Support + High Intensity Functional Training for Parkinson's

Parkinson's is the fastest growing neurological disorder in the world. With more people living with Parkinson's than ever before, there is an urgent need for interventions that improve health and reduce disability. High intensity exercise has shown to be superior to other forms of exercise in that it can slow symptom progression. High intensity exercise also reduces the risk of cardiovascular events. This is pertinent considering one in five people with Parkinson's will die from cardiovascular disease. While Parkinson's specific exercise programs across the U.S. continue to increase, there are still many communities with limited to no access, including Fort Smith, Arkansas. Here, there are no expert level centers within 100 miles and not a single community-based exercise program. This research will offer a community and group-based exercise program for participants with Parkinson's and their care partners.

This study, Support + High Intensity Functional Training for Parkinson's (SHIFT-PD), will provide no-cost, twice weekly, group-based, adaptable exercise programming for people with Parkinson's and their care partners. All participants will be required to have physician or advanced practice provider clearance to exercise (please see attached medical release form). All participants will be evaluated by a physical therapist at no-cost prior to beginning the intervention to assess eligibility for the study (please see methodology section below). All eligible participants will complete a demographics questionnaire requesting participant age, sex, race/ethnicity, marital status, household income, primary means of locomotion, month and/or year of Parkinson's diagnosis (people with Parkinson's only), relationship to participant with Parkinson's (care partner only). Demographic data will be utilized to describe the study population participating in the research study and to evaluate barriers and facilitators for participation. All eligible participants will undergo a battery of baseline outcome assessments prior to undergoing the exercise intervention.

Participants will participate in a maximum of twice weekly group-based exercise classes for up to 6 months. All exercise programming will be led by licensed physical therapists at a local gym, CrossFit Fort Smith. All physical therapists will be CPR/BLS certified and an automated external defibrillator will be available onsite. Exercise classes will incorporate aerobic, resistance, and/or balance training. Exercise intensity will be monitored by participant vital signs and/or participant Rating of Perceived Exertion. SHIFT-PD will follow all state, federal, and CDC guidelines regarding COVID-19 precautions.

Eligibility Criteria:
Inclusion criteria for people with Parkinson's

* Participants must be at least 18 years of age
* Participants must have a diagnosis of Parkinson's disease
* Participants must be able to communicate and read in English
* Participants must have physician or advanced practice provider clearance to exercise
* Participants must provide their own transportation to and from the research study
* Participants must be able to ambulate independently and/or propel a power or manual wheelchair independently

Inclusion criteria for people who identify as care partners of those with Parkinson's

* Participants must be at least 18 years of age
* Participants must be able to communicate and read in English
* Participants must have physician or advanced practice provider clearance to exercise
* Participants must be a self-identified care partner of a person with Parkinson's participating in the study
* Participants must provide their own transportation to and from the research study
* Participants must be able to ambulate independently and/or propel a power or manual wheelchair independently

Exclusion Criteria:

-Failure to meet above listed inclusion criteria