ClinicalTrials.gg
Enrolling by invitationNCT07702929Updated Nov 4, 2026

Effect of Hand Rehabilitation on Cognitive Function in Patients With PD

An interventional study of Hand Sensorimotor Rehabilitation and Cognitive Remediation in PARKINSON DISEASE (Disorder), sponsored by Isfahan University of Medical Sciences. Enrolling by invitation at 1 site in Iran. Open to participants aged 45 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Isfahan University of Medical Sciences · Not applicable, Interventional, and Treatment

Updated Nov 4, 2026Now Enrolling by invitationFirst site in Iran+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
45 Years to 65 Years
Sex
All
01

Study summary

Evidence suggests the association between fine motor skills of the hand and cognitive function, as well as the positive effects of hand rehabilitation on hand function and the effectiveness of cognitive rehabilitation on cognitive functions in patients with Parkinson's disease (PD). In response to the question of whether there is a cause-and-effect relationship between fine manual skills and cognitive function, we designed the present randomized controlled trial to investigate the effectiveness of sensory-motor rehabilitation of the hand on cognitive functions compared to the effectiveness of cognitive rehabilitation on sensory-motor skills of the hand in patients with PD.

In this double-blinded, randomized controlled trial, a convenience sample including 48 people with PD will participate based on simple non-random sampling. The participants will be allocated randomly through stratified randomization to parallel groups of intervention (sensorimotor hand rehabilitation) and control (cognitive rehabilitation) with a 1:1 allocation ratio. The associate researcher responsible for assessing outcome measures and the statistician responsible for analyzing the data are blinded to the intervention protocol. The intervention protocol for the intervention group includes hand sensory-motor rehabilitation for 10 one-and-a-half-hour sessions, 3 sessions per week, in addition to cognitive rehabilitation for 10 one-and-a-half-hour sessions, 3 sessions per week. The intervention protocol for the control group includes cognitive rehabilitation for 10 one-and-a-half-hour sessions, 3 sessions per week. All participants undergo three assessment sessions: the day before the intervention, the day after the intervention, and one month after the last intervention session. Data will be analyzed using SPSS version 22.0. The significance level will be set at 0.05.

02

Conditions studied

  • PARKINSON DISEASE (Disorder)

Browse trials for

Keywords

  • Cognition
  • Hand Function
  • Parkinson's Disease
  • Occupational Therapy
  • Rehabilitation
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's planned enrollment of 48 is above the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Isfahan University of Medical Sciences is the lead sponsor of 150 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. A diagnosis of PD by a neurologist based on the Movement Disorders Society Clinical Diagnostic Criteria for Parkinson's Disease;
  2. 45-65 years old: age of peak incidence of PD;
  3. Minimum 2 years and maximum 10 years from initial diagnosis: stabilization of the disease process and medications;
  4. disability level of at most 3 in the Modified Hoehn and Yahr Scale: physically independent;
  5. Mild cognitive impairment: score between 20 and 26 in ;
  6. Signing the written .

Exclusion criteria

Exclusion Criteria:

  1. Patients with neurological diseases other than PD
  2. Patients with orthopedic and internal diseases that would make participation in the study difficult
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
48 participants (estimated)

Study arms

  • Experimental
    Hand Sensorimotor Rehabilitation

    The intervention protocol includes hand sensory-motor rehabilitation for 10 one-and-a-half-hour sessions, 3 sessions per week, in addition to cognitive rehabilitation for 10 one-and-a-half-hour sessions, 3 sessions per week.

    Other: Hand Sensorimotor Rehabilitation

  • Active comparator
    Cognitive Rehabilitation

    The intervention protocol includes cognitive rehabilitation for 10 one-and-a-half-hour sessions, 3 sessions per week. The cognitive rehabilitation program will be conducted the same as the cognitive rehabilitation for the intervention group, which was explained in the previous section

    Other: Hand Sensorimotor Rehabilitation · Other: Cognitive Remediation

Interventions

  • OtherHand Sensorimotor Rehabilitation

    10 one-and-a-half-hour sessions, 3 sessions per week

  • OtherCognitive Remediation

    10 one-and-a-half-hour sessions, 3 sessions per week

06

What researchers measure

Primary outcomes

  1. Montreal Cognitive Assessment

    To assess the general cognitive status of the participants. In the scoring of this test, a score of 26 and above indicates normal cognitive function, a score of 25 and below indicates mild cognitive impairment, and a score below 20 means severe cognitive impairment

    Time frame: - The day before the intervention - The day after the intervention - One month after the last intervention session

  2. Cambridge Neuropsychological Test Automated Battery - Reaction Time

    To measure the speed of the participants' response to a visual target in which a predictable (simple reaction time) or unpredictable (choice reaction time) stimulus is presented. The approximate test time is 5 minutes. The response time latency is measured in milliseconds.

