About this trial
The goals of this clinical trial are to 1) learn how two different rehabilitation interventions for PD can reduce Freezing of Gait (FOG) in people with Parkinson's disease, as assessed by patients, clinicians, and wearable sensors, and 2) to explore whether two different rehabilitation intervention can reduce FOG and improve daily life mobility in people with FOG sufficiently to justify a clinical trial.
Participants will:
* Be randomly assigned to one of two intervention groups (turning-focused agility exercise or strength-based exercise) * Have one-on-one training sessions three times per week for 6 weeks * Perform in-lab assessments before beginning and after completing the study intervention * Use wearable mobility sensors during daily life to measure their walking and balance
Eligibility criteria
Qualifiers
diagnosis of idiopathic PD from movement disorders neurologist with the United Kingdom Brain Bank criteria of bradykinesia with one or more of the following - rest tremor, rigidity, and balance problems not from visual, vestibular, cerebellar or proprioceptive conditions
reporting FOG in the New Freezing of Gait questionnaire (N-FOGQ)
Hoehn & Yahr stages II-IV
ages 50-80 years old
Disqualifiers
Major musculoskeletal or neurological disorders, structural brain disease, epilepsy, acute illness or health history, other than PD, significantly affecting gait and turning (i.e., musculoskeletal disorder, vestibular problem, head injury, stroke, cardiac disease)
medical condition or medications that precludes moderate-intensity exercise
Montreal Cognitive Assessment (MoCA) ≤21 or inability to follow directions
excessive use of alcohol or recreational drugs
Trial design
Treatments tested in this trial
- Experimental intervention
- Active intervention
Treatment groups
Sponsors and collaborators
Oregon Health and Science University
Lead sponsor
Michael J. Fox Foundation for Parkinson's Research
Collaborator