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High-intensity Interval Circuit Training in People With Parkinson Disease

Not Applicable
Recruiting
Conditions
Parkinson Disease
Interventions
Other: High intensity circuit exercise class
Registration Number
NCT06576817
Lead Sponsor
Pacific Northwest University of Health Sciences
Brief Summary

The goal of the study is to compare different types of high intensity circuit exercises over an 8-class training series in people with Parkinson disease. The main question it aims to answer is:

-Does including arm and hand exercises with leg exercises improve reaction time, balance, functional measures, gait speed and quality of life? This group will be compared to a group that only does leg exercises. Participants will be asked to participate in 8 high intensity circuit exercise classes.

Detailed Description

People with Parkinson disease will be recruited from the community and randomized into 2 equal groups: high intensity interval circuit training with lower extremity (LE) and lower and upper extremity (LEUE) training. The study will be composed of a baseline assessment, 8 group class sessions, and a post-intervention assessment. The baseline assessment will include demographics, disease and fall history and outcome measure collection. Group class sessions will include concurrent group warmup, followed by an 8-station circuit performed with high intensity intervals, and a cool-down. The circuit will include 4 stations performed by both the LE and LEUE groups and 4 stations specific to each intervention group, including 4 additional LE exercise stations for the LE group and 4 UE specific stations for the LEUE group. The stations that differ will not be adjacent to one another nor specifically indicated as different. The stations that differ will mirror similar aspects of function (ie, strength, reaction time, etc.) for the UE and LE stations. Participants will be told exercise stations may vary within-session and week to week but will not be informed that only one group has UE exercise interventions. After conclusion of the class series, post-intervention balance and stepping outcomes will be reassessed.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
64
Inclusion Criteria
  • diagnosis of Parkinson's disease
  • Hoehn and Yahr level of 1 to 3
  • ability to walk independently with or without an assistive device
  • obtain medical clearance to participate in moderate or vigorous exercise.
Exclusion Criteria
  • diagnosis of any neurological disease other than PD (including but not limited to stroke, dementia, and multiple sclerosis; mild cognitive impairment is not excluded)
  • bone instability (non-consolidated fractures, unstable spinal column, severe osteoporosis)
  • muscle or ligament tears
  • uncontrolled hypertension
  • uncontrolled diabetes
  • severe cardiovascular disease that impairs walking or exercise
  • a major change in medication during the study training period (pre-test to post-test)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Lower extremity and upper extremity exerciseHigh intensity circuit exercise classExercises in the circuit (8 total) will focus on the lower extremity (4) and upper extremity (4)
Lower extremity exerciseHigh intensity circuit exercise classExercises in the circuit (8 total) will focus on the lower extremity (4) alone.
Primary Outcome Measures
NameTimeMethod
Activity-specific Balance Confidence Scale (0-100%, higher scores mean better outcome)8-10 weeks

Balance confidence self-report

Timed Up and Go8-10 weeks

Balance and function

10 meter Walk Test8-10 weeks

Gait Speed

6 minute walk test8-10 weeks

endurance

Trail making Test Parts A and B (timed, higher scores mean worse outcome)8-10 weeks

Cognitive and fine motor skills

9-hole peg test (timed, higher scores mean worse outcome)8-10 weeks

fine motor

Parkinson's Disease Questionnaire - Short Form (8) (Score 0-32, higher scores mean worse outcome)8-10 weeks

Quality of Life

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Pacific Northwest University of Health Sciences

🇺🇸

Yakima, Washington, United States

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