RecruitingNot ApplicableNCT05680597

Balance Tele-Rehab in Parkinson's Disease Parkinson's Disease

Balance Tele-rehabilitation With Wearable Technology for Older Adults With Parkinson's Disease

Sponsor

Oregon Health and Science University

Enrollment

80 participants

Start Date

Sep 19, 2022

Study Type

INTERVENTIONAL

Conditions

Parkinson Disease

Summary

This project will determine the feasibility and efficacy of remote assessment and treatment of balance disorders in people with Parkinson's disease.

Eligibility

Min Age: 55 YearsMax Age: 85 Years

Inclusion Criteria7

Diagnosis of idiopathic PD from movement disorders neurologist with the United Kingdom Brain Bank criteria of bradykinesia and one or more of the following - rest tremor, rigidity, and balance problems not from visual, vestibular, cerebellar or proprioceptive conditions
responsive to levodopa (self-reported)
Hoehn \& Yahr stages I-III;
ages 55-85 years old
ability to follow directions in order to participate in testing procedures and exercise classes
free of any medical conditions or medication that contraindicates participation in an exercise program
willing and able to participate in rehabilitation intervention approximately 3x/week for 4 weeks while also refraining from making changes to medications (as reasonable) or to other exercise programs during the study period.

Exclusion Criteria7

Major musculoskeletal or neurological disorders, structural brain disease, epilepsy, acute illness or health history, other than PD, significantly affecting gait and balance (i.e., musculoskeletal disorder, vestibular problem, head injury, stroke, cardiac disease, etc.)
no medical condition that precludes exercise
cognitive inability to participate in an exercise program, such as MoCA score less than or equal to 19, prior diagnosis of dementia or inability to follow directions
recurrent fallers, defined as those who fall more than 3 times a week (from patient and caregiver recollection)
excessive use of alcohol or recreational drugs
recent change in medication
inability to stand and walk for ISAW without an assistive device.

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Interventions

OTHERBalance Tele-Rehabilitation Agility Boot Camp (ABC)

The intervention is tele-rehabilitation conducted by a physical therapist virtually for 60 minutes approximately three times a week for four weeks (12 sessions). Participants will be assessed for seven days pre and post intervention using wearable sensors (APDM wearable technologies) to monitor daily mobility.