Falls and Balance in Parkinson's Disease (PD): Comparing Land Based vs Traditional Aquatic and Novel Aquatic Physiotherapy

Not Applicable

Recruiting

• Conditions: Parkinson's Disease; Neurological - Parkinson's disease

• Registration Number: ACTRN12616000834459
• Lead Sponsor: Peninsula Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-06-24
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

A total of 36 participants (12 in each group) with a confirmed diagnosis of Parkinson’s Disease will be admitted into the program, with no self-reported history of any musculoskeletal, cardiothoracic, other neurological or psychological condition that might potentially affect their therapy. Patients must be medically stable to participate. If there is any doubt to medical stability, the patient’s GP must sign a medical assessment form deeming the patient suitable for hydrotherapy and land based physiotherapy.
Patients must not be currently attending the aquatic or land physiotherapy groups at Peninsula Health and must be happy to participate in any treatment group as allocation is randomised.
Patients must have be able to walk unaided +/- gait aid, have an MMSE (mini mental state exam) score of more than 24 to show sufficient cognition for informed consent.

Exclusion Criteria

MMSE <24/30, unable to walk unaided, contraindications for aquatic physiotherapy

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Feasibility – assessed via Attrition (review of study records), Adherence (review of attendance log), Adverse events (during or after therapy sessions- logged in paperwork and via VHIMS Peninsula Health incident log). Possible adverse events may include dizziness due to low BP, reaction to chlorine- skin rashes, falls risk during transfers from change rooms to pool and vice versa. We will rely on patient self reporting skin rashes, any dizziness will be addressed via the medical team and falls risk will be minimal as the AHA poolside will walk close to patients during transfers.[Adverse events will be recorded during the 12 week intervention period and attrition/ adherence will be collated at the end of the 12 weeks. ];Balance assessed via the Berg Balance Scale (BBS)[After 12 weeks of intervention];Balance will be assessed via the Mini BEST test[After 12 mweeks of intervention]

Secondary Outcome Measures

Name	Time	Method
Motor function assessed with the Unified Parkinson's Disease Rating Scale (UPDRS) part 3- motor subscale[After 12 weeks of intervention];Disease specific health related quality of life will be assessed with the Parkinson’s Disease Questionnaire 39 (PDQ-39).[After 12 weeks of intervention];Health related quality of life assessed via the Personal Wellbeing Index-Adult (PWI)[After 12 weeks of intervention];Falls specific confidence assessed via the Falls Efficacy Scale[After 12 weeks of intervention];Satisfaction regarding aquatic physiotherapy treatment[At a optional focus group 3 months post end of intervention]