Efficacy of a multimodal physical exercise program of the functional physical capacity of patients with Parkinson´s disease
DOI:
https://doi.org/10.24310/riccafd.13.3.2024.20526Keywords:
functional physical capacity, aerobic exercise, neuromotor exercise, strengthening training, Parkinson’s diseaseAbstract
Background: Parkinson's disease (PD) progressively affects people and is characterized by disabling disorders. Physical exercise positively influences the clinical manifestations and complications of the disease. However, there is little research on its effects on functional physical capacity. This study aimed to evaluate the effectiveness of a multimodal program (aerobic exercise, strengthening, and neuromotor skills training) on the functional physical capacity of patients with PD. Methodology: a randomized, single-blind, longitudinal clinical study. Forty patients from Yucatan, Mexico, aged 50 or older with PD, stages II and III (H & Y), performed physical exercise (multimodal program, N=20, vs neuromotor exercises, N=20), three times a week for twelve weeks. Functional physical capacity (muscle strength, flexibility, aerobic endurance, and dynamic balance) was evaluated using the Senior Fitness Test (SFT) before, during, and after the interventions. Results: No statistically significant differences were found between a multimodal intervention program and a neuromotor program (p˃.05). At the end of each intervention, a statistically significant improvement was observed in muscle strength (p˂.001), aerobic endurance (p˂.001), flexibility (p ˂.001) and dynamic balance (p ˂.001). Conclusion: A program based on multimodal or neuromotor physical exercise is safe and improves the functional physical capacity of patients with PD, promoting greater functionality and quality of life.
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Armstrong MJ, Okun MS. Diagnosis and treatment of Parkinson Disease. A review. JAMA. 2020;323(6):548-60. doi:10.1001/jama.2019.22360.
Rodríguez-García PL. Diagnóstico y tratamiento médico de la enfermedad de Parkinson. Rev Cubana Neurol Neurocir [revista en Internet]. 2020 [citado 20 Ene 2024]; 10 (1):e285.
Liu HH, Yeh NC, Wu YF, Yang YR, Wang RY, Cheng FY. Effects of Tai Chi exercise on reducing falls and improving balance performance in Parkinson´s disease: a Meta-Analysis. Parkinsons Dis. 2019; 2019: e9626934. https://doi.org/10.1155/2019/9626934.
Van der Kolk NM. Towards a prescription for exercise for persons with Parkinson’s disease. Nenderlands: Donders Series. 2020.
Mak MK, Wong-Yu IS, Shen X, Chung CL. Long-term effects of exercise and physical therapy in people with Parkinson disease. Nat Rev Neurol. 2017; 13:689-703. doi: 10.1038/nrneurol.2017.128.
Paolucci T, Sbardella S, La Russa C, Agostini F, Mangone M, Tramontana L, et al. Evidence of rehabilitative impact of progressive resistance training (PRT) programs in Parkinson’s disease: an umbrella review. Parkinsons Dis. 2020;2020:e9748091. https://doi.org/10.1155/2020/9748091.
Santos SM, da Silva RA, Terra MB, Almeida IA, de Melo LB, Ferraz HB. Balance versus resistance training on postural control in patients with Parkinson’s disease: a randomized controlled trial. Eur J Phys Rehabil Med. 2017;53(2):173-83. DOI: 10.23736/S1973-9087.16.04313-6.
Ellis T, Rochester L. Mobilizing Parkinson’s disease: the future of exercise. J Parkinsons Dis. 2018;8(s1):S95-S100. DOI 10.3233/JPD-181489.
Martínez-Fernández R, Gasca-Salas C, Sánchez-Ferro A, Obeso JA. Actualización en la enfermedad de Parkinson. Rev Med Clin Las Condes. 2016;27(3):363-79.
Crotty GF, Schwarzschild MA. Chasing protection in Parkinson’s disease: Does exercise reduce risk and progression? Front Aging Neurosci. 2020;12:186. doi: 10.3389/fnagi.2020.00186.
