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

Neurodegener Dis Manag. 2017 Feb;7(1):73-84. doi: 10.2217/nmt-2016-0041. Epub 2017 Jan 18.

Abstract

Aim: 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. Thirty participants 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 instructional 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 was 77%. Personal and sociocultural barriers of adherence to the exercise program were identified. UPDRS-III at follow-up was lower in the intervention group.

Conclusion: A home exercise program was feasible. Sociocultural barriers specific to Arabic culture may affect the uptake of such an intervention in Parkinson's disease in these countries.

Keywords: DVD; Parkinson's disease; adherence; social support.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cultural Characteristics*
  • Exercise Therapy*
  • Feasibility Studies
  • Humans
  • Jordan
  • Middle Aged
  • Parkinson Disease / rehabilitation*
  • Patient Compliance
  • Pilot Projects
  • Walking Speed
  • Walking*