Two Resistance Training Protocols to Reduce the Risk of Falls in Parkinson's Disease
Parkinson's Disease, Accidental Falls
About this trial
This is an interventional treatment trial for Parkinson's Disease focused on measuring resistance training, strength training, balance, muscle strength
Eligibility Criteria
Inclusion Criteria:
- Diagnosed with idiopathic PD by a Neurologist
- Able to stand two minutes, unassisted
- Able to understand English instructions
- Signed Physical Activity Readiness Medical Examination (PARmed-X) by physician
Exclusion Criteria:
- a neurological disease other than PD
- peripheral neuropathy
- physical impairments that would prevent participation in the muscular strength testing
- uncontrolled hypertension
Sites / Locations
- Sunlife Financial Movement Disorders Research and Rehabilitation Centre- Wilfrid Laurier University
Arms of the Study
Arm 1
Arm 2
Arm 3
No Intervention
Active Comparator
Experimental
Control
Strength Training
Power Training
Participants randomized to this group will come in for testing at pre-intervention, post-intervention, three month wash out and six month wash out. Participants will be asked to continue their activities of daily living. To account for any physical activity changes over the length of the study the Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire will be administered to all individuals. A control group is necessary to compare to show normal disease progression over the length of the study as well as to demonstrate that improvements in outcome measures are due to the interventions and not practice effects.
Individuals randomized to this program will complete three sets of eight to ten repetitions at 70% of their predicted 1-RM for each of the exercises mentioned above. The speed of the movements in this program will be two to three seconds each for the concentric and eccentric components. When participants are able to complete ten repetitions in their third set for two consecutive days, weight will be increased for the following session by 5% of the current weight that they are at in accordance with Canadian Society for Exercise Physiology (CSEP) and American College of Sports Medicine (ACSM) guidelines. Participants will complete a total of 24 sessions over the course of 12 weeks, two times per week for an hour each session.
Participants randomized to this program will complete three sets of 12 to 15 repetitions completed at 40% of predicted 1-RM for each exercises. The concentric part of the movement will be completed as fast as possible, whereas the eccentric component will be accomplished in two to three seconds. The load in this group is lower as it has been shown that by performing power training at lighter loads, the muscles are able to be activated, throughout the entire concentric component, while maintaining a consistent level of force. The progression will be determined through the same means as the conventional strength training group. Participants will complete a total of 24 sessions over 12 weeks, twice per week for an hour each session