Quan H, Koltai E, Suzuki K, Aguiar AS, Pinho R, Boldogh I, et al. Exercise, redox system and neurodegenerative diseases. Molecular Basis Dis. 2020;1866(10):165778. https://doi.org/10.1016/j.bbadis.2020.165778.
Ramazzina I, Bernazzoli B, Costantino C. Systematic review on strength training in Parkinson’s disease: an unsolved question. Clin Interv Aging. 2017;12:619-28. doi: 10.2147/CIA.S131903.
Osborne JA, Botkin R, Colon-Semenza C, DeAngelis TR, Gallardo OG, Kosakowski H, et al. Physical therapist management of Parkinson disease: a clinical practice guideline from the American Physical Therapy Association. Phys Ther. 2022;102(4):1-36. https://doi.org/10.1093/ptj/pzab302.
Ellis TD, Colón-Semenza C, DeAngelis TR, Thomas CA, Saint-Hilaire MH, Earhart GM, et al. Evidence for early and regular physical therapy and exercise in Parkinson’s disease. Semin Neurol. 2021; 41(2):189-205. doi:10.1055/s-0041-1725133.
Pang MY. Physiotherapy management of Parkinson’s disease. J Physiother. 2021;67(3):163-76. doi: 10.1016/j.jphys.2021.06.004.
Schootemeijer S, van der Kolk N, Bloem BR, de Vries NM. Current perspectives on aerobic exercise in people with Parkinson’s disease. Neurotherapeutics. 2020;17(4):1418-33. doi: 10.1007/s13311-020-00904-8.
Cheng YC, Su CH. Evidence supports PA prescription for Parkinson's disease: motor symptoms and non-motor features: a scoping review. Int J Environ Res Public Health. 2020;17(8):2894. doi:10.3390/ijerph17082894.
De Oliveira MPB, Lobato DFM, Smaili SM, Carvalho C, Carvalho JB. Effect of aerobic exercise on functional capacity and quality of life in individuals with Parkinson’s disease: A systematic review of randomized controlled trials. Arch Gerontol Geriatr. 2021; 95:104422. https://doi.org/10.1016/j.archger.2021.104422.
Gobbi LTB, Pelicioni PHS, Lahr J, Lirani-Silva E, Teixeira-Arroyo C, Rocha dos Santos PC. Effect of different types of exercises on psychological and cognitive features in people with Parkinson's disease: a randomized controlled trial. Annals Phys Rehabil Med. 2021;64(1):101407. https://doi.org/10.1016/j.rehab.2020.05.011.
Capato TTC, de Vries NM, IntHout J, Barbosa ER, Nonnekes J, Bloem BR. Multimodal balance training supported by rhytmical auditory stimuli in people with Parkinson’s disease: a randomized clinical trial. J Parkinsons Dis. 2020;10(1):333-46. DOI 10.3233/JPD-191752.
Rodríguez-Violante M, Cervantes-Arriaga A. La escala unificada de la enfermedad de Parkinson modificada por la Sociedad de Trastornos del Movimiento (MDS-UPDRS): aplicación clínica e investigación. Arch Neurocien. 2021;19(3):157-63.
Aguilar-Navarro SG, Mimenza-Alvarado AJ, Palacios-García AA, Samudio-Cruz A, Gutiérrez-Gutiérrez LA, Ávila-Funes JA. Validez y confiabilidad del MoCA (Montreal Cognitive Assessment) para el tamizaje del deterioro cognoscitivo en México. Rev Colomb Psiquiat. 2018;47(4):237-43. https://doi.org/10.1016/j.rcp.2017.05.003.
Kulisevsky J, Luquin MR, Arbelo JM, Burguera JA, Carrillo F, Castro A, et al. Enfermedad de Parkinson avanzada. Características clínicas y tratamiento (parte I). Neurol. 2013;28(8):503-21. doi:10.1016/j.nrl.2013.05.001.
Cancela JM, Ayán C, Gutiérrez-Santiago A, Prieto I, Varela S. The Senior Fitness Test as a functional measure in Parkinson’s disease: a pilot study. Parkinsonism Relat Disord. 2012; 18(2):170-173. doi: 10.1016/j.parkreldis.2011.09.016.
