Parkinson Disease
Conditions
Brief summary
This study evaluates the effect on Rock Steady Boxing (RSB) and PD SAFEx on Parkinson's disease.
Detailed description
Both interventions produce benefits to the PD population. PD SAFEx has been proven to improve the motor symptoms of PD. However, research still needs to be conducted on the PD specific benefits associated with RSB. As such it an RCT is necessary to compare the effects of both interventions.
Interventions
OTHERRock Steady Boxing
Boxing programs as offered by the Rock Steady Boxing institution,
OTHERPD SAFEx
Progressive proprioception training.
Sponsors
Sun Life Financial Movement Disorders Research and Rehabilitation Centre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Intervention model description
The early start group: 12-weeks (intervention) followed by 12-weeks of no exercise. The delayed start group: 12-weeks (no exercise) followed by 12-weeks (intervention). This model will be used for both RSB and PD SAFEx.
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* must be able to understand verbal instructions in English * diagnosed with idiopathic PD by a neurologist
Exclusion criteria
* if diagnosed with a neurological condition other than PD * if participated in an exercise program at least 2-weeks prior to the start of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor symptom improvements | change from baseline at 12 weeks | Unified Parkinson Disease Rating Scale (UPDRS) conducted by a qualified movement disorders specialist. The maximum score is 108, the higher the score, the worse the symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Strength | change from baseline at 12 weeks | Will be assessed using the Jamar hand dynamometer. |
| cognitive assessment 3 | change from baseline at 12 weeks | Completion of Montreal Cognitive Assessment (MoCA). There are a total 30 points, the higher the score the better (26 and above is normal). |
| Balance 2 | change from baseline at 12 weeks | Activities-specific Balance Confidence Scale (ABC). The total score that can be achieved is 16, the higher the percent the more self-confidence. |
| Cognitive assessment 2 | change from baseline at 12 weeks | Mini-Mental State Examination (MMSE). The total score than can be achieved is otal score 30 (the higher the score the better). |
| Quality of life assessments | change from baseline at 12 weeks | Completion of Parkinson's Disease Questionnaire (PDQ-39). There are 8 sections: mobility (sub score 10), activities of daily living (sub score 6), emotional well-being (sub score 6), stigma (sub score 4), social support (sub score 3), cognition (sub score 4), communication (sub score 3) and bodily discomfort (sub score 3). The higher the score, the worse the symptoms. |
| Balance1 | change from baseline at 12 weeks | Using the Biodex balance system. The postural stability test (PST) will be conducted. The results will be presented as actual score and standard deviation for both legs to determine an individuals ability to maintain balance. The lower the score the better. |
| Gait1 | change from baseline at 12 weeks | For the timed-up-and-go test (TUG) participants will stand up, walk to the line on the floor, turn around and walk back to the chair and sit down. |
| Cognitive Assessment 1 | change from baseline at 12 weeks | Scale of Outcomes of Parkinson Disease (SCOPA-COG), will be used to assess memory and visuospatial function. There are 5 sections: memory learning, attention, executive functions, visuo-spatial functions and memory. The total score that can be achieved is 43 (the higher the score the better). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Gait 2 | change from baseline at 12 weeks | For the 6-minute walking test (6MWT) participants will be asked to walk as far as possible for 6 minutes. The further (more laps) they are able to walk the better. |
| Physical activity | change from baseline at 12 weeks | Community Healthy Activities Model Program for Seniors (CHAMPS) is a questionnaire used to assess the weekly frequency and duration of the physical activities of seniors. |
| Balance3 | change from baseline at 12 weeks | Balance will be measured using the mini- Balance Evaluation Systems Test (mini-best test). There are 4 sections: anticipatory, (sub score 6) reactive postural control (sub score 6), sensory orientation (sub score 6), dynamic gait (sub score 10). The total score that can be achieved is 28. The higher the score the better the balance. |
Countries
Canada
Outcome results
None listed