Balance Tele-Rehab in Parkinson's Disease Parkinson's Disease

This project will determine the feasibility and efficacy of remote assessment and treatment of balance disorders in people with Parkinson's disease.

Inclusion Criteria:Diagnosis of idiopathic PD from movement disorders neurologist with the United Kingdom Brain Bank criteria of bradykinesia and one or more of the following - rest tremor, rigidity, and balance problems not from visual, vestibular, cerebellar or proprioceptive conditionsresponsive to levodopa (self-reported)Hoehn & Yahr 62 stages I-III;ages 55-85 years oldability to follow directions in order to participate in testing procedures and exercise classesfree of any medical conditions or medication that contraindicates participation in an exercise programwilling and able to participate in rehabilitation intervention 3x/week for 4 weeks while also refraining from other exercise programs or changes in medications during the study period.Exclusion Criteria:Major musculoskeletal or neurological disorders, structural brain disease, epilepsy, acute illness or health history, other than PD, significantly affecting gait and balance (i.e., musculoskeletal disorder, vestibular problem, head injury, stroke, cardiac disease, etc.)no medical condition that precludes exercise≤ 21 Montreal Cognitive Assessment (MoCA), or prior diagnosis of dementia, or inability to follow directionsrecurrent fallers, defined as multiple falls each day (from patient and caregiver recollection)excessive use of alcohol or recreational drugsrecent change in medicationinability to stand and walk for ISAW without an assistive device.