Cobo-Mejía EA, Ochoa-González ME, Ruiz-Castillo LY, Vargas-Niño DM, Sáenz-Pacheco AM, Sandoval-Cuellar C. Confiabilidad del “Senior Fitness Test” versión en español, para población adulta mayor en Tunja-Colombia. Arch Med Dep [Internet]. 2016 [citado 20 Junio 2022]; 33(6):382-86.
Urgacz K, Cholewa J, Uher I, Sahin B, Cholewa J. Senior Fitness Test in assessing the effectiveness of physical rehabilitation in the contexto f Parkinson’s disease patient’s quality of life. Phys Activity Rev. 2018;6:110-16. doi: 10.16926/par.2018.06.15.
Cholewa J, Cholewa J, Nawrocka A, Gorzkowska A. Senior Fitness Test in the assessment of the physical fitness of people with Parkinson’s disease. Exp Gerontol. 2021;151:111421. https://doi.org/10.1016/j.exger.2021.111421.
Barbirato D, Carvalho A, de Araujo NB, Martins JV, Deslandes A. Muscle strength and executive function as complementary parameters for the assessment of impairment in Parkinson's disease. Arq Neuropsiquiatr. 2013;71(12):948-54. DOI: 10.1590/0004-282X20130175.
Abellán-Alemán J, Sainz de Baranda-Andujar P, Ortín-Ortín EJ. Guía para la prescripción de ejercicio físico con riesgo cardiovascular. 2ª ed. Esp: Asociación de la Sociedad Española de Hipertensión, Liga Española para la Lucha contra la Hipertensión Arterial; 2014.
Colado JC, Pedrosa FM, Juesas A, Gargallo P, Carrasco JJ, Flandez J, et al. Concurrent validation of the OMNI-Resistance Exercise Scale of perceived exertion with elastic bandas in the elderly. Exp Gerontol. 2018;103:11-16. https://doi.org/10.1016/j.exger.2017.12.009.
Cohen J. Statistical power analysis for the behavioral sciences. Routledge;2013. P. 689.
Stuckenschneider T, Abeln V, Foitschik T, Abel T, Polidori MC, Strüder HK. Disease-inclusive exercise improve physical fitness and reduce depressive symptoms in individuals with and without Parkinson’s disease- A feasibility study. Brain Behav. 2021;11(10):e2352. DOI: 10.1002/brb3.2352.
Carvalho A, Barbirato D, Araujo N, Martins JV, Cavalcanti JL, Santos TM, et al. Comparison of strength training, aerobic training, and additional physical therapy as supplementary treatments for Parkinson’s disease: pilot study. Clin Interv Aging. 2015: 10:183-91, DOI: 10.2147/CIA.S68779.
Ozols MA, Zúñiga C, Montserrat C, Jiménez W. Efecto de un método de entrenamiento contrarresistencia en la capacidad funcional y calidad de vida en sujetos con Parkinson idiopático. Arch Med Dep. 2015; 32(2):70-5.
Stozek J, Rudzinska M, Pustulka-Piwnik U, Szczudlik A. The effect of the rehabilitation program on balance, gait, physical performance and trunk rotation in Parkinson’s disease. Aging Clin Exp Res. 2016;28(6):1169-77. DOI 10.1007/s40520-015-0506-1.
Tang L, Fang Y, Yin J. The effects of exercise interventions on Parkinson’s disease: A Bayesian network meta-analysis, J Clin Neurosci. 2019;70:47-54. https://doi.org/10.1016/j.jocn.2019.08.092.
Giardini M, Nardone A, Godi M, Guglielmetti S, Arcoli I, Pisano F, et al. Instrumental or physical-exercise rehabilitation of balance improves both balance and gait in Parkinson’s disease. Neural Plast. 2018;7(2018):5614242. doi: 10.1155/2018/5614242.
Bhalsing KS, Abbas MM, Tan LCS. Role of physical activity in Parkinson’s disease. Ann Indian Acad Neurol. 2018;21(4):242-9. DOI:10.4103/aian.AIAN_169_18.
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