A pilot study of a minimally supervised home exercise and walking program for people with Parkinson's disease in Jordan

Hanan Khalil, Monica Busse, Lori Quinn, Mohammad Nazzal, Waleed Batyha, Shatha Alkhazaleh, Mahmoud A Alomari
2017 Neurodegenerative Disease Management  
word count: [249 words] Manuscript word count: [3498 words] Abstract Purpose: This study aimed to evaluate the feasibility and cultural considerations of a minimally-supervised, home-based exercise program in Jordan. Methods: Quantitative and qualitative approaches were used. Thirtyparticipants were randomly allocated to either an 8 week intervention group (n=16), or a standard care group(n=14).The intervention incorporated the home use of an exercise DVD, walking program, and initial
more » ... nal sessions and weekly phone calls provided by a physiotherapist. Interviews were used to explore feasibility. Unified Parkinson's disease Rating Scale (UPDRS-III); balance and walking speed were assessed. Results: The retention rate was 86.7% and mean adherence rate was77%. Personal and sociocultural barriers of adherence to the exercise program were identified. UPDRS-III at follow up was lower in the intervention group. Conclusions: A home exercise program was feasible. Socio-cultural barriers specific to Arabic culture may affect the uptake of such an intervention in PD in these countries.
doi:10.2217/nmt-2016-0041 pmid:28097926 fatcat:6gs2xoexebatnhnzhr6i7yzcta