The aim of this study is to compare the effects of tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training with clinical based dual-task upper extremity training and conventional single-task upper extremity training in patients with Parkinson's disease. The main questions it aims to answer are: * Whether there are differences in motor symptoms, hand dexterity, upper extremity functions, grip strength, executive functions, daily living activities, and treatment satisfaction between tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training, clinical-based dual-task upper extremity training, and conventional single-task upper extremity training in patients with Parkinson's disease. * Whether there is a difference in telemedicine satisfaction between tele-rehabilitation-based synchronous and asynchronous dual-task upper extremity training in patients with Parkinson's disease. Researchers will compare conventional single-task upper extremity training, clinical-based dual-task upper extremity training, tele-rehabilitation-based synchronous upper extremity training and tele-rehabilitation-based asynchronous upper extremity training. Participants will: * Receive upper extremity exercise training at the study clinic or home, twice a week for approximately 60 minutes each time, for 6 weeks. * Participate in assessments at the study clinic before and after exercise training.
Age range
40 Years
Sex
ALL
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The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Unified Parkinson's Disease Rating Scale (UPDRS) - PART 3
Timeframe: From enrollment to the end of training at 6 weeks
Hoehn & Yahr Scale
Timeframe: From enrollment to the end of treatment at 6 weeks
Nine-Hole Peg Test
Timeframe: From enrollment to the end of treatment at 6 weeks
Coin Rotation Test
Timeframe: From enrollment to the end of treatment at 6 weeks
Manual Ability Measure-36
Timeframe: From enrollment to the end of treatment at 6 weeks
Grip Strength
Timeframe: From enrollment to the end of treatment at 6 weeks
Trail Making Test
Timeframe: From enrollment to the end of treatment at 6 weeks
Unified Parkinson's Disease Rating Scale (UPDRS) - PART 2
Timeframe: From enrollment to the end of treatment at 6 weeks
Dual-Task Impact on Daily-Living Activities Questionnaire
Timeframe: From enrollment to the end of treatment at 6 weeks