Evaluation of Ronnie Gardiner Method in Individuals With Parkinson's Disease (RGM/PD)

University Hospital, Linkoeping

Status: Completed

Conditions: Parkinson Disease

Treatments: Behavioral: Ronnie Gardiner Method (RGM)

Study type: Interventional

Funder types: Other

Identifiers

NCT02999997

LUH-4865

Details and patient eligibility

About

Parkinson's disease (PD) is typically associated with cognitive and movement related functional disabilities. One commonly described cognitive complaint is the ability to do several things simultaneously, defined as dual or multiple tasking. The Ronnie Gardiner Method (RGM) is a rhythm and music based rehabilitation intervention that includes components that will train this ability specifically in addition to postural control, motor learning, movement ability and general cognitive function. The aim with the present randomized controlled single-blinded trial is to evaluate the RGM with main focus on dual-task performance, compared to a control group, in individuals with PD. The control group will continue with everyday activities, including ordinary exercise activities, with no additional activity. Both groups will be evaluated pre-, post-, and after 3 months post intervention. Following outcome measures will be analyzed:

1. dual task performance (motor-motor, and motor-cognitive)
2. level of physical activity, motor function and balance
3. cognitive function including memory and spatial function
4. health-related quality of life, fear of falling, and freezing of gait
5. qualitative interviews from focus group discussions

Full description

Patients with Parkinson's disease at the neurological department of University Hospital of Linköping are included and randomized to either the rhythm and music based rehabilitation method Ronnie Gardiner Method or to a control group with no other activity other than everyday activities including habitual exercise. Timed Up and Go (TUG) cognitive and TUG manual will be used to evaluate dual-task performance. The intervention will take place twice weekly for twelve weeks in a neurological rehabilitation facility, and will be led by a highly skilled physiotherapist with ten years of practice from the Ronnie Gardiner Method.

Enrollment: 51 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Parkinson's disease, stage 1,5 to 4 on the Hoehn & Yahr scale, community dwelling, stable medication, being able to walk at least 10 meters, being able to transport to the intervention facility, being able to follow instructions in Swedish

Exclusion criteria

• parkinsonism of other origin, color blindness, severely impaired vision or hearing

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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51 participants in 2 patient groups

Ronnie Gardiner Method (RGM)

Experimental group

Description:

Exercising two times/week according to the RGM program in groups of 15 participants (2 groups).

Treatment:

Behavioral: Ronnie Gardiner Method (RGM)

Control group

No Intervention group

Description:

Participants in the control group are instructed to live their ordinary life.