The Impact of Three Distinct Exercise Types on Fatigue, Anxiety, and Depression in Parkinson's Disease

This is a multi-site trial (12 patients in each site). The investigators are recruiting 24
patients who will be randomized into either a spinning class, yoga class, dance class, or no
exercise intervention. Classes will be conducted twice a week for 6 weeks total at times
convenient for the patients. Patients will also be asked to complete questionnaires after
exercise classes to see if the exercise intervention improves measures of fatigue, anxiety,
and depression - and what exercise intervention may be superior. All participants will be
asked to complete questionnaires each week and will be asked to wear a "Microsoft exercise
band" during the course of the study. Use of the exercise band is optional.

Inclusion Criteria:

1. Subjects diagnosed with Idiopathic Parkinson's Disease

2. Age between 18 - 75 years

3. Hoehn and Yahr stage less than or equal to 3

4. Mini-Mental State Exam (MMSE) score of over 23 at screening

5. If subjects are taking any medications for depression, fatigue, or anxiety, regimen
must be stable for 8 weeks prior to baseline visit

6. Subjects willing and able to give informed consent

Exclusion Criteria:

1. Subjects with a diagnosis of an atypical Parkinsonism

2. Subjects unwilling or unable to obtain Health Waiver from Primary Care Provider

3. Score of 60 or more on UPDRS III at screening

4. Scores in the 'normal' range on all three study assessments: Beck Depression Index II,
Fatigue Severity Scale, and Zung self-rating Anxiety Scale

5. Participation in any of the 3 physical activities more than 3 times in the past for 8
weeks prior to baseline

6. Any other reason that, in the investigator's opinion, would exclude the subject from
participation in the study