Telerehabilitation Using a Dance Intervention in People With Parkinson's Disease

Study Overview
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Brief Summary
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The aim of this study is to verify the feasibility of a telerehabilitation approach with dance in people with parkinson's disease.

Detailed Description
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This is a feasibility study that aims to investigate the safety and efficacy of dance classes via an online platform in people with and without Parkinson's Disease. The intervention will last 2 months and the classes will be conducted twice a week (60 minutes) using the Zoom platform. Evaluations will be performed before and after the intervention by means of the Zoom platform as well and will include questionnaires of quality of life, depression, anxiety, and activities of daily living.

Official Title
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Telerehabilitation Using a Dance Intervention in People With Parkinson's Disease

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: telerehabilitation with dance


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals with and without parkinson's disease according London Brain Bank Criteria Minimal cognitive ability to understand commands (MMSE) Able to stand at least 10 minutes with or without support Dopamine medication stable at least 6 weeks before the beginning of the study Portable device and internet connection Exclusion Criteria: Severe visual or auditive disturbances Neurological disease (other than parkinson's for those included) or severe neuromuscular disorders that prejudice the proposed activities

Ages Eligible for Study
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Minimum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: individuals with parkinson's disease and healthy control individuals will be assigned to the same online dance class via zoom platform.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: telerehabilitation with dance (Parkinson's)<br>This group will receive dance classes online during 60 minutes, twice a week for 8 weeks. | Other: telerehabilitation with dance<br>* Dance classes will be provided through a online platform. Each class will last 60 minutes, twice a week, during 8 weeks.<br>|
| Active Comparator: telerehabilitation with dance (Healthy controls)<br>This group will receive dance classes online during 60 minutes, twice a week for 8 weeks. | Other: telerehabilitation with dance<br>* Dance classes will be provided through a online platform. Each class will last 60 minutes, twice a week, during 8 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| feasibility (adherence rates) | To assess the feasibility of the study design and procedures. The adherence rate will be calculated by the total number of patients who completed the full course of intervention divided by the total number of patients included at the beginning. | 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| feasibility (patients opinions) | Semi structured interviews will involve gaining patients opinions on the strengths and weaknesses of the intervention | 10 weeks | 
| feasibility (safety and usability) | The researches will follow all patients during the intervention regarding safety (i.e. falls) and usability (i.e. internet connection) | 10 weeks | 
| Parkinson's Disease Questionnaire-8 (PDQ-8) | The PDQ-8 is a short-form version to assess quality of life in persons with Parkinson's disease. Each question is scored from 0-4 points and the scores are summed and given as a percentage score (0-100). The higher the score, the worse the patient's condition. | Change from Pre to Post treatment (10 weeks) | 
| 36-Item Short Form Survey (SF-36) | The SF-36 measures health-related quality of life. This questionnaire has 36-item measure divided into 8 subscales - each subscale can be used independently. Each of the 8 summed scores is transformed into a scale from 0 (negative health) to 100 (positive health) | Change from Pre to Post treatment (10 weeks) | 
| Hospital Anxiety and Depression Scale (HADS) | The scale is used to identify depression and anxiety and presents 14 items. The total score is out of 42. The higher scores indicate greater levels of anxiety and depression. | Change from Pre to Post treatment (10 weeks) | 
| Unified Parkinson's Disease Rating Scale (UPDRS) Part I | The Part I concerns about non-motor experiences of daily living (e.g. anxiety and depression). This scale has 13 questions and all items have 5 response options. Higher scores indicate greater impact of PD symptoms. | Change from Pre to Post treatment (10 weeks) | 
| Activities-Specific Balance (ABC) Scale | Self-reported questionnaire measuring self-efficacy in performing activities without losing balance. The ABC Scale consists of 16 questions that require the patient to rate their confidence on a scale from 0% to 100%. The higher the percentage, the higher level of physical functioning. | Change from Pre to Post treatment (10 weeks) | 
| Five Times Sit to Stand Test (FTSTS) | The test assess the functional mobility strength of lower extremity (measured by the time to complete the test). The higher the time to complete the test, the lower the performance. | Change from Pre to Post treatment (10 weeks) |