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

Inclusion Criteria:

1. Diagnosis of idiopathic PD from movement disorders neurologist with the UnitedKingdom Brain Bank criteria of bradykinesia and one or more of the following - resttremor, rigidity, and balance problems not from visual, vestibular, cerebellar orproprioceptive conditions

2. responsive to levodopa (self-reported)

3. Hoehn & Yahr stages I-III;

4. ages 55-85 years old

5. ability to follow directions in order to participate in testing procedures andexercise classes

6. free of any medical conditions or medication that contraindicates participation inan exercise program

7. willing and able to participate in rehabilitation intervention approximately 3x/weekfor 4 weeks while also refraining from making changes to medications (as reasonable)or to other exercise programs during the study period.

Exclusion Criteria:

1. Major musculoskeletal or neurological disorders, structural brain disease, epilepsy,acute illness or health history, other than PD, significantly affecting gait andbalance (i.e., musculoskeletal disorder, vestibular problem, head injury, stroke,cardiac disease, etc.)

2. no medical condition that precludes exercise

3. cognitive inability to participate in an exercise program, such as MoCA score lessthan or equal to 19, prior diagnosis of dementia or inability to follow directions

4. recurrent fallers, defined as those who fall more than 3 times a week (from patientand caregiver recollection)

5. excessive use of alcohol or recreational drugs

6. recent change in medication

7. inability to stand and walk for ISAW without an assistive device.