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

Emre Şenocak44 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

SCREENING

Masking

NONE

Enrollment

Conditions

Parkinson Disease

Interventions

Eligibility

Sex: ALLMin age: 50 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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 Exclusion Criteria: * 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, * Individuals with changes in dopamine dose within three months, * Presence of unstable cardiac and respiratory disease * Those with an orthopedic problem or a history of surgery affecting upper extremity performance.

Outcomes

Primary Outcomes

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

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)

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

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