The Effects of a Single Session of Rhythmic Movement Program on Selected Biopsychological Parameters in PD Patients

University of Wolverhampton

Status: Not yet enrolling

Conditions: Rhythm; Parkinson Disease

Treatments: Other: Musicokinetic Training

Study type: Interventional

Funder types: Other

Identifiers

NCT05973565

YKCK2019

Details and patient eligibility

About

The aim of the present study is to examine the acute effects of a specially designed musicokinetic (MSK) program for patients with Parkinson's disease (PD) on a) anxiety levels b) select kinematic and kinetic parameters, and c) frontal cortex hemodynamic responses, during gait initiation and steady-state walking.

Full description

This is a blind cross over randomized control trial (RCT) in which 13 volunteers with PD will attend a 45 min MSK program under the following conditions: a) synchronous learning format, b) asynchronous remote video- based, and c) control conditions. Changes in gait biomechanics and frontal cortex hemodynamic responses will be examined using a 10-camera 3D motion analysis (Vicon T-series, Oxford, UK), and a functional near-infrared spectroscopy (f-NIRS - Portalite, Artinis, NL) system, respectively, while anxiety levels will be evaluated using the Hamilton Anxiety Rating Scale.

Enrollment: 13 estimated patients

Sex: All

Ages: Under 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hoehn and Yahr (H&Y) Parkinson disease scale I-III
• No restriction on disease duration,
• No restriction on type of drug therapy
• Stable antiparkinsonian medication of at least 6 months
• Data collections will be "on" medication
• No participation to any other exercise program for at least 2 months
• 100% attendance of the session.

Exclusion criteria

• Dementia
• Deep brain stimulation,
• Cancer,
• Cardiovascular diseases
• Poor visual capability
• Poor or auditory capability
• Musculoskeletal problems
• No stable antiparkinsonian therapy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

---

13 participants in 3 patient groups

synchronous learning format

Experimental group

Description:

Volunteers will be asked to attend synchronous learning format MSK Training. The exercise protocol has a duration of 45 minutes of rhythmic training and includes sections of warming-up, stretching, breathing, movement combinations, a dance sequence and recovery. Each exercise is accompanied with music that provides a clear and predictable rhythm. More specifically, the beat or rhythm of the music is used as a guide for the timing and duration of specific movements, allowing people with PD to coordinate their movements with the music. Simple values are going to be introduced such as whole notes, half notes and quarter notes; clapping and tapping, breathing and sounds. Class will be accompanied by recorded classical piano music, to meet the needs of synchronous learning format and asynchronous remote video-based format. The intensity of the class is moderate approximately 3 MET. The instructor is an experienced dance teacher in musicokinetic education.

Treatment:

Other: Musicokinetic Training

Asynchronous remote video-based format

Experimental group

Description:

Volunteers will be asked to attend asynchronous remote video-based format MSK Training. The exercise protocol is the same as the synchronous format but delivered via a video-based format

Treatment:

Other: Musicokinetic Training

Control

No Intervention group

Description:

Volunteers will not be asked to sit quietly for a 45-minute period