Cerebral Palsy, Friedreich Ataxia, Hemiparesis, Hemiplegia, Multiple Sclerosis, Neurologic Disorder, Parkinson Disease, Spinal Cord Injuries, Stroke, Transverse Myelitis, Trauma, Brain
Conditions
Brief summary
To assess the impact of a 12-week virtual seated physical intervention on cardiovascular health and wellness in people with chronic neurological impairments (CNI).
Detailed description
This study aims to examine how effective seated Zoom exercise classes are for a person with CNI for addressing cardiovascular health, physical wellness and quality of life. If these classes prove to be effective, online platforms could be a viable avenue for those with CNI to exercise and increase/maintain wellness without having to leave their homes. The investigators are also attempting to determine if a class with a live instructor vs a pre-recorded class has an effect on motivation, compliance, exertion and modifications/safety. The entire process, including screening and consenting, will be done via Zoom and Redcap, potentially providing a blueprint for the future studies. This process can enable participants to participate in studies with minimal inconvenience, expense and effort of traveling for the consent process.
Interventions
BEHAVIORALSeated exercise
Exercise will include repetitive bouts of high intensity exercises with intermittent periods of rest or active recovery. circuit of moves like 'jabs', 'hooks' etc, and a strength and endurance class that promotes postural awareness.
Sponsors
Burke Medical Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
One group will attend live zoom classes with instructor feedback, and the other group will exercise using pre-recorded sessions.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Participants with chronic (\>6 months) neurological impairments 2. 18 to 75 years of age 3. Participants who can provide a medical clearance to participate in the program 4. Participants who can remain seated for at least one hour 5. Heart rate/BP considerations, per each participant's MD 6. Participants must be able to don/doff HR monitor without assistance, or have assistance if necessary 7. Participants must maintain their current exercise/physical activity routine during the course of the study 8. Clinically stable with no other neurological, medical or cognitive impairments 9. Reliable Internet connection and ability to use Zoom platform 10. Participants must speak and understand English 11. No contraindication/limitations to exercise 12. Currently exercising 2 days or less per week
Exclusion criteria
1. Participants with any cognitive impairment preventing safe and accurate participation in the program 2. Medical issues preventing safe participation 3. Other problems possibly contraindicating autonomous exercise at home if no supervision available.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in heart rate | Within one week before the first intervention session to within one week after the end of intervention | Heart rate on last day of training compared to heart rate on first day of training |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity Enjoyment Scale | Within one week before the first intervention session to within one week after the end of intervention | a self-assessment measure of enjoyment with their current physical activity |
| Short Form-36 Health Survey | Within one week before the first intervention session to within one week after the end of intervention | measures physical health and mental health |
| Perceived Wellness Survey | Within one week before the first intervention session to within one week after the end of intervention | a 36-item instrument used to measure an individual's perceived health status in physical, psychological, emotional, intellectual, spiritual, and social wellness constructs |
| Borg's Rating Scale of Perceived Exertion | Within one week before the first intervention session to within one week after the end of intervention | standardized measure to evaluate perceived intensity of exertion, effort, and fatigue during physical exercise |
| Reason for exercise inventory | Within one week before the first intervention session to within one week after the end of intervention | is a 24-item scale to assess the reason that motivates a person to exercise |
| Numerical pain rating | Within one week before the first intervention session to within one week after the end of intervention | standardized instrument for pain assessment in clinical and research practice. It is an 11-point scale from 0 (no pain) to 10 (the most intense pain) at rest and during movement |
Countries
United States
Outcome results
None listed