 (very little worse), -2 (a little worse), -3 (somewhat worse), -4 (relatively worse), -5 (worse), -6 (much worse), and -7 (very much worse). This form will only be used to classify patients' satisfaction with treatment at the end of the study.

Time frame
6 weeks (5 session days for 6 weeks)

Secondary outcomes

1

Demographic Data Form

This form was created by researchers and it consist of personal informations such as gender, education, age, body mass index, dominant and affected extremity, disease duration, using medicine

Time frame
Baseline of the study

Other outcomes

Sponsors and contacts

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

Emre Şenocak

Lead sponsor

Karadeniz Technical University

Sponsor institution

Source ClinicalTrials.gov
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