Golf Instruction Versus Tai Chi for People With Parkinson's Disease
2020年9月2日 更新者：Anne-Marie Alexandra Wills, MD、Massachusetts General Hospital
Feasibility and Tolerability of Group Golf Instruction Versus Tai Chi for Patients With Moderate to Advanced Parkinson's Disease
The purpose of this study is to determine the feasibility and tolerability of golf instruction for participants with moderate to advanced Parkinson's disease (PD).
Other forms of exercise have been shown to be beneficial for PD.
Golf is a low impact sport that utilizes balance and strength.
Currently, there are no data looking at the effects of golf on PD.
This pilot study aims to test the effects of golf in the PD patient population, particularly its effect on balance.
In this study, we will be comparing group golf instruction to group Tai Chi lessons (the gold standard balance exercise for patients with PD).
研究概览
详细说明
Approximately, 40-50 participants with Parkinson's Disease (H&Y stage 2 to 3) will be enrolled in this study.
Participants who provide informed consent will be randomized 1:1 to either group golf instruction or group Tai Chi classes.
Participants will be evaluated before and after the intervention with a battery of cognitive, motor and balance assessments including the UPDRS, the Mini-BESTest of balance, and timed up and go tests.
They will participate in classes twice weekly for 10 weeks which will be provided free of charge.
At the end of the intervention period they will repeat the assessments.
The primary outcomes of the study are feasibility and tolerability.
The key secondary objectives are to measure the efficacy of golf instruction on measures of balance, risk of falls.
研究类型
介入性
注册 (实际的)
35
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Massachusetts
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Boston、Massachusetts、美国、02114
- Massachusetts General Hospital
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Adult participants with a diagnosis of Parkinson's disease by a Movement Disorders specialist, H&Y stage II-III in the "On" state treated with Parkinson's disease medications
- Participants must be capable of providing informed consent and complying with trial procedures including transportation to and from classes.
- Participants must be willing and able to participate in group exercise classes.
- Participants who are engaged in physical therapy or other exercise programs must be at a stable regimen for 60 days prior to the start of the study and must be willing to maintain their current regimen for the duration of the study.
Exclusion Criteria:
- Clinical evidence of unstable medical or psychiatric illness which would prevent them from engaging in exercise
- Participants who are already active golfers or currently active in Tai Chi would be excluded.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Golf
Group golf lessons will be led by professional golf instructors.
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Subjects will participate in two weekly hour-long golf classes.
Classes will be led by professional golf instructors that will work with individuals to teach participants how to play golf.
This will include stretching, individual coaching, and working with participants to maximize their golf swing.
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有源比较器：Tai Chi
Group Tai Chi classes led by a certified Tai Chi instructor.
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Tai Chi is an ancient martial art that uses meditative movement to improve strength, flexibility, and balance.
Subjects will participate in two weekly hour-long Tai Chi classes.The class will be led by a certified Tai Chi instructor and consist of approximately 12 people.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Tolerability of group golf instruction compared to Tai Chi
大体时间：Both interventions will continue for 10 weeks and subject participation rates will be recorded during this time.
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The number of participants who complete 10 weeks in the study will be measured using weekly attendance sheets.
We will consider the intervention to be tolerable if the proportion of participants who withdraw consent prior to the end of the study is less than 40% with 80% confidence.
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Both interventions will continue for 10 weeks and subject participation rates will be recorded during this time.
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Safety of group golf instruction compared to Tai Chi
大体时间：Both interventions will continue for 10 weeks and any adverse events will be recorded during this time.
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The frequency of treatment-related adverse events including falls will be summarized by treatment group and system organ class by CTCAE v 4.0
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Both interventions will continue for 10 weeks and any adverse events will be recorded during this time.
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Key Secondary objectives are to measure the efficacy of golf instruction compared to Tai Chi on measures of balance.
大体时间：Both interventions will continue for 10 weeks. The Mini-BESTest will be performed by a blinded rater before and after the intervention period.
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The Mini-BESTest will be used to measure balance before and after the intervention.
The Mini-BESTest is scored from 0-28 where lower scores are better.
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Both interventions will continue for 10 weeks. The Mini-BESTest will be performed by a blinded rater before and after the intervention period.
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Activities Specific Balance Confidence Scale
大体时间：Both interventions will continue for 10 weeks. Participants will complete the questionnaire before and after the intervention period.
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This is a self-reported measure of confidence in performing various ambulatory activities without falling.
The scale is out of 100
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Both interventions will continue for 10 weeks. Participants will complete the questionnaire before and after the intervention period.
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Mak MK, Wong-Yu IS, Shen X, Chung CL. Long-term effects of exercise and physical therapy in people with Parkinson disease. Nat Rev Neurol. 2017 Nov;13(11):689-703. doi: 10.1038/nrneurol.2017.128. Epub 2017 Oct 13.
- Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, Maddalozzo G, Batya SS. Tai chi and postural stability in patients with Parkinson's disease. N Engl J Med. 2012 Feb 9;366(6):511-9. doi: 10.1056/NEJMoa1107911.
- Gao KL, Hui-Chan CW, Tsang WW. Golfers have better balance control and confidence than healthy controls. Eur J Appl Physiol. 2011 Nov;111(11):2805-12. doi: 10.1007/s00421-011-1910-7. Epub 2011 Mar 17.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2018年4月23日
初级完成 (实际的)
2020年3月30日
研究完成 (实际的)
2020年6月1日
研究注册日期
首次提交
2018年5月8日
首先提交符合 QC 标准的
2018年6月19日
首次发布 (实际的)
2018年6月20日
研究记录更新
最后更新发布 (实际的)
2020年9月3日
上次提交的符合 QC 标准的更新
2020年9月2日
最后验证
2020年9月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.