In-home Cycling for Individuals With PD: Feasibility

University of Wisconsin (UW)

Status: Completed

Conditions: Parkinson Disease

Treatments: Behavioral: Social Cycling Group

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04300023

EDUC\KINESIOLOGY\KINESIO (Other Identifier)

2018-0414: Feasibility

A176000 (Other Identifier)

1UL1TR002373-01 (U.S. NIH Grant/Contract)

1KL2TR002374-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study will examine the influence of social support on exercise frequency, duration, quality of life, and overall activity level.

Full description

The benefits of exercise for individuals with Parkinson disease (PD) have been well documented; however, individuals with PD living in rural and underserved urban settings are largely unable or unwilling to participate in group exercise programs due in large part to their distance from such programs and financial considerations. Additionally, community based programs which provide social support and engagement have been shown to benefit elderly individuals as well as individuals with pathology, but are equally unattainable to this group. Taking the exercise to these individuals via telemedicine or tele-exercise may be an ideal means of delivering this type of intervention.

The long-term goal of this project is to improve outcomes for underserved populations of individuals with Parkinson disease (PD) by providing access to in-home physical activity via a telehealth approach. Approximately one million Americans currently live with a diagnosis of PD and it has been estimated that delaying the progression by 20% would result in a $75,891 savings per individual based on reduced health care costs, income maintenance, increased duration of life and improved quality of life. However, individuals with PD of lower socioeconomic status, people of color and rural dwelling seniors have been critically underserved by clinical and academic programming resulting in poorer health outcomes.

This Study will examine the effects of social engagement during in-home exercise on a small sample of individuals with Parkinson Disease (PD). This pilot investigation will directly measure the effect of social support and engagement on exercise outcomes for rural dwelling individuals with PD.

Enrollment: 13 patients

Sex: All

Ages: 45+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosis of idiopathic "definite PD" based upon established criteria
• vision at or corrected to 20/40 or better
• ability to independently ambulate for at least 10 minutes continuously
• no reported vestibular or neurological disease (stroke or muscle disease) beyond their diagnosed PD
• score of greater than or equal to 78 (no evidence of dementia) on the telephone adaptation of the modified mini-mental state exam
• English Speaking

Exclusion criteria

• contraindication for exercise
• history of muscular or orthopedic diagnosis
• inability to participate in the full duration of the study
• currently exercising for 20 or more minutes per week

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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13 participants in 2 patient groups

Solo Cycling Control Group

No Intervention group

Description:

Exercise bike delivered to their home, custom fit to their needs and installed in a safe location. Participants will be provided with exercise recommendations, but will receive only data recording calls every 2-weeks. \[will crossover and complete the cycling intervention following the initial 6-months\]

Social Cycling Group

Experimental group

Description:

Exercise bike delivered to their home, custom fit to their needs and installed in a safe location, sessions will consist of up to 30 minutes of cycling while engaged in social interaction with a research staff member, thus providing a social/community aspect that would not otherwise be present.

Treatment:

Behavioral: Social Cycling Group