Tai Chi for Enhancing Motor and Cognitive Function in Parkinson's Disease

Tai Chi for Enhancing Motor and Cognitive Function in Parkinson's Disease

The purpose of this feasibility study is to preliminarily evaluate the effects of Tai Chi - a mind-body exercise - on motor and cognitive function as well as quality of life in individuals recently diagnosed with Parkinson's disease (PD).

Specific Aim 1: To assess the feasibility of recruiting and retaining individuals with PD into a 6-month randomized controlled trial of Tai Chi exercise.

Specific Aim 2: To collect preliminary data on the efficacy of Tai Chi on improving gait and balance dynamics, physical and cognitive function, exercise activity, self-efficacy, mood, and quality of life in individuals with PD.

Inclusion Criteria:

• Individuals recently diagnosed with idiopathic PD (≤ 10 years)
• Limited disease progression
• If taking PD-related medication, willingness to undergo baseline and follow-up testing while off medication
• Willingness to commit to the study protocols and complete Tai Chi program
• Willingness to be videotaped and audio-recorded during testing

Exclusion Criteria:

• Diagnosis of any form of atypical parkinsonism

• History of: stroke, head trauma, brain tumor, brain injury, seizures or other central nervous system condition, orthopedic impairment or other disease that could likely contribute to a gait disturbance or parkinsonism

• Any severe, chronic condition or acute medical event for which participation in exercise programs is contraindicated (e.g. debilitating Rheumatoid Arthritis, history of frequent falls, unhealed fracture)**

  ** Unless the participant is able to obtain formal written approval from his/her treating physician granting permission to participate in our Tai Chi exercise program

• Participation in brain stimulation within the past 3 months

• Family history of seizures or unexplained loss of consciousness

• Current history of dementia or severe psychiatric illness. Patients with mild (non-suicidal) depression and/or anxiety may be included

• Acute illness requiring hospitalization within past 3 months

• History of deep brain stimulation or other brain surgery

• Participation in brain stimulation within the past 3 months

• Regular use of walking aid

• Significant Tai Chi experience (> 6 months training in past 2 years)