Group Versus Individuals Telehealth Exercise Programs for People With Parkinson Disease

Comparison of Individualized Versus Group Telehealth Physical Therapy Programs for Individuals With Parkinson Disease

This study will compare the impact of physical therapist led telehealth exercise programs on people with Parkinson disease. Eligible participants will complete this program individually or in a group of 9 other participants. The impact of participation in this program on motor function, postural control, gait, quality of life, and self-efficacy for exercise will be measured.

This program will be delivered 2 times per week for 8 weeks with examination of outcome measures prior to and after completion. The investigators plan to enroll 20 participants with 10 completing a group program led by a physical therapist and 10 completing an individual exercise program led by a physical therapist.

Inclusion Criteria:

• have a diagnosis of idiopathic Parkinson disease
• been prescribed a stable dose of levadopa medication for at least 4 weeks prior to study participation
• be able to walk independently
• have a referral from a physician to participate in the program
• have access to a computer/tablet/or phone to use for telehealth sessions with reliable internet and access to the Zoom platform

Exclusion Criteria:

• have any other neurological condition other than Parkinson disease
• have a score less than 20/28 on the Mini-Balance Systems Evaluation Test (reflecting a higher risk of falls)
• demonstrate unstable/unsafe blood pressure or heart rate responses during the initial evaluation with response to submaximal exercise
• have any musculoskeletal condition that affected their ability to participate in the exercise group
• score less than 24/30 on the Mini Mental Status Examination during the initial evaluation