Evaluation of Ronnie Gardiner Method in Individuals With Parkinson's Disease

NCT02999997 | Completed

• 1 other identifier: LUH-4865
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

Parkinson's disease (PD) is typically associated with cognitive and movement related functional disabilities. One commonly described cognitive complaint is the ability to do several things simultaneously, defined as dual or multiple tasking. The Ronnie Gardiner Method (RGM) is a rhythm and music based rehabilitation intervention that includes components that will train this ability specifically in addition to postural control, motor learning, movement ability and general cognitive function. The aim with the present randomized controlled single-blinded trial is to evaluate the RGM with main focus on dual-task performance, compared to a control group, in individuals with PD. The control group will continue with everyday activities, including ordinary exercise activities, with no additional activity. Both groups will be evaluated pre-, post-, and after 3 months post intervention. Following outcome measures will be analyzed:

1. 1.dual task performance (motor-motor, and motor-cognitive)
2. 2.level of physical activity, motor function and balance
3. 3.cognitive function including memory and spatial function
4. 4.health-related quality of life, fear of falling, and freezing of gait
5. 5.qualitative interviews from focus group discussions

Conditions

Parkinson Disease

Keywords

Physical therapy modalities; Dual-task performance; Parkinson's disease; Active music therapy; Physical activity

Outcome Measures

Primary Outcomes (2)

• Timed Up and Go Cognitive (TUGcog) (motor-cognitive dual task)

  Time in seconds to complete the following sequence: stand up from a chair, walk 3 meters, turn, walk back to the chair and sit down with the addition of counting backwards with 7 from 100, 90, 80, 70, 60, or 50. Number of errors are noted. Higher speed indicated better function.

  Change from Baseline through study completion (at 12 weeks) and at 3 months

• Timed Up and Go manual (TUG manual) (motor-motor dual task)

  Time in seconds to complete the following sequence: stand up from a chair, walk 3 meters, turn, walk back to the chair and sit down with the additional task to carry a tray with two glasses of water. Higher speed indicates better function.

  Change from Baseline through study completion (at 12 weeks) and at 3 months

Secondary Outcomes (17)

• Dual-task cost (DTC)

  Change from Baseline through study completion (at 12 weeks) and at 3 months

• Mini-BESTest (Balance Evaluation Systems Test)

  Change from Baseline through study completion (at 12 weeks) and at 3 months

• Four Step Square Test, FSST

  Change from Baseline through study completion (at 12 weeks) and at 3 months

• Berg Balance Scale

  Change from Baseline through study completion (at 12 weeks) and at 3 months

• Chair stand 30 seconds

  Change from Baseline through study completion (at 12 weeks) and at 3 months

Study Arms (2)

Ronnie Gardiner Method (RGM)

EXPERIMENTAL

Exercising two times/week according to the RGM program in groups of 15 participants (2 groups).

Behavioral: Ronnie Gardiner Method (RGM)

Control group

NO INTERVENTION

Participants in the control group are instructed to live their ordinary life.

Interventions

Ronnie Gardiner Method (RGM) BEHAVIORAL

RGM includes functional exercises consisting of cognitively challenging multi-task exercises. The exercises are performed sitting down or standing up with weight shifting exercises. The practitioner projects unique symbols shaped as red or blue hands and feet on the wall in specific 'choreoscores' of 2-8 bars. Red symbolizes left side of the body, blue the right side. Each symbol is accompanied with a certain movement and sound code. To the sound of rhythmical music the participants follow the symbols beat by beat, performing the movements and pronouncing the word. The exercises are progressed by increasing the tempo of the music, or by using more symbols. The practitioner uses a shirt with the color red on one side, and blue on the other side, in order to facilitate for the participants.

Also known as: In Sweden and Israel known as RGRM

Ronnie Gardiner Method (RGM)

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Parkinson's disease, stage 1,5 to 4 on the Hoehn \& Yahr scale, community dwelling, stable medication, being able to walk at least 10 meters, being able to transport to the intervention facility, being able to follow instructions in Swedish

You may not qualify if:

• parkinsonism of other origin, color blindness, severely impaired vision or hearing

Sponsors & Collaborators

• University Hospital, Linkoeping: lead

Study Sites (1)

Neurological clinic, Linkoeping Universityhospital

Linköping, Östergötland County, 58185, Sweden

Location

Related Publications (2)

• Ernst M, Folkerts AK, Gollan R, Lieker E, Caro-Valenzuela J, Adams A, Cryns N, Monsef I, Dresen A, Roheger M, Eggers C, Skoetz N, Kalbe E. Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2024 Apr 8;4(4):CD013856. doi: 10.1002/14651858.CD013856.pub3.

  PMID: 38588457 DERIVED

• Ernst M, Folkerts AK, Gollan R, Lieker E, Caro-Valenzuela J, Adams A, Cryns N, Monsef I, Dresen A, Roheger M, Eggers C, Skoetz N, Kalbe E. Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 Jan 5;1(1):CD013856. doi: 10.1002/14651858.CD013856.pub2.

  PMID: 36602886 DERIVED

MeSH Terms

Conditions

Parkinson Disease; Motor Activity

Condition Hierarchy (Ancestors)

Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases; Behavior

Study Officials

• Petra Pohl, PhD, RPT

  University Hospital, Linkoeping

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, Researcher

Study Record Dates

• First Submitted: December 10, 2016
• First Posted: December 21, 2016
• Study Start: January 1, 2017
• Primary Completion: April 1, 2018
• Study Completion: May 1, 2018
• Last Updated: May 2, 2018

Record last verified: 2018-05

Locations

SE (1)