Efficacy of a Recreation Therapy Wellness Recovery Program for Individuals With Parkinson's Disease
- Conditions
- Parkinson's Disease
- Interventions
- Behavioral: Wellness Recovery Program
- Registration Number
- NCT04164043
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
The Recreation Therapy Wellness Recovery Program conducts group classes which provide repetitive training of foundational skills designed specifically for those with Parkinson's Disease. The course will encourage bigger and faster movements (adapted from the Parkinson Wellness Recovery, PWR!Moves ® program) and education on optimal function.
- Detailed Description
The purpose of this project is to evaluate a currently active community-based Recreational Therapy (RT) Wellness Recovery Program (WRP) for individuals with Parkinson's disease (PD) to determine the efficacy of the treatment intervention. Since PD is a progressive, degenerative neurological disease, it is critical that individuals with this diagnosis remain as active as possible to slow down the progression of the disease, improve balance and strength, and increase health-related quality of life. The overall goal of this project is to determine the efficacy of a neuroplasticity physical activity program in terms of improving balance, improving health-related quality of life, reducing stress, and increasing satisfaction in exercise including social connectedness of group exercise. There is evidence that the neuroplasticity model may be a more effective type of intervention than traditional exercise programs in improving symptoms of PD. The neuroplasticity approach requires repetition of complex tasks that are high intensity and present a novel challenge. This type of intervention has been shown to improve motor and cognitive behaviors which are critical areas of decline for those with PD. The WRP program uses a comprehensive neuroplasticity-principled program that integrates exercise and wellness. The PI, Julie Bradwell, LRT/CTRS is a Certified Instructor for Parkinson Wellness Recovery Power Moves. The RT Wellness Recovery program at Wake Forest Baptist Health is modeled on the Parkinson Wellness Recovery Power Moves. Components within the program include the Parkinson Power Moves and the exercise 4 Brain Change. This study will be a 14-week study with the first two weeks of collecting baseline data and immediately following with a 12-week intervention program to increase balance, health-related quality of life, and satisfaction in exercise in individuals with PD as well as reduce stress. Most research on RT interventions for this population are in traditional settings (inpatient or rehabilitation settings). When discharged from these settings, many individuals become less active, have few social interactions and lose the benefits of exercise and physical therapy they gained while in these programs once they are home. The WRP community-based program at Wake Forest Baptist Health has the potential to prevent secondary complications as well as slow down the progression of the disease for participants. If the outcomes of this project suggest this type of intervention will improve the functional skills, quality of life, and/or satisfaction in exercise for individuals with PD and reduce stress, it will provide the RT discipline with evidenced based practice intervention for this population
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 3
- Potential subjects in this study will have a diagnosis of Parkinson's disease.
- Potential subjects in this study are able to tolerate a 60-minute exercise program; participants complete the Parkinson Power Moves Class Application which requires a release form and a physician's signature that identifies any limitations or precautions to be taken in the program.
- Individuals who do not have a diagnosis of Parkinson's disease or those with PD who are not medically cleared to participate in the program will be excluded.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Recreational Therapy Wellness Recovery Program Group Wellness Recovery Program All participants will enter a baseline data collection period for two weeks. They will then participate in a 12-week community-based Recreational Therapy (RT) Wellness Recovery Program (WRP) for individuals with Parkinson's disease (WRP).
- Primary Outcome Measures
Name Time Method Timed Up and Go (TUG) test Week 12 post baseline period Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.
Pain Rating Scale completed week 14 after signing consent 10 point rating scale, low score indicates less pain.
Sit to Stand Test Week 12 post baseline period Measures functional muscle strength in the lower limbs. This test is reported in seconds.
Timed Floor Transfer Test Week 12 post baseline period Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.
The Blue Foam (stand) with Trek Poles Test Week 12 post baseline period Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.
Psychological Need Satisfaction in Exercise Scale (PNSES) Week 12 post baseline period Total range 1-6. Lower scores denotes worse outcome.
Perceived Stress Scale (PSS-10) Week 12 post baseline period Total range 0-4. Lower scores denotes worse/better outcome.
Parkinson's Disease Questionnaire Short Form (PDQ8) Week 12 post baseline period This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Wake Forest University Health Sciences
🇺🇸Winston-Salem, North Carolina, United States