Online Dance Versus Therapeutic Exercise for Parkinson Disease.

Online Dance Versus Online Therapeutic Exercise on Quality of Life - A Protocol for a Randomized Controlled Trial Investigating Social Telerehabilitation Efficacy in Parkinson's Disease.

This is a randomized clinical trial in an online format, which will only include people with PD randomly divided into two groups:

Group 1 - Social Telerehabilitation with Dance and Music Group 2 - Social Telerehabilitation with Multimodal Therapeutic Exercise and Music

Study Overview

• Status: Completed
• Conditions: Parkinson Disease
• Intervention / Treatment: Other: Dance & Music (Online); Other: Multimodal Therapeutic Exercise & Music (Online)

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Brazil
  • Rio Grande do Sul
    • Porto Alegre, Rio Grande do Sul, Brazil, 90050-170
      • Aline

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Clinical diagnosis of idiopathic PD according to the clinical criteria of the London Brain Bank Criteria (2006);
• Age between 40-90 years;
• A minimum score of 18 in the Montreal Cognitive Assessment;
• Drug therapy/exercise stable for at least four weeks before the study starts;
• Agreement to participate in the study according to the Informed Consent Form.

Exclusion Criteria:

• Auditory and/or visual disturbances that compromise understanding simple commands;
• Access to the internet and a device to access online classes;
• A house member and/or caregiver at home for supervision during the entire experiment, including evaluations and interventions. For patients scoring less than 2.5 points on the modified Hoehn and Yahr Scale (indicating mild disease impairment, independence in daily living activities, and no risk of falls), the requirement for household member supervision may be waived.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group Dance & Music (Online); Social Telerehabilitation with Dance & Music (Online): The dance intervention will be instructed by a physiotherapist and dance professional, who will follow a structure based on the materials of the Dance for Parkinson's (USA) ® method	Other: Dance & Music (Online); This is a social telerehabilitation with dance and music. It will include artistic form, imageries using scenic arts, imageries using aspects of theater and storytelling, movement improvisation, choreography and sequence of movements, complex dance movements, fluidity of movement or connection between one movement and another, rhythmicity and/or movement built with music. It will include instructions for motor learning, music, and socialization
Active Comparator: Group Multimodal Therapeutic Exercise & Music (Online); Social Telerehabilitation with Multimodal Therapeutic Exercise & Music (Online): The intervention with multimodal therapeutic exercise will be instructed by a physiotherapist, who will follow a structure based on a previous study and Physical Therapy Guidelines for People with PD	Other: Multimodal Therapeutic Exercise & Music (Online); This is a social telerehabilitation with multimodal therapeutic Exercise and Music. It is restricted to the execution of movements within series and standardized and fixed repetitions, with a background music. It will not include dance. It will include instructions for motor learning, music, and socialization.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of Quality of life	Quality of life measured by Parkinson's Disease Questionnaire (PDQ-39). Scores range from 0-100 (100 = maximum level of problems).	Change from Pre to Post treatment (12 weeks) and FOLLOW-UP (after 4 weeks of study ending)
Assessment of Well-being	Well-being measured by the scale Positive and Negative Affect Scale (PANAS). scores range from 10 - 50, a higher score indicates more of a positive affect.	Change from Pre to Post treatment (12 weeks) and FOLLOW-UP (after 4 weeks of study ending)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of Motor symptoms severity	Motor symptoms severity measured by the scale Unified Parkinson's disease rating scale, motor subscale (UPDRS III). Part III: Motor examination: 18 items. Score range: 0-132, 32 and below is mild, 59 and above is severe.	Change from Pre to Post treatment (12 weeks) and FOLLOW-UP (after 4 weeks of study ending)
Assessment of Functional lower extremity strength	Functional lower extremity strength measured by the Five times sit to stand test (FTSTS). The time to complete the test is measured, where lower time to perform sit to stand represents better functional lower extremity strength	Change from Pre to Post treatment (12 weeks)
Assessment of Symptoms of Anxiety	Symptoms of Anxiety measured by the Parkinson Anxiety Scale (PAS). Scores range from 0-48 (48= maximum level of problems).	Change from Pre to Post treatment (12 weeks)
Assessment of Attention and Memory Recognition	Executive function by means attention and memory recognition measureb by Online Attention Test (OAT) and Recognition Memory Test (RMT).	Change from Pre to Post treatment (12 weeks)
Feasibility (self-perceptions)	Self-perceptions (feasibility) of technology usability, socialization and benefits of interventions based on a structured interview.	Change from Pre to Post treatment (12 weeks)

Collaborators and Investigators

• Sponsor: Federal University of Health Science of Porto Alegre
• Investigators: Principal Investigator: Aline Pagnussat, PhD, Federal University of Health Science of Porto Alegre

Study record dates

Study Major Dates

• Study Start (Actual): October 16, 2023
• Primary Completion (Actual): May 30, 2024
• Study Completion (Actual): June 30, 2024

Study Registration Dates

• First Submitted: May 25, 2023
• First Submitted That Met QC Criteria: June 15, 2023
• First Posted (Actual): June 18, 2023

Study Record Updates

• Last Update Posted (Estimated): December 3, 2025
• Last Update Submitted That Met QC Criteria: November 25, 2025
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: Telehealth; Telerehabilitation; Parkinson Disease; Physiotherapy; Dance
• Additional Relevant MeSH Terms: Synucleinopathies; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurodegenerative Diseases; Movement Disorders; Parkinsonian Disorders; Basal Ganglia Diseases; Parkinson Disease
• Other Study ID Numbers: ONLINEREHABPD

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No