None listed
Conditions
Brief summary
The purpose of this research is to determine if there are changes in your function (for example balance and falling) after completing different aquatic (pool) or land exercises. It is also going to increase the understanding of how people feel about aquatic (pool) and land physiotherapy. One pool group will complete exercises such as stretching, cardiac and general strengthening exercises whilst the other pool group will practise core exercises such as floating, rolling and other specific exercises. The land based exercise group will complete stretching, balance, strengthening and aerobic exercises. Participants will be asked to attend a 1hr class once a week for 12 weeks and will be invited to attend a focus group 3 months after finishing the trial.
Interventions
Interventions will be 60mins long, once a week for 12 weeks.
A physiotherapist with specialist knowledge of PD (>6yrs) will run the class in the pool whilst an AHA will be poolside to supervise and monitor.
The classes will contain 6 participants only at a time due to safety issues and will be onsite.
At all times the participants are advised to exercise between 3-4 on the BORG scale.
Intervention 1: Traditional aquatic physiotherapy (general strength/ balance/ cardio)
-Walking (Deep)
*High
Interventions will be 60mins long, once a week for 12 weeks. A physiotherapist with specialist knowledge of PD (>6yrs) will run the class in the pool whilst an AHA will be poolside to supervise and monitor. The classes will contain 6 participants only at a time due to safety issues and will be onsite. At all times the participants are advised to exercise between 3-4 on the BORG scale. Intervention 1: Traditional aquatic physiotherapy (general strength/ balance/ cardio) -Walking (Deep) *High knee (increased hip flexion *big arms (Shallow) *Long steps *Side steps *Walking backwards Step ups *Front *Side *Over Single leg Squats Single leg Calf Raises Change in direction/side step to stop SLS balance with duel tasking or cognitive tasks (counting, spelling games, carrying tray, pretending to put on clothes with rings through legs) Kickboard push downs Standing Tsp rotation and LF Shoulder extension holding onto rail High intensity as able Aim for > or = 15 RPE – monitor for each activity and record *Flipper kick in sitting *Jogging/hopping and punching (forward or on the spot) *Cycling supine Hydrotones Intervention 2: Novel aquatic physiotherapy (rotational practice and core exercises) Supine relaxation in corner Forwards/ sideways Reverse crunches off plinth Supine-box sit-prone (transverse rotation) Side flexion (saggital rotation) 180 degrees turns, supine-prone-supine (longitudinal rotation)
Sponsors
Peninsula Health
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
A total of 36 participants (12 in each group) with a confirmed diagnosis of Parkinson’s Disease will be admitted into the program, with no self-reported history of any musculoskeletal, cardiothoracic, other neurological or psychological condition that might potentially affect their therapy. Patients must be medically stable to participate. If there is any doubt to medical stability, the patient’s GP must sign a medical assessment form deeming the patient suitable for hydrotherapy and land based physiotherapy. Patients must not be currently attending the aquatic or land physiotherapy groups at Peninsula Health and must be happy to participate in any treatment group as allocation is randomised. Patients must have be able to walk unaided +/- gait aid, have an MMSE (mini mental state exam) score of more than 24 to show sufficient cognition for informed consent.
Exclusion criteria
MMSE <24/30, unable to walk unaided, contraindications for aquatic physiotherapy
Outcome results
None listed