A Novel Balance Program to Improve Balance in People With Parkinson's Disease
A Novel Balance Program to Improve Balance in People With Parkinson's Disease: A Feasibility Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Michael Tautonico, DPT
- Phone Number: 9173651437
- Email: mtautoni@nyit.edu
Study Locations
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New York
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Old Westbury, New York, United States, 11568
- New York Institute of Technology
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
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
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1. Standing hip abduction: Performed without and with resistance bands and/or support.
The participant will raise one leg out to the side and return.
If using a resistance band, one end of the band will be secured to a stable surface and the other end placed around one of the participants' ankles.
The banded leg will be raised to the side.
Three sets of 8-12 repetitions will be performed per side.
2. Lateral stepping: Performed without and with resistance bands.
The participant will perform a series of steps to the side.
If using a resistance band, the band will be placed around both ankles in a 'loop' and the participant will perform the lateral stepping.
Three sets of 8-12 repetitions will be performed per side per subject.
3. Single leg stance: The participant will stand on one leg with support as needed.
The contralateral knee will be held at 45 degrees throughout the exercise.
The instructor will observe to ensure the bent leg does not contact the ground.
Three repetitions of static stance per side will be performed with a goal of 30 seconds, and a maximum time of 60 seconds, per repetition.
5. Lateral Reactive Postural Control: The participant will lean into the researcher's hand to shift their center of mass outside of their base of support.
Hand placement will be at the glenohumeral joint and the pelvis.
The researcher will withdraw support and guard the participant as the participant regains their balance.
This is item 6 on the Mini-BESTest assessment that will be incorporated as an intervention.
To be performed 3x per side.
4. Staggered stance mini-squat: Participants will stand with the feet hip-width apart and one leg placed a short step forward.
The participant will squat straight down keeping the trunk upright and return to an upright position.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Mini-BESTest
Time Frame: 10-15 minutes
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Performance measure, validated in people with PD, aimed to target and identify 6 different balance control systems
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10-15 minutes
|
|
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
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5-20 minutes
|
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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
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Less than 5 minutes
|
|
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.
|
less than 5 minutes
|
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The Activities Balance Confidence Scale
Time Frame: 5-10 minutes
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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.
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5-10 minutes
|
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The Parkinson's Disease Questionnaire-39
Time Frame: approximately 10 minutes
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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.
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approximately 10 minutes
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BHS- IRB
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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