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Writer's pictureIsabella Pozzi

How Do We Measure Parkinson's Patients' Symptoms and Improvement?


Rock Steady Boxing participants began the study last week. Participants were assessed for balance, mobility, strength, and quality of life by undergoing a modified mini-BEST test, a “Timed Up and Go” test, and completing the PDQ-39 self-assessment. These measurements will serve as a baseline and will be compared to their results at the end of the study. If Rock Steady Boxing has a significant effect on Parkinson's symptoms, the participants should perform better on the assessments at the end of the study compared to the beginning of the research period.



Diagram of the TUG test.


What are each of the assessments?


Study participants performed a modified mini-BEST test, a “Timed Up and Go” test, and completed the PDQ-39 self-assessment. The mini-BEST test was developed at OHSU and is designed to assess the balance of the participant. It is used globally for this purpose and is commonly administered to Parkinson’s patients. It typically consists of 14 balance assessments that are scored on a scale of 0 to 2, with 2 being the best. Based on the personnel and equipment we have available, we modified the test to only consist of 8 balance assessments. Assessments included standing on one leg, ability to clear an obstacle, walking while turning head, ability to turn 180 degrees and come to a stop, and balancing with heels raised. If the total score increases during the course of the project it indicates that there has been improvement in the participant’s balance and other Parkinson’s symptoms. The TUG test, also known as the “Timed Up and Go” test, is used to assess strength and ease of movement. The test consists of a participant sitting in a chair, then standing up and walking 10 feet away before turning around and returning to sitting in the chair. As Parkinson’s patients have trouble initiating movement, a reduced amount of time for a participant to perform the test indicates an improvement in their Parkinson’s symptoms. Finally the PDQ39 is a 39 question quality of life survey filled out by participants that is used to assess Parkinson’s patients quality of life. It is commonly chosen for research for its ease of use as well as its accuracy. If the participant reports an improved quality of life at the end of the project it indicates that there has been an improvement in their Parkinson’s symptoms.

What happens next?


Participants will continue to attend their Rock Steady Boxing classes as normal. Exercises performed during the class will be noted to determine if the type of exercise is significant. Check back next week for updates on the study's progress. More information on Rock Steady Boxing can be found here: https://rebelfitclub.com/

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