The purpose of this study is to determine if a movement to music exercise program delivered via telehealth is feasible and safe for individuals with neurodegenerative disease and their caregivers (Aim 1). A secondary aim will be to determine if a movement to music exercise program delivered via telehealth improves balance, cognition, mobility, and quality of life (Aim 2).
The purpose of this study is to determine if a movement to music exercise program created for our clinic patients, called "Move to Improve," delivered via telehealth is possible and safe for individuals with neurodegenerative disease. Investigators also hope to determine if this telehealth movement to music exercise program improves balance, cognition, mobility, and quality of life. Participants will be asked to participate in a movement to music exercise program that will be accessible by video twice a week for 12 weeks and complete assessments before starting and after completing the program. Participants will be recruited from the OSU Neurology Clinic which serves a large regional area, including rural Appalachian counties. Participants will be ages 21 or older with a confirmed diagnosis of a degenerative neurologic disorder such as Huntington's disease who can access a computer, tablet, or smartphone, can complete the exercises, and have a care partner. Participants will be educated on how to access prerecorded Move to Improve classes conducted by a professional dance instructor which are accessible by computer or tablet 24/7 via a hyperlink. This link will be accessible to the community. Here is a link to an example of the class lead by the instructor for this study: https://www.youtube.com/watch?v=NdoPi9YXoWg. Classes last 45 minutes, and participants will be instructed to participate in the activity at least twice weekly, for 12 weeks. Each class uses movement to music combinations across different dance genres that build in intensity and sequence complexity, accompanied by music with faster beats, to encourage participants to achieve a moderate-vigorous level of physical and cognitive activity. Care givers will be also participate in the exercise class and will be present to ensure safety. The care giver and participant will be instructed to stand at a counter or behind a chair for safety during exercise. Participants within driving distance will come to the MEND lab for in-person outcome measures at baseline and after the 12 week intervention. Assessments will also be administered to all participants via telehealth. For those individuals who are not able to come to the lab for assessment due to distance or other reasons, tests will only be administered via telehealth. These individuals will be consented via phone. Telehealth exercise classes will be conducted using a virtual meeting platform such as Zoom, Microsoft Teams, or FaceTime. Caregivers will be present during all assessments to ensure safety.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Participants will be educated on how to access prerecorded Move to Improve classes conducted by a professional dance instructor which will be accessible by computer or tablet 24/7 via a hyperlink. Classes last 45 minutes, and participants will be instructed to participate in the activity at least twice weekly, for 12 weeks. Each class uses movement to music combinations across different dance genres that build in intensity and sequence complexity, accompanied by music with faster beats, to encourage participants to achieve a moderate-vigorous level of physical and cognitive activity. Care partners will be present during each class to ensure safety and will also participate in the Move to Improve exercise program. The care partner and participant will be instructed to stand at a counter or behind a chair for safety during exercise.
The Ohio State University
Columbus, Ohio, United States
Change in 4 stage balance test from baseline: feet together from baseline
How long a participant can stand with feet together up to 10 seconds
Time frame: 12 weeks
Change in 4 stage balance test from baseline: feet together from baseline - TELEHEALTH
How long a participant can stand with feet together up to 10 seconds collected via telehealth
Time frame: 12 weeks
Change in 4 stage balance test from baseline: feet staggered from baseline
How long a participant can stand with feet staggered up to 10 seconds
Time frame: 12 weeks
Change in 4 stage balance test from baseline: feet staggered from baseline - TELEHEALTH
How long a participant can stand with feet staggered up to 10 seconds collected via telehealth
Time frame: 12 weeks
Change in 4 stage balance test from baseline: feet in tandem from baseline
How long a participant can stand with feet heel to toe up to 10 seconds
Time frame: 12 weeks
Change in 4 stage balance test from baseline: feet in tandem from baseline - TELEHEALTH
How long a participant can stand with feet heel to toe up to 10 seconds collected via telehealth
Time frame: 12 weeks
Change in 4 stage balance test from baseline: single leg stance from baseline
How long a participant can stand on one foot to toe up to 60 seconds
Time frame: 12 weeks
Change in 4 stage balance test from baseline: single leg stance from baseline - TELEHEALTH
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How long a participant can stand on one foot to toe up to 60 seconds collected via telehealth
Time frame: 12 weeks
Change in 5 Times Sit to Stand Test from baseline
How long a participant can stand up and sit down from a standard chair with arms crossed across chest in seconds
Time frame: 12 weeks
Change in 5 Times Sit to Stand Test from baseline - TELEHEALTH
How long a participant can stand up and sit down from a standard chair with arms crossed across chest in seconds collected via telehealth
Time frame: 12 weeks
Change in Adapted Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Questionnaire from baseline
A patient-reported outcome measure that assesses perceived difficulty in completing physical tasks.
