Aquatic High-Intensity Interval Training for Parkinson's Disease

Summary

This randomized, single-center, parallel-group superiority trial will evaluate the effect of an 8-week aquatic High-Intensity Interval Training (HIIT) program on balance, physical function, and sarcopenia-related outcomes in individuals with Parkinson's disease (PD). The intervention aims to deliver Tabata-style aquatic HIIT (3 sessions/week) in a therapeutic pool to determine adherence and preliminary efficacy compared with standard care (no structured exercise program).

Eligibility

Inclusion Criteria:

* PD stages 2-3 based on Hoehn and Yahr classification system
* Balance difficulty (BBS score \<45)
* Reduced motor function
* Sarcopenia (per EWGSOP2 criteria)
* Age ≥ 55
* Permission from their doctors to participate
* Absence of a history of myocardial infarction within the past 3 months
* Capacity to provide informed consent to participate in the study

Exclusion Criteria:

* Cardiac instability (angina, decompensated congestive heart failure, severe arteriovenous stenosis, uncontrolled arrhythmias, etc.)
* Active infection or acute medical illness
* Hemodynamic instability
* Labile glycemic control
* Inability to exercise (e.g. lower extremity amputation with no prosthesis)
* Severe musculoskeletal pain at rest or with minimal activity
* Inability to sit, stand or walk unassisted (walking device such as cane or walker allowed)
* Shortness of breath at rest or with activities of daily living

Conditions2

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