RecruitingNot ApplicableNCT06088355

Moderate Versus High Volume Light-Moderate Intensity Exercise for People With Moderate Parkinson's Disease


Sponsor

VA Office of Research and Development

Enrollment

123 participants

Start Date

Jan 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Veterans with mid to later stage Parkinson's disease (PD) may not be able to work out as hard as they need to, to prevent brain cell loss. Maybe they could work out longer and more frequently to make up for this during their good times and good weeks and then rest during the bad weeks. The investigators will compare how effective working out a lot one week per month with a break of three weeks is to continuously exercising weekly with no breaks in people with mid stage PD. The investigators will look at how fast participants walk per minute, whether they become more physically active, the biochemicals in their blood, and at how stiff their blood vessels are before and after the exercise.


Eligibility

Min Age: 40 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two different amounts of moderate-intensity exercise — a standard volume versus a higher volume — to see which is more beneficial for people with moderate Parkinson's disease. Researchers want to find the optimal exercise "dose" to help with movement, strength, and quality of life. **You may be eligible if...** - You are 40 or older with a confirmed diagnosis of Parkinson's disease - You have at least 3 of the main Parkinson's symptoms (tremor, stiffness, slowness, balance problems) - You respond well to Parkinson's medication (like levodopa) - Your Parkinson's is in stage 2, 2.5, or 3 on the Hoehn & Yahr scale (moderate stage) - Your cognitive score (MoCA) is above 17 **You may NOT be eligible if...** - You have a history of significant alcohol or drug use - You regularly use antipsychotic medications - You have other neurological conditions that could confuse the results - You have physical limitations that prevent you from safely exercising Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALHV-PDAE: High Volume Partnered Dance Aerobic Exercise

HV-PDAE classes will meet 5 times a week for 90 minute sessions for 3 weeks at onset of trial and then every 4 weeks for a year. All participants will receive 112.5h of training. PDAE was adapted for older adults with balance impairments; modifications were made to the frame and steps of Argentine tango. People with PD partner an individual without PD, e.g., staff, caregiver, friend, or university student. The instructor, staff lead and assistants monitor participants for safety. Class sizes will consist of 6 or fewer pairs of participants with PD and partners. Participants with PD will dance with new partners (individuals without PD) every 15-20 minutes. Participants will learn new steps in each class. The class format includes practicing steps, warm-up, partnering and rhythmic exercises, learning new steps, combining old and new steps, cool down. PDAE classes follow a syllabus with new steps, rhythms and embellishments included in each class.

BEHAVIORALMV-PDAE: Moderate Volume Partnered Dance Aerobic Exercise

MV-PDAE: MV classes will meet biweekly for 52 weeks for 65-minute sessions. All participants will receive 112.5h of training. . PDAE was adapted for older adults with balance impairments; modifications were made to the frame and steps of Argentine tango. People with PD partner an individual without PD, e.g., staff, caregiver, friend, or university student. The instructor, staff lead and assistants monitor participants for safety. Class sizes will consist of 6 or fewer pairs of participants with PD and partners. Participants with PD will dance with new partners (individuals without PD) every 15-20 minutes. Participants will learn new steps in each class. The class format includes practicing steps, warm-up, partnering and rhythmic exercises, learning new steps, combining old and new steps, cool down. PDAE classes follow a syllabus with new steps, rhythms and embellishments included in each class.

BEHAVIORALMV-WALK: Moderate Volume Walking

MV-WALK (65-minute sessions): WALK will control for the walking that participants in PDAE do and will also take place in groups to control social effects of intervention. Walking for


Locations(1)

Atlanta VA Medical and Rehab Center, Decatur, GA

Decatur, Georgia, United States

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NCT06088355


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