    Time frame: - The day before the intervention - The day after the intervention - One month after the last intervention session

  3. Cambridge Neuropsychological Test Automated Battery - Spatial Span Test

    This test examines working and short-term memory. The participants are asked to tap on the squares on the monitor screen as they light up, in the order they appear. The approximate time to complete the test is 5 minutes

    Time frame: - The day before the intervention - The day after the intervention - One month after ending intervention

  4. Cambridge Neuropsychological Test Automated Battery - Match to Sample Visual Search Test

    This test measures attention and visual search. In this test, a complex visual pattern is displayed in the middle of the monitor screen. After a short delay, a variable number of similar patterns are displayed in a circle around the edge of the monitor screen.

    Time frame: - The day before the intervention - The day after the intervention - One month after the last intervention session

  5. Cambridge Neuropsychological Test Automated Battery - Stop Signal Task

    This test measures response inhibition. The test consists of two parts: in the first part, the participant is told to press the left button when they see an arrow pointing to the left direction and the right button when they see an arrow pointing right; In the second part, the participant is told to continue selecting buttons while they see the arrows, but if they hear an audible signal (beep), they must hold their response and not select the button

    Time frame: - The day before the intervention - The day after the intervention - One month after the last intervention session

  6. KING'S PD Pain Scale

    this tool measures pain which is specifically designed for patients with PD.

    Time frame: - The day before staring intervention - The day after ending intervention - one month after ending intervention

  7. Box & Block Test

    This test assesses hand fine motor skills by moving one-inch wooden cubes from one side of a 5.8 x 4.25 x 7.53 cm box to the other side.

    Time frame: - The day before starting intervention - The day after ending intervention - One month after ending intervention

  8. The Purdue Pegboard Test

    This test assesses fine motor skills and hand-eye coordination. The assembly subtest will considered in the present study.

    Time frame: - The day before starting intervention - The day after ending intervention - One month after ending intervention

  9. Hand Dynamometer Hydraulic Jamar

    This tool measures hand grip strength.

    Time frame: - The day before starting intervention - The day after ending intervention - One month after ending intervention

  10. Pinch gauge

    This tool measures fine fingertip grip strength

    Time frame: - The day before starting intervention - The day after ending intervention - One month after ending intervention

  11. Semmes-Weinstein monofilaments

    This test assesses the tactile pressure perception threshold

    Time frame: - The day before staring intervention - The day after ending intervention - one month after ending intervention

  12. The Michigan Hand Outcome Questionnaire

    It measures the individual's own perspective on overall hand function

    Time frame: - The day before staring intervention - The day after ending intervention - one month after ending intervention

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Jul 2027, 11 months after the start.

Of 1,291 non-industry interventional studies with no phase under Parkinson Disease, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's planned 11 months is below that.

Counting every sponsor, half of 1,367 studies reached it within 25 months; a quarter within 11 and three quarters within 44.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 7, 2026
First posted
Jul 14, 2026
StartActual
Aug 23, 2026
Primary completionEst.
Jul 23, 2027
CompletionEst.
Nov 23, 2027
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Enrolling by invitation
changed Nov 4, 2026
Sites
1 site added — first site in Iran
Show site
  • Isfahan University of Medical Sciences, Isfahan, Iran · Isfahan, Iran
Nov 4, 2026
Contact
No study contact listed any more: removed h•••@gmail.com · •••8034
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    Not yet recruiting→Enrolling by invitation
    1 site added — first site in Iran
    Show site
    • Isfahan University of Medical Sciences, Isfahan, Iran · Isfahan, Iran
    Contact No study contact listed any more: removed h•••@gmail.com · •••8034
    + 1 other change: date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07702929
Responsible party
Hamid Reza Rostami (Dr. Hamid Reza Rostami, Isfahan University of Medical Sciences) — Principal investigator
First posted
Jul 14, 2026
Start date
Aug 23, 2026
Primary completion
Jul 23, 2027 (estimated)
Completion
Nov 23, 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Hamid Reza Rostami, PhD
principal investigator · Isfahan University of Medical Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion