The purpose of this study is to evaluate the impact of a smartphone application that delivers at-home therapy exercises on patients' self-management of gait, speech, and dexterity symptoms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
The application delivers at-home, tailored allied health exercises (physiotherapy, speech and language therapy, and occupational therapy) for the gait, speech, and manual dexterity symptoms associated with Parkinson's disease.
The application is designed to provide a method of capturing outcome measures without providing access to the therapy exercises.
Meridian Clinical Research
Norfolk, Virginia, United States
Change in Gait Velocity (m/s)
Gait velocity on a 10-Meter Walk Test (10MWT) conducted in-clinic.
Time frame: Baseline, Week 4, Week 8, Week 12
Step Length (m)
Change in Step length on a 10-Meter Walk Test (10MWT) conducted in-clinic.
Time frame: Baseline, Week 4, Week 8, Week 12
Step Frequency (steps/min)
Change in Step frequency on a 10-Meter Walk Test (10MWT) conducted in-clinic.
Time frame: Baseline, Week 4, Week 8, Week 12
MDS-UPDRS Total Score for Part II Item 2.1 + Part III Item 3.1
Movement Disorders Society Sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is designed to monitor the burden and extent of Parkinson's disease. The MDS-UPDRS is divided into 4 parts: (Part I; 13 items) non-motor experiences of daily living, (Part II; 13) motor experiences of daily living, (Part III; 34) motor examination, and (Part IV; 6) motor complications. In each part, all items are rated on a scale from 0-4, with higher scores reflecting greater severity. The sum of items 2.1 (Speech) and Part III 3.1 (Speech) will be used to calculate a total score to assess speech abilities.
Time frame: Baseline, Week 4, Week 8, Week 12
MDS-UPDRS Total Score for Part II Item 2.7 + Part III Item 3.4 + Part III 3.5
The sum of items 2.7 (handwriting), 3.4 (finger tapping), and 3.5 (hand movements) will be used to calculate a total score to assess manual dexterity. All items are rated on a scale from 0-4, with higher scores reflecting greater severity.
Time frame: Baseline, Week 4, Week 8, Week 12
MDS-UPDRS Part II Total Score
For MDS-UPDRS Part II (motor experiences of daily living) scores, the scale range for Part II Total Score is 0-52, with higher scores reflecting greater severity.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Baseline, Week 4, Week 8, Week 12
Daily steps
Physical activity will be assessed by the relative change in daily steps recorded by the in-device sensors in the smartphone.
Time frame: Week 1,2,3,4,5,6,7,8