In-home Cycling for Individuals With PD: Feasibility

University of Wisconsin, Madison13 enrolled

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Parkinson Disease

Interventions

Social Cycling GroupBEHAVIORAL

engaged with a research staff member for 30 minutes of cycling

Eligibility

Sex: ALLMin age: 45 Years

Medical Language ↔ Plain English

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

Locations (1)

University of Wisconsin

Madison, Wisconsin, United States

Outcomes

Primary Outcomes

Adherence: Percentage of Sessions Completed

Total number of completed sessions divided by the prescribed number of sessions per study protocol (72)

Time frame: up to 6 months of active intervention

Secondary Outcomes

Time Per Session

The number of minutes spent cycling during each session

Time frame: up to 6 months of active intervention

Adverse Events

Adverse events that occur during the active intervention period

Time frame: up to 6 months of active intervention

Data from ClinicalTrials.gov

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