About this trial
To validate the efficiency of online exergaming-based physiotherapy. We will enroll patients with Parkinson's disease in postural instability and gait disturbance motor phenotype in the study and divide them into two groups in a randomized controlled study.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
Moderate and severe dementia (Clinical Dementia Rating more than or equal to 2)
Advanced PD stage (Hoehn and Yahr staging equal or more than four)
Trial design
Parallel
Treatments tested in this trial
online exergaming-based physiotherapy programs
Other interventionThe online exergaming-based physiotherapy programs focus on training in shoulder, hip, and knee ROM balance, weight-bearing, strength, weight shifting, and walking based on RF in machine learning to the features selection in patients with PIGD. The training tasks consist of a set of 10 pieces of training (20 min per session, five sessions every week, for 8 weeks). Five exergaming programs were used for training, designed to incorporate an appropriate level of challenge to match the ability and fitness of patients with PD.
Treatment groups
Trial outcomes
Primary outcomes
Unified Parkinson's Disease Rating Scale score assessment
The outcome measure is the Unified Parkinson's Disease Rating Scale score. The UPDRS scale consists of the following six segments: 1) Mentation, Behavior, and Mood, 2) ADL, 3) Motor sections, and 4) Complications of Therapy (in the past week) The four segments are made up of 42 items grouped into four subscales. Each item has 0-4 ratings: 0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe)
Tinetti balance and gait score assessment
The score consists of two parts, including the balance score (score=0-16) and gait score (score=0-12), and ranged from 0 to 28 points by summing the points obtained for each of the two tests.
Secondary outcomes
Fall Risk assessment using Berg Balance Scale
The maximum obtainable Berg Balance Scale is 56 and there are four ranges of scores. Patients scoring range of 41-56, 21-40, and 0 -20 indicate low fall risk, medium fall risk, and high fall risk, respectively
Depression severity assessment
To obtain a patient-based measurement of depression, the Geriatric Depression Scale (GDS-30) was used. Depression severity was classified using the GDS-30 as follows: No depression (GDS 0-9), mild depression (GDS 10-19), and severe depression (GDS 20-30).
Sponsors and contacts
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Chang Gung Memorial Hospital
Lead sponsor
National Science and Technology Council
Collaborator
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