title: Community-based exercise and wellness program for people diagnosed with Parkinson disease:  experiences from a 10-month trial.
abstract: OBJECTIVE
  This study considered whether a therapy community could create an infrastructure for developing and maintaining a service delivery model grounded in a clinic-based physiotherapy model. A longitudinal clinical study was conducted to assess the abilities of participants with Parkinson disease in a 10-month community exercise program.
  
  
  METHODS
  Fifteen individuals averaging stage 3 on the Hoehn and Yahr scale, 6 years since Parkinson disease diagnosis, and 72 years old, participated.
  
  
  RESULTS
  Graphical analysis of ambulation endurance demonstrated the strongest improvement over time (11%). Walking speeds, balance, and mobility showed a maintenance effect over the 10 months. The total unified Parkinson disease rating scale, activities of daily living subscale, and motor subscale remained statistically unchanged in the study. Scores on the unified Parkinson disease rating scale mentation, behavior, and mood subscale improved by 38%. None of the scores met or exceeded the minimal detectable change, MDC95 but two scores demonstrated more than 10% change.
  
  
  CONCLUSIONS
  This clinical study implemented previous short-term research findings into an ongoing community wellness program for individuals with Parkinson disease. No community-based studies have demonstrated an ability to maintain a group for an extended time frame. Group exercise including forward and backward treadmill training, designed and monitored by a physical therapist, may improve or maintain functional outcomes.
authors.affiliation: Physical Therapy Program, Regis University, Denver, Colorado 80221, USA. tsteffen@regis.edu
authors.forename: Teresa
authors.initials: T
authors.lastname: Steffen
authors.forename: Cheryl
authors.initials: C
authors.lastname: Petersen
authors.forename: Leah
authors.initials: L
authors.lastname: Dvorak
mesh_terms: D000368:Aged; D003153:Community Health Services / Q000458:organization & administration*; D015444:Exercise; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D010300:Parkinson Disease / Q000503:physiopathology / Q000534:rehabilitation* / Q000628:therapy; D004856:Postural Balance; D016138:Walking