A Novel Balance Program to Improve Balance in People With Parkinson's Disease: A Feasibility Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 5
- Locations
- 1
- Primary Endpoint
- The Four-Square Step Test
Study Overview
Brief Summary
The purpose of this exploratory single-blinded feasibility study is to explore the effects of a lateral stepping program integrated into an existing community-based group exercise program for people with PD. The researchers hypothesize that participation in a lateral stepping program a minimum of 2 times/week for 8 weeks, in addition to RSB class participation is feasible in middle to late stage PD and will decrease fall risk factors. The researchers also hypothesize that the integration of this program into an existing community-based RSB program will be deemed feasible as shown by the number of sessions attended by each participant.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None (Outcomes Assessor)
Eligibility Criteria
- Ages
- 50 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •A diagnosis of idiopathic PD stages II, III, or IV of the Hoehn and Yahr scale
- •50-85 years inclusive
- •Subjects must be enrolled in RSB at NY Tech and attend at least 1 day per week for a minimum of 4 weeks prior to the first baseline assessment
- •English speaking.
- •Stable PD medication regime.
Exclusion Criteria
- •Any cardiovascular or other medical condition that would affect participation
- •Any hip and/or knee surgery or other injury that would prevent full participation in the intervention
- •Neurological conditions other than PD
- •Montreal Cognitive Assessment of ≤21
- •Pain that interferes with testing 13
- •Current participation in other strengthening, stretching or balance programs other than Rock Steady Boxing at NY Tech
- •Inability to understand and fully participate in this study
Arms & Interventions
prove feasible to integrate into an existing community group exercise program
Prove feasible to integrate into an existing community group exercise program and Decrease the number of fall risk factors
Intervention: Lateral Stepping Exercise 1 (Other)
prove feasible to integrate into an existing community group exercise program
Prove feasible to integrate into an existing community group exercise program and Decrease the number of fall risk factors
Intervention: Lateral Stepping Exercise 2 (Other)
prove feasible to integrate into an existing community group exercise program
Prove feasible to integrate into an existing community group exercise program and Decrease the number of fall risk factors
Intervention: Lateral Stepping Exercise 3 (Other)
prove feasible to integrate into an existing community group exercise program
Prove feasible to integrate into an existing community group exercise program and Decrease the number of fall risk factors
Intervention: Lateral Stepping Exercise 4 (Other)
prove feasible to integrate into an existing community group exercise program
Prove feasible to integrate into an existing community group exercise program and Decrease the number of fall risk factors
Intervention: Lateral Stepping Exercise 5 (Other)
Outcomes
Primary Outcomes
The Four-Square Step Test
Time Frame: less than 5 minutes
Validated for people with PD is used to measure a patient's fall risk. The test requires a stopwatch and 4 canes laid in a cross pattern. The canes crossed pattern makeup 4 quadrants; quadrant 1 (bottom left), quadrant 2 (top left), quadrant 3 (top right), and quadrant 4 (bottom right). The subject is timed while they step clockwise, and then counterclockwise throughout the quadrants. An assistive device may be used.
The Activities Balance Confidence Scale
Time Frame: 5-10 minutes
Validated for people with PD, is a self-report measure of balance confidence while performing various common activities. Scale is from 0% to 100% with 100% being the most confident in their balance in a criterion.
The Mini-BESTest
Time Frame: 10-15 minutes
Performance measure, validated in people with PD, aimed to target and identify 6 different balance control systems
The Functional Gait Assessment
Time Frame: 5-20 minutes
Validated for people with PD is a performance measure validated in people with PD that is used to assess balance in the higher-functioning older adult and examines ambulation and the ability to perform motor tasks while ambulating
The Multidirectional Functional Reach Test
Time Frame: Less than 5 minutes
Used to assess stability when displacing a person's balance in a forward, lateral, and backward direction
The Parkinson's Disease Questionnaire-39
Time Frame: approximately 10 minutes
39-item self-administered questionnaire designed to assess 8 different quality-of-life domains. Uses a 5-point ordinal scale with 0 being never and 5 being always. Lower scores indicate a lower quality of life.
Secondary Outcomes
No secondary outcomes reported
Investigators
Michael Tautonico
Assistant Professor
New York Institute of Technology