Exercise Intervention and Dexterity in Parkinson
The investigators conducted an intervention based in proprioceptive exercises and balance tasks. The investigators also carried out a brief intervention in manual dexterity.
The study hypothesis is that a brief intervention in upper extremities and a exercise program can increase functionality in Parkinson.
|Study Design:||Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
|Official Title:||Therapeutic Intervention in Motor Disorders in Parkinson.|
- Manual dexterity [ Time Frame: baseline, 6 months ] [ Designated as safety issue: Yes ]
Change from baseline to postintervention in dexterity. This is assessed using the Purdue Pegboard Test.
The Purdue pegboard test is a timed physical test used to measure manual dexterity. Test subjects are asked to place small pins into holes in the pegboard using a specific hand and following a specific process.
- Grip strength [ Time Frame: baseline, 6 months ] [ Designated as safety issue: Yes ]
Grip strength is measured using a Jamar dynamometer with a standard protocol allowing three attempts on each side. During each measurement, patients were sitting with their shoulder adducted and elbow flexed to 90°. The maximum value achieved from all six attempts was used in analyses.
- Pressure pain measure [ Time Frame: baseline, 6 months. ] [ Designated as safety issue: Yes ]The pressure pain threshold for each site (three points in upper extremities) is assessed using the pressure algometer. All assessments were made by the same investigator. All the subjects were trained to familiarize the subjects with the pressure algometry procedure before the measures in an anatomical site different from the chosen sites for this study.
- Nervous assessment [ Time Frame: baseline, 6 months. ] [ Designated as safety issue: Yes ]
Neurodynamic tests are used in upper extremities. It moves most of the nerves between the neck and hand, including the median nerve, radial and ulnar, brachial plexus, spinal nerves and cervical nerve roots.
The patient is placed supine position. It is measured with a goniometer.
- Risk of falls. [ Time Frame: baseline, 6 months. ] [ Designated as safety issue: Yes ]The risk of falls is measured with the timed up and go. It measures in seconds, the time taken by an individual to stand up from a standard arm chair,walk a distance of 3 meters, turn, walk back to the chair, and sit down.
|Study Start Date:||December 2012|
|Study Completion Date:||February 2015|
|Primary Completion Date:||December 2014 (Final data collection date for primary outcome measure)|
Active Comparator: Control group
30 people are recruited in order to the inclusion criteria for the study. The study include subjects who can complete the assessment battery of tests at the beginning and end in order to perform the control intervention.
Other: Control intervention
Active upper limb range of movement exercises for 15 minutes.
Experimental: Exercise program group
30 people are recruited, diagnosed with Parkinson attending to the Parkinson Association of Granada aged between 40 and 65 years. No sex differences. The study include subjects who can complete the assessment battery of tests at the beginning and end.
Other: Exercise program
Exercise program An brief exercise session including proprioceptive and dexterity activities
Other Name: Plaster of resistance activities
Please refer to this study by its ClinicalTrials.gov identifier: NCT01749917
|Faculty of Health Sciences. University of Granada.|
|Granada, Andalucia, Spain, 18071|
|Principal Investigator:||M. Carmen Valenza, PH MD||Department of Physical Therapy. University of Granada.|