Parkinson Disease
Conditions
Brief summary
People with Parkinson's disease (PD) experience difficulty with gait, postural instability, and lack of movement coordination and rhythmic timing. Non-motor functions affected by PD include time perception, feelings of apathy, depression, decreased self-efficacy, and decrease self-reported quality of life. There is currently a lack of information on how a therapeutic drumming class that uses whole-body large-amplitude movements to music would impact these motor and non-motor impairments in individuals with PD. The primary purpose of this study is to assess the feasibility of a 10-week whole-body drumming class to music specifically selected for its rhythmic structure, and effects on movement rhythm and time perception in individuals with PD. The secondary purpose is to assess the effects of the drumming class on apathy, depression, self-efficacy and health-related quality of life. Participants will be included if they have a diagnosis of PD and are able to move for an hour with rests, either standing or seated. Participants are tested before and after the class series and one month following.
Interventions
OTHERexercise
10 weekly hour-long classes of drumming to music using large-amplitude, whole-body movements
Sponsors
A.T. Still University of Health Sciences
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
single group, pre- post-test design
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diagnosed with PD * independent walking short community and household distances with or without assistive device * able to participate in a 1-hour class once a week for ten weeks
Exclusion criteria
* change of Parkinson's medication or deep brain stimulation parameters within 2 weeks prior to or during the study * inability to grasp 2-inch diameter drum sticks * any conditions with contraindications to lift upper extremities overhead * any medical restrictions to exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Step Cadence Variability | within 7 days before the intervention | Variability (SD) of step cadence |
| Stride Length Variability | within 7 days before the intervention | Variability (SD) of stride length |
| Change in repeated finger-tapping | within 7 days before the intervention and within 7 days after intervention | change in inter-tapping intervals (ms) change from pre- to post-intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Geriatric Depression Scale (GDS) | within 7 days before the intervention and within 7 days after intervention | change in depression (GDS score; 0-15, higher is worse with more depression) from pre- to post-intervention |
| Change in Nine-hole peg test (NHP) duration (s) | within 7 days before the intervention and within 7 days after intervention | change in speed of manual dexterity (s on NHP) from pre- to post-intervention |
| Lille Apathy Rating Scale (LARS) | within 7 days before the intervention and within 7 days after intervention | change in apathy (LARS score; -36 to +36, lower is better with less apathy) from pre- to post-intervention |
| General Self-Efficacy scale (GSE) | within 7 days before the intervention and within 7 days after intervention | change in self-efficacy (GSE score; 10-40, higher is better with more self-efficacy) from pre- to post-intervention |
| Change in Physical Performance Test (PPT) score | within 7 days before the intervention and within 7 days after intervention | change in whole-body functional mobility (PPT score; 0-36; higher is better) from pre- to post-intervention. |
| Change in Parkinson Disease Questionnaire (PDQ-39) | within 7 days before the intervention and within 7 days after intervention | change in disease-related quality of life (PDQ-39 score; 0-100, lower is better with improved quality of life) from pre- to post-intervention |
Countries
United States
Outcome results
None listed