Post-Physical Therapy Extension of In-Home Dynamic Standing Table Use in Parkinson Disease
Parkinson Disease
About this trial
This is an interventional supportive care trial for Parkinson Disease
Eligibility Criteria
Inclusion Criteria:
- Presence of Parkinson's disease. PD diagnosis following the UK Parkinson's Disease Society Brain Bank Research Center (UKPDSBRC) clinical diagnostic criteria for PD, consistent with the typical nigrostriatal denervation pattern on VMAT2.
- Hoehn and Yahr stages 2-4 and/or presence of PIGD features, such as history of (near) falls, slow gait, and/or freezing of gait.
- Available space to place table in their home (approximately 6 ft x 5 ft area).
Exclusion Criteria:
- Inability to stand or walk without an assistive device.
- History of symptoms in stance that preclude safe and comfortable participation, such as dizziness and lightheadedness, orthostasis, severe symptomatic leg or back musculoskeletal pain.
- History of significant symptomatic cardiovascular or pulmonary disease.
- History of active symptomatic rheumatic arthritis.
- History of stroke or other focal brain conditions with residual sensorimotor deficits interfering with stance functions.
- History of chronic pain syndrome requiring daily narcotic analgesics.
- Evidence of dementia.
- Venous stasis or severe varicosities
Sites / Locations
- University of Michigan Functional Neuroimaging, Cognitive and Mobility Laboratory
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
In-Home Standing Table
Standard of Care
Participants in this arm will receive a dynamic standing table to be used in their home for at least two hours per day for at least five days per week for a 16-week period. Specific activities will be tracked with a logbook. PD subjects will be coached by a physical therapist on proper body positioning at the table, use of anti-fatigue mat, and optimal monitor height. The physical therapist will adhere to the "neutral body positioning" guidelines as provided by the OSHA. The physical therapist will also perform an in-home safety assessment of the office or room in which the table will be placed to ensure safety not only for the users but also for family members or children. The physical therapist will monitor each participant throughout the study by making biweekly compliance phone calls. In addition, this group will received standard of care, which is weekly group exercise sessions during the 16-week period of table use.
this group will received standard of care only, which is weekly group exercise sessions during a 16-week period. Instructions, coaching, and compliance phone calls will also be provided to the participants of this arm such that both arms have the same amount of contact time with the physical therapist.