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Effects of Aerobic Exercise on Disease Severity and Walking Ability in Patients with Parkinson's Disease

  • Bang, Dae-Hyouk (Department of Physical Therapy, Oriental Hospital, WonKwang University) ;
  • Noh, Hyeon-Jeong (Department of Rehabilitation Center, Design Hospital)
  • Received : 2016.07.11
  • Accepted : 2016.08.30
  • Published : 2016.08.31

Abstract

Purpose: This study was conducted to explore the effects of aerobic exercise on the severity of disease and walking ability in patients with Parkinson's disease. Methods: Twelve patients with Parkinson's disease participated in the study. Participants were randomly assigned to either an aerobic exercise group (n=6) or a self-exercise group (n=6). All participants underwent treadmill training for 30 minutes. In addition, the experimental group (aerobic exercise group) and control group (self-exercise group) participated in a 30 minutes exercise program. In both groups, exercise was performed five times a week for four weeks. Outcome including disease severity (Unified Parkinson's Disease Rating Scale) and walking ability (10 m walking speed test, 6 minutes walking test, timed up-and-go test) were measured at baseline and after 4-weeks. Results: Significant differences in disease severity and walking ability were observed between the pre- and post-exercise groups (p<0.05). The improvement of disease severity and walking endurance was significantly higher in the experimental group than in the control group (p<0.05). Conclusion: These findings demonstrate that aerobic exercise is effective at improving disease severity and walking endurance in patients with Parkinson's disease.