Time frame: 12 weeks
Change in Patient Health Questionnaire (PHQ-9) from baseline
A self-administered instrument for depression module, which scores each of the items as "0" (not at all) to "3" (nearly every day), with higher scores indicating worse depression
Time frame: 12 weeks
Change in Patient Health Questionnaire (PHQ-9) from baseline - TELEHEALTH
A self-administered instrument for depression module, which scores each of the items as "0" (not at all) to "3" (nearly every day), with higher scores indicating worse depression. Collected via telehealth
Time frame: 12 weeks
Change in 12-item Self-Report World Health Organization Disability Assessment Schedule (WHODAS) 2.0 questionnaire from baseline
A patient reported outcome measure containing 12 items that the participant rates his or her difficulties in maintaining personal care, occupational tasks and functioning in relation to family and society with a score range from 12 to 60, where higher scores indicate higher disability or loss of function.
Time frame: 12 weeks
Change in 12-item Self-Report World Health Organization Disability Assessment Schedule (WHODAS) 2.0 questionnaire from baseline - TELEHEALTH
A patient reported outcome measure containing 12 items that the participant rates his or her difficulties in maintaining personal care, occupational tasks and functioning in relation to family and society with a score range from 12 to 60, where higher scores indicate higher disability or loss of function. Collected via telehealth
Time frame: 12 weeks
Change in verbal fluency from baseline
A measure of cognition that involves asking the participant to name as many animals as they can in 60 seconds and then they are given a letter and asked to name all of the words that begin with that letter in 60 seconds. The more words the better the outcome.
Time frame: 12 weeks
Change in verbal fluency from baseline - TELEHEALTH
A measure of cognition that involves asking the participant to name as many animals as they can in 60 seconds and then they are given a letter and asked to name all of the words that begin with that letter in 60 seconds. The more words the better the outcome. Collected via telehealth.
Time frame: 12 weeks
Change in Digit Span test from baseline
A measure of cognition that involves asking the participant to recall a series of numbers. The more numbers recalled accurately the better the outcome.
Time frame: 12 weeks
Change in Digit Span test from baseline - TELEHEALTH
A measure of cognition that involves asking the participant to recall a series of numbers. The more numbers recalled accurately the better the outcome. Collected via telehealth
Time frame: 12 weeks
Change in Unified Huntington's Disease Rating Scale (UHDRS) Motor Scale from baseline
UHDRS Motor Scale is administered by a trained rater who has the individual perform tasks such as tapping fingers and standing up and walking. The rater then scores performance on a scale of 0-4. Higher scores indicates worse outcomes
Time frame: 12 weeks
Change in Unified Huntington's Disease Rating Scale (UHDRS) Functional Assessment scale from baseline
A questionnaire that participants fill out rating their difficulty dealing with life situations on a yes or no scale
Time frame: 12 weeks
Change in Unified Huntington's Disease Rating Scale (UHDRS) Independence scale from baseline
A questionnaire that participants fill out rating their difficulty performing tasks on a scale of 10-100 with 100 indicating independence
Time frame: 12 weeks
Change in Symbol Digit Modality Test (SDMT) from baseline
The SDMT is a part of the standard cognitive battery used with Huntington's disease that involves a simple substitution task, using a reference key, the examinee has 90 seconds to pair specific numbers with given geometric figures.
Time frame: 12 weeks
Change in the Stroop interference test from baseline
The Stroop is a part of the standard cognitive battery used with Huntington's disease that involves participants to read three different tables as fast as possible. Two of them represent the "congruous condition" in which participants are required to read names of colors (henceforth referred to as color-words) printed in black ink (W) and name different color patches (C). Conversely, in the third table, named color-word (CW) condition, color-words are printed in an inconsistent color ink (for instance the word "red" is printed in green ink).
Time frame: 12 weeks