Kevin Freeman

Just a reminder that you can still catch up with all of the presentations from #PTTC20 - that's the great thing about a twitter conference! You can find them all on @InBetaPhysio or here is my meta-thread of each of the first tweets Literally the conference in a🧵👇

Please welcome a group of presenters for our fifth presentation @kevinfreemanspt, Andre Porterfield and Curtis Winter #PTTC20

@JanetThomas47 Our results showed statistically significant improvements. As far as clinically significant the MCID's are spotty in regards to our outcome measures so we are not able to confidently give a yes or no answer there. #PTTC20

@KevinFreemanSPT Statistically significant or did they also reach clinically significant levels? #PTTC20

(1/10): Feasibility and effects of whole-body drumming to music in people with Parkinson’s Disease: A case series #PTTC20 #ATSUDPT

@robgrieve17 We did not consider any qualitative questions for our study but that would be another interesting area to explore further. We assessed our feasability through attendance and adverse effects such as falls, etc. #PTTC20

@KevinFreemanSPT Did you consider including qualitative questions to help ascertain acceptability and feasibility of intervention?

@JanetThomas47 We would hypothesize the fact subjects performed the outcome measures twice already before final post testing may have had some impact. The participants also may have been more active in the month post drumming due to improved confidence gained seen in the GSE & PDQ39 #PTTC20

@KevinFreemanSPT Do you have a hypothesis as to why the improvement was only 1 month post testing (and I assume 1 month post class participation?) #PTTC20

@SRIDHAR_PHYSIO Our participants ranged from stage 1-stage 4. #PTTC20

@KevinFreemanSPT All patients are under which category Hoehn and Yahr scale?

@AzFarris Thank you Dr. Farris!

@robgrieve17 We measured pain subjectively asking patients to use the numeric pain scale (0-10)before/after class We did not formally track these numbers but this may be an area further studies can examine to gain a better understanding on the impact this class had on pain levels. #PTTC20

@KevinFreemanSPT How did you measure pain?

@xXHelena23Xx We aimed for our song choices to be in the 100-125 bpm range. Slower songs were used for warm up and cool down and faster paced songs were occasionally added for a cardio aspect. Participants were just asked to perform their best and modifications were given if needed #PTTC20

@KevinFreemanSPT I am curious to know how many bpm the music was, were participants expected to keep up with the beat. Any difference with faster vs slower music?

@jillfromrhyl We used the PWR! move concepts in our drumming movements so other large amplitude movement patterns could still be benficial without the drumming. The drumming aspect brought in some principles of motor learning to keep the participants engaged. #PTTC20

@KevinFreemanSPT Great study. Curious- do you think it was the specificity of drumming or could different movement be used?

@bri_kerr22 Based off our class we would say 1 instructor to 5 participants or so would be safe. With a larger class it would always be good to have 1 person available to float around the class to ensure safety and understanding of the movements. #PTTC20

@KevinFreemanSPT Very interesting! What do you feel is the appropriate participant to instructor ratio to ensure safety of the participants, reduce risk of falls etc. #PTTC20

@SRIDHAR_PHYSIO We did not follow any other specific protocol treatment wise for this study. Just that the participants did not participate in outside drumming classes. #PTTC20

@KevinFreemanSPT Did any other treatment protocol followed?

@bendotellis We did not collect any qualitative data on this althought that would have been an interesting. All our quantitative data resulted in positive responses from the participants. #PTTC20

@KevinFreemanSPT Did you collect any qualitative data around perception of the classes to complement the quantitative data (even if only anecdotal)? Would be interesting to know what forms of group exercise have most appeal for patients #PTTC20

@McIsaacTara Yes, the wrong table was uploaded I apologize. I will upload the correct one now. #PTTC20

(10/10): Future studies are warranted, utilizing a larger sample size and a broader spectrum of people with PD to improve the efficacy of application among that population. #PTTC20 #ATSUDPT

(9/10): Whole-body drumming classes to music may be a feasible intervention to improve functional mobility, decrease fall risk and improve PD related health quality and self-efficacy in people with mild to moderately severe PD. #PTTC20 #ATSUDPT