Reference : Effects of twelve weeks of aerobic or strength training in addition to standard care ...
Scientific journals : Article
Human health sciences : Neurology
Human health sciences : Orthopedics, rehabilitation & sports medicine
http://hdl.handle.net/2268/204056
Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson’s disease: a controlled study
English
Demonceau, Marie mailto [Université de Liège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation >]
MAQUET, Didier [Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur >]
Jidovtseff, Boris mailto [Université de Liège > Département des sciences de la motricité > Déterm. perf. & asp. gén.et spéc.de l'entr.y comp.de ht niv. >]
Donneau, Anne-Françoise mailto [Université de Liège > Département des sciences de la santé publique > Biostatistique >]
Croisier, Jean-Louis mailto [Université de Liège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation >]
Crielaard, Jean-Michel mailto [Université de Liège > Département des sciences de la motricité > Département des sciences de la motricité >]
RODRIGUEZ DE LA CRUZ, Carlos [Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie >]
DELVAUX, Valérie mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service de neurologie (CHR) >]
2017
European Journal of Physical and Rehabilitation Medicine
52
Yes (verified by ORBi)
International
1973-9087
[en] parkinson's disease ; rehabililitation ; exercise
[en] BACKGROUND: Physical exercises in addition to standard care (SC) in patients with Parkinson’s disease (PD) are now common practice in many care units. However, exercises can cover a wide range of interventions, and the specific effects of different interventions still deserve to be further investigated.
AIM: To compare the effects of 12 weeks of two different types of physical exercises with SC in patients suffering from PD.
DESIGN: Pseudo-randomized controlled trial.
SETTING: University laboratory for outcomes, University Hospital Centre for interventions.
POPULATION: Fifty-two outpatients suffering from mild to moderate PD at baseline.
METHODS: Participants were allocated to 3 groups: the strength training (ST) group performed individualized upper and lower limbs strength training, the aerobic training (AE) group performed tailored gradual aerobic cycling, and the third group received SC. The effects of the interventions on body function were assessed by measuring isokinetic concentric peak torque for knee extension and flexion, peak oxygen consumption (VO2peak) and peak work load (PWL) during an incremental maximal cycling test. Changes in mobility were evaluated from spatial-temporal gait features measured by mean of an accelerometer system and the six-minute walk distance (6mwd) test. We used questionnaires to estimate health-related quality of life and habitual physical activity.
RESULTS: No significant changes in any outcome measures occurred in the SC group. More than 80% of the participants adequately completed the AE and the ST interventions. The ST group significantly improved all peak torque measures (p≤0.01), except knee extension in the least affected side (p=0.13). This group also improved the PWL (p=0.009) and 6mwd (p=0.03). The AE group improved the VO2peak (p=0.02) and PWL (p<0.001).
CONCLUSION: Physical fitness in patients with PD rapidly improved in compliance with training specificities, but better fitness hardly translated into better mobility and health-related quality of life.
CLINICAL REHABILITATION IMPACT: Physiotherapists can efficiently propose physical conditioning to patients with mild to moderate PD, but these interventions are insufficient to improve gait and participation. Notwithstanding, ST is an efficient intervention for improving walking capacity.
Centre de Recherches du Cyclotron - CRC
la fondation universitaire
http://hdl.handle.net/2268/204056
10.23736/S1973-9087.16.04272-6

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