Keywords

References

  1. Cakit BD, Saracoglu M, Genc H et al. The effects of incremental speed-dependent treadmill training on postural instability and fear of falling in parkinson's disease. Clin Rehabil. 2007;21(8):698-705. https://doi.org/10.1177/0269215507077269
  2. Monteiro EP, Franzoni LT, Cubillos DM et al. Effects of nordic walking training on functional parameters in parkinson's disease: A randomized controlled clinical trial. Scand J Med Sci Sports. 2016.
  3. Kim MY, Kim CH, Lim BO. The effect of 12-week exercise program on freezing of gait in patients with parkinson's disease. Kor J Phys Edu. 2014;53(3):739-47.
  4. Bang DH, Shin WS, Kim SY et al. The effects of action observational training on walking ability in chronic stroke patients: A double-blind randomized controlled trial. Clin Rehabil. 2013;27(12):1118-25. https://doi.org/10.1177/0269215513501528
  5. Morris ME, Huxham F, McGinley J et al. The biomechanics and motor control of gait in parkinson disease. Clin Biomech (Bristol, Avon). 2001; 16(6):459-70. https://doi.org/10.1016/S0268-0033(01)00035-3
  6. Lee KS, Choe HS, Lee JH. Influence of visual feedback training on the balance and walking in stroke patients. J Kor Phys Ther. 2015;27(6):407-12. https://doi.org/10.18857/jkpt.2015.27.6.407
  7. Bloem BR, Grimbergen YA, Cramer M et al. Prospective assessment of falls in parkinson's disease. J Neurol. 2001;248(11):950-8. https://doi.org/10.1007/s004150170047
  8. Abbruzzese G, Marchese R, Avanzino L et al. Rehabilitation for parkinson's disease: Current outlook and future challenges. Parkinsonism Relat Disord. 2016;22 Suppl 1:S60-4. https://doi.org/10.1016/j.parkreldis.2015.09.005
  9. Tseng IJ, Yuan RY, Jeng C. Treadmill training improves forward and backward gait in early parkinson disease. Am J Phys Med Rehabil. 2015; 94(10):811-9. https://doi.org/10.1097/PHM.0000000000000273
  10. Frazzitta G, Balbi P, Maestri R et al. The beneficial role of intensive exercise on parkinson disease progression. Am J Phys Med Rehabil. 2013; 92(6):523-32. https://doi.org/10.1097/PHM.0b013e31828cd254
  11. Tuon T, Valvassori SS, Dal Pont GC et al. Physical training prevents depressive symptoms and a decrease in brain-derived neurotrophic factor in parkinson's disease. Brain Res Bull. 2014;108:106-12. https://doi.org/10.1016/j.brainresbull.2014.09.006
  12. Hauser RA, Abler V, Eyal E et al. Efficacy of rasagiline in early parkinson's disease: A meta-analysis of data from the tempo and adagio studies. Int J Neurosci. 2016:1-5.
  13. Lista Paz A, Gonzalez Doniz L, Ortigueira Garcia S et al. Respiratory muscle strength in chronic stroke survivors and its relation with the 6-minute walk test. Arch Phys Med Rehabil. 2016;97(2):266-72. https://doi.org/10.1016/j.apmr.2015.10.089
  14. Mehrholz J, Wagner K, Rutte K et al. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke. Arch Phys Med Rehabil. 2007;88(10):1314-9. https://doi.org/10.1016/j.apmr.2007.06.764
  15. Sandberg K, Kleist M, Falk L et al. Effects of twice-weekly intense aerobic exercise in early subacute stroke: A randomized controlled trial. Arch Phys Med Rehabil. 2016.
  16. Ahlskog JE. New and appropriate goals for parkinson disease physical therapy. JAMA Neurol. 2016;73(3):269-70. https://doi.org/10.1001/jamaneurol.2015.4449
  17. Yu KH, Jeon HS. The effect of dual-task gait training on gait performance under cognitive tasks in chronic stroke. J Kor Phys Ther. 2015; 27(5):364-8. https://doi.org/10.18857/jkpt.2015.27.5.364
  18. Pohl M, Rockstroh G, Ruckriem S et al. Immediate effects of speed-dependent treadmill training on gait parameters in early parkinson's disease. Arch Phys Med Rehabil. 2003;84(12):1760-6. https://doi.org/10.1016/S0003-9993(03)00433-7
  19. Ganesan M, Sathyaprabha TN, Pal PK et al. Partial body weight-supported treadmill training in patients with parkinson disease: Impact on gait and clinical manifestation. Arch Phys Med Rehabil. 2015;96(9): 1557-65. https://doi.org/10.1016/j.apmr.2015.05.007
  20. Mehrholz J, Kugler J, Storch A et al. Treadmill training for patients with parkinson's disease. Cochrane Database Syst Rev. 2015;8:CD007830.
  21. Miyai I, Fujimoto Y, Ueda Y et al. Treadmill training with body weight support: Its effect on parkinson's disease. Arch Phys Med Rehabil. 2000; 81(7):849-52. https://doi.org/10.1053/apmr.2000.4439
  22. Danielsson A, Sunnerhagen KS. Oxygen consumption during treadmill walking with and without body weight support in patients with hemiparesis after stroke and in healthy subjects. Arch Phys Med Rehabil. 2000; 81(7):953-7. https://doi.org/10.1053/apmr.2000.6283
  23. Gordon NF, Gulanick M, Costa F et al. Physical activity and exercise recommendations for stroke survivors: An american heart association scientific statement from the council on clinical cardiology, subcommittee on exercise, cardiac rehabilitation, and prevention; the council on cardiovascular nursing; the council on nutrition, physical activity, and metabolism; and the stroke council. Stroke. 2004;35(5):1230-40. https://doi.org/10.1161/01.STR.0000127303.19261.19
  24. Tang A, Sibley KM, Thomas SG et al. Effects of an aerobic exercise program on aerobic capacity, spatiotemporal gait parameters, and functional capacity in subacute stroke. Neurorehabil Neural Repair. 2009;23(4): 398-406. https://doi.org/10.1177/1545968308326426
  25. Murray DK, Sacheli MA, Eng JJ et al. The effects of exercise on cognition in parkinson's disease: A systematic review. Transl Neurodegener. 2014; 3(1):5. https://doi.org/10.1186/2047-9158-3-5

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