Rock Steady Boxing: A Community Based In Person Class

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the feasibility and effectiveness of a non-contact Rock Steady Boxing class delivered to participants with Parkinson's Disease via an in-person community-based program. The study will also assess the overall feasibility of integrating an in-person community program within a neuromuscular course in a Doctor of Physical Therapy program. Specific Aim: To examine the effects of an in-person community-based Rock Steady Boxing class on the functional mobility, functional endurance, cardiovascular capacity, visual-motor reaction times, quality of life, mood/affect and overall physical activity completion and fear of falling on individuals with Parkinson's Disease.

Detailed Description
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Participants will be recruited directly from the the Brain Center (non-for-profit neurology clinic). Participants will be educated on the study but advised that their participation is voluntary and researchers will not coerce boxers to participate in the study. Once a participant agrees to participate, the Informed consent will be completed. During this time, participants will be told their participation is voluntary and they can quit at any time. he primary interventions being assessed in this study include the in-person Rock Steady Boxing Class offered at USAHS once per week. Prior to attending the Rock Steady Boxing classes, all participants must be provided with medical clearance from a referring medical doctor. The Rock Steady Boxing classes are 60-90 minutes in duration and include the following 4 components: (1) active warm up (2) functional mobility exercises (3) whole body strengthening exercises and (4) non-contact boxing exercises. During the classes, boxers' vitals are assessed using health rate monitors.

Official Title
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Rock Steady Boxing: A Community Based In Person Class for Patients With Parkinson Disease

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: Rock Steady Boxing Class


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or Female Age Range: 18 years or older History of Parkinson's Disease between Hoehn and Yarh stages I and IV Medical clearance from a referring medical doctor Able to complete all assessments Willing to complete a weekly exercise log Exclusion Criteria: Unable to complete the assessments. Pregnant or is expected to become pregnant during study Other reasons that may limit participation in exercises. -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Rock Steady Boxing classes<br>The Rock Steady Boxing classes are 60-90 minutes in duration twice a week and include the following 4 components: (1) active warm up (2) functional mobility exercises (3) whole body strengthening exercises and (4) non-contact boxing exercises. | Other: Rock Steady Boxing Class<br>* Rock Steady Boxing is a non-contact fitness program designed specifically for people with Parkinson's Disease.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes over time in Activities-Specific Balance Confidence Scale (ABC) from baseline to one year | The ABC is a self-report measure of balance confidence in performing various activities without losing balance or experiencing a sense of unsteadiness. | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Falls Efficacy Scale - International from baseline to 1-year post | A self-administered questionnaire designed to assess fear of falling in mainly community-dwelling older population | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Parkinson's Disease Fatigue Scale from baseline to 1-year post | A patient-rated scale that measures fatigue | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Parkinson's Disease Questionnaire -39 from baseline to 1-year post | A 39-item self-report questionnaire, which assesses Parkinson's disease-specific health related quality over the last month. | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Physical Activity Scale for the Elderly (PASE) from baseline to 1-year post | The PASE measures the level of self-reported physical activity in individuals aged 65 years old or older and is comprised of items regarding occupational, household, and leisure activity during the previous 7-day period. | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Berg Balance Test from baseline to 1-year post | The Berg Balance Scale (BBS) is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in 10-Meter Walk Test from baseline to 1-year post | The 10 Meter Walk Test is a performance measure used to assess walking speed in meters per second over a short distance. | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in 6-Minute Walk Test from baseline to 1-year post | The 6 Minute Walk Test is a sub-maximal exercise test used to assess aerobic capacity and endurance. | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Time Up and Go (TUG) from baseline to 1-year post | Measure of function with correlates to balance and fall risk | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Self-Efficacy for Exercise from baseline to 1-year post | Self report measure of exercise self-efficacy | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Anticipatory & Compensatory Postural Assessment form baseline to 1-year post | Electromyography measure of postural stability in standing | Baseline, 3 months, 6-months and 1-year post intervention | 
| Changes in Rock Steady Boxing Questionnaire from 3-month post to 1-year post intervention | Self assessment of mobility and quality of life | 3 months, 6-months and 1-year post intervention | 
| Changes Physical Activity Intensity Monitoring from baseline to 1-year post intervention | Heart rate monitoring during exercise | Baseline, 3 months, 6-months and 1-year post intervention |