Evaluation of the Impact of a Personalized Program of Adapted Physical Activates in Patients With Parkinson Disease

Inclusion criteria

• The patient and their carer have given their free and informed consent and signed the consent form
• The patient must be insured of the beneficiary of an insurance policy
• The patient is available for the 6 month follow-up
• The patient is between 40 and 80 years old
• The patient has experienced symptoms of Parkinson Disease for at least 5 years and is in a stable state (no medical event or change of treatment in at least 1 month)
• The functional impact and duration of fluctuations is ≥3 (MDS UPDRS)
• The patient can walk autonomously, including using a technical aid
• The patient does not have any regular physical activity excluding physiotherapy sessions
• The patient has daily help from a caregiver

Exclusion criteria

• The subject and/or their caregiver is participating in another study
• The subject and/or their caregiver is in a period of exclusion determined by a previous study
• The patients is under judicial protection or state guardianship
• It proves impossible to give the patient and/or the caregiver clear information
• The patients and/or the caregiver reuses to sign the consent form
• The patient is pregnant or breast feeding
• The patient has anxiety or depression (Score HAD≥ 11/14), cardiac or respiratory failure (stress test), vesico-sphincter problems preventing normal practice of a physical activity, a contraindication to adapted physical activities
• The patient cannot walk
• Muscular tremor preventing the actigraphy measurement. Outside normal range values for UPDRS measures of: 3.15) postural tremor of the hands; 3.16) action tremor of the hands; 3.17) amplitude of rest tremor