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Table 2 Levels and progression of each exercise station

From: Balance telerehabilitation and wearable technology for people with Parkinson’s disease (TelePD trial)

Exercise station

Level

Safety modifications

Sensory level

Speed level (metronome)

Dual-task level

Tai Chi (10 min):

prayer wheel, cat walk, cloud hands

1

UEs on counter/chair

None

None

None

2

Hands hovering or near the wall

None

None

None

3

No UE support

None

None

None

Kayaking (5 min):

basic stroke

1

Seated

Eyes open

Slow: 25 bpm

None

2

Standing leaning against the counter

Eyes closed

Medium: 35 bpm

Easy level (cognitivea, motorc)

3

Standing without support

Foam pad

Fast: 45 bpm

Hard level (cognitiveb, motord)

Agility (15 min):

footwork drill, speed skater, toe taps

1

UE support on chair or counter

None

None

None

2

No UE support

Sunglasses

None

Easy level (cognitivea, motore)

3

No UE support + movement

Foam pad

None

Hard level (cognitiveb, motorf)

Boxing (5 min):

jab/cross/upper cut combo

1

Standing leaning against counter

Eyes open

metronome can be used

None

2

Standing without support

Eyes closed

metronome can be used

Easy level (cognitivea)

3

Standing without support + stepping

Foam pad

metronome can be used

Hard level (cognitiveb)

Lunges (5 min):

clock stepping

1

UE support on chair or counter

Eyes open

metronome can be used

None

2

No UE support

Sunglasses

metronome can be used

Easy level (cognitivea, motorg)

3

No UE support + head rotation R/L with each step

Foam pad

metronome can be used

Hard level (cognitiveb, motorh)

Strength and Flexibility (15 min):

sit to stand, bridge, shoulder release, cobra, trunk extension, cat camel

1

Bed

None

None

None

2

Floor transfer with UE

None

None

None

3

Floor transfer without UE support

None

None

None

  1. Abbreviations: UE Upper extremities, R Right, L Left
  2. acognitive task: verbal fluency (e.g., naming animals, countries, fruits, girl/boy name) and serial subtraction (3 or 7 starting at 100)
  3. bcognitive task: serial subtraction (3 or 7 starting at 5000), counting backwards, spelling backwards, saying alphabet backward, naming a girl/boy name for every letter of the alphabet, repeating back each name each time (e.g., A Annabel, A Annabel B Becky, A Annabel B Becky C Catthy, etc.)
  4. cmotor task: march in place
  5. dmotor task: march in place with knee kick
  6. emotor task: ball toss/catch
  7. fmotor task: balance ball on the cone with movement
  8. gmotor task: reach in the direction of the step
  9. hmotor task: ball catch