Eficacia de un programa de ejercicio físico multimodal en la capacidad física funcional de pacientes con enfermedad de Parkinson

Claudia Barrero Solís; Antonio Couoh Salazar; Eddgar García Santamaría; Marisa Solis Chan; Alejandro Ojeda Manzano; Amelia Stein

doi:10.24310/riccafd.13.3.2024.20526

Authors

Claudia Barrero Solís Facultad de Medicina, Universidad Autónoma de Yucatán Mexico https://orcid.org/0009-0001-2116-5459
Antonio Couoh Salazar Facultad de Medicina. Universidad Autónoma de Yucatán Mexico
Eddgar García Santamaría Facultad de Medicina. Universidad Autónoma de Yucatán Mexico
Marisa Solis Chan Facultad de Medicina. Universidad Autónoma de Yucatán Mexico
Alejandro Ojeda Manzano Facultad de Medicina. Universidad Autónoma de Yucatán Mexico https://orcid.org/0000-0001-6286-7556
Amelia Stein Universidad Internacional Iberoamericana Puerto Rico https://orcid.org/0000-0002-7308-4626

DOI:

https://doi.org/10.24310/riccafd.13.3.2024.20526

Keywords:

functional physical capacity, aerobic exercise, neuromotor exercise, strengthening training, Parkinson’s disease

Agencies: None

Abstract

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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Author Biographies

Claudia Barrero Solís, Facultad de Medicina, Universidad Autónoma de Yucatán

Bachelor's degree in Rehabilitation (Universidad Autónoma de Yucatán) and PhD candidate in Physical Activity and Sports from the International Ibero-American University, with 18 years of experience as a professor in the Bachelor's Degree in Rehabilitation teaching physical therapy subjects to date. She has carried out research work in the area of Tutoring and Evaluation in university students, as well as in the area of rehabilitation

Antonio Couoh Salazar, Facultad de Medicina. Universidad Autónoma de Yucatán

Bachelor's degree in Rehabilitation (Universidad Autónoma de Yucatán) and Master's degree in Education Technologies from Tecnológico de Monterrey, with 15 years of experience as a professor in the Bachelor's Degree in Rehabilitation teaching physical therapy subjects to date. She has carried out research work in the area of Virtual Education and Evaluation in university students, as well as in the area of rehabilitation

Eddgar García Santamaría, Facultad de Medicina. Universidad Autónoma de Yucatán

Specialist in Clinical Neurology. Certified and recertified by the Mexican Academy of Neurology. Professor of physiology and neurology at the UADY. He has been Academic Secretary of the School of Medicine of the Autonomous University of Yucatan (2018 to 2022) and current head of the medical service of the Autonomous University of Yucatan

Marisa Solis Chan, Facultad de Medicina. Universidad Autónoma de Yucatán

Bachelor's Degree in Rehabilitation (Universidad Autónoma de Yucatán) and Master's Degree in Neurological Rehabilitation from the Universidad Autónoma del Estado de México, with 15 years of experience as a professor in the Bachelor's Degree in Rehabilitation teaching subjects of neurological evaluation and child kinesiotherapy to date. She has carried out research work in the area of Inclusive Education in university students, as well as in the area of rehabilitation

Alejandro Ojeda Manzano, Facultad de Medicina. Universidad Autónoma de Yucatán

Bachelor of Rehabilitation and Doctor of Health Sciences from the Autonomous University of Yucatan, with 13 years of experience as a professor in the Bachelor's Degree in Rehabilitation teaching subjects of Kinesiotherapy to date. She has carried out research work in the area of Tutoring and Evaluation in university students and in the area of Neurorehabilitation. He has been Director of the Center for Rehabilitation and Special Education of Mérida Yucatán from 2013 to 2018

Amelia Stein, Universidad Internacional Iberoamericana

Degree in Physical Education from the Universidade Luterana do