A Novel Balance Program to Improve Balance in People With Parkinson's Disease
- Conditions
- Rehabilitation ExercisePhysical Therapy
- Interventions
- Other: Lateral Stepping Exercise 1Other: Active Control Group Exercise 1Other: Active Control Group Exercise 2Other: Active Control Group Exercise 3Other: Active Control Group Exercise 4Other: Lateral Stepping Exercise 2Other: Lateral Stepping Exercise 3Other: Lateral Stepping Exercise 4Other: Lateral Stepping Exercise 5
- Registration Number
- NCT05906875
- Lead Sponsor
- New York Institute of Technology
- Brief Summary
The purpose of this exploratory single-blinded randomized control trial 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, will decrease fall risk factors, increase balance confidence, and decrease fear of falling in participants in the experimental group compared to the control group. 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 and their satisfaction
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 30
- A diagnosis of idiopathic PD stages I, II, or III 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.
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Decrease fear of falling Lateral Stepping Exercise 2 - Decrease fear of falling Lateral Stepping Exercise 3 - Decrease fear of falling Lateral Stepping Exercise 1 - Decrease fear of falling Active Control Group Exercise 2 - Decrease fear of falling Active Control Group Exercise 3 - Decrease fear of falling Active Control Group Exercise 1 - Decrease fear of falling Lateral Stepping Exercise 4 - Decrease the number of fall risk factors Lateral Stepping Exercise 1 - Decrease fear of falling Lateral Stepping Exercise 5 - Decrease the number of fall risk factors Active Control Group Exercise 4 - Decrease the number of fall risk factors Lateral Stepping Exercise 2 - Decrease fear of falling Active Control Group Exercise 4 - Decrease the number of fall risk factors Active Control Group Exercise 1 - Decrease the number of fall risk factors Active Control Group Exercise 2 - Decrease the number of fall risk factors Lateral Stepping Exercise 4 - Increase balance confidence Lateral Stepping Exercise 5 - prove feasible to integrate into an existing community group exercise program Lateral Stepping Exercise 3 - prove feasible to integrate into an existing community group exercise program Lateral Stepping Exercise 4 - Decrease the number of fall risk factors Active Control Group Exercise 3 - Increase balance confidence Lateral Stepping Exercise 1 - Increase balance confidence Lateral Stepping Exercise 2 - Increase balance confidence Lateral Stepping Exercise 4 - prove feasible to integrate into an existing community group exercise program Active Control Group Exercise 2 - prove feasible to integrate into an existing community group exercise program Active Control Group Exercise 3 - Decrease the number of fall risk factors Lateral Stepping Exercise 3 - Increase balance confidence Active Control Group Exercise 2 - Increase balance confidence Active Control Group Exercise 3 - Increase balance confidence Lateral Stepping Exercise 3 - prove feasible to integrate into an existing community group exercise program Active Control Group Exercise 4 - prove feasible to integrate into an existing community group exercise program Lateral Stepping Exercise 1 - prove feasible to integrate into an existing community group exercise program Active Control Group Exercise 1 - prove feasible to integrate into an existing community group exercise program Lateral Stepping Exercise 2 - Decrease the number of fall risk factors Lateral Stepping Exercise 5 - Increase balance confidence Active Control Group Exercise 1 - Increase balance confidence Active Control Group Exercise 4 - prove feasible to integrate into an existing community group exercise program Lateral Stepping Exercise 5 -
- Primary Outcome Measures
Name Time Method The Four-Square Step Test 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 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 10-15 minutes Performance measure, validated in people with PD, aimed to target and identify 6 different balance control systems
The Functional Gait Assessment 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 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 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 Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
New York Institute of Technology
🇺🇸Old Westbury, New York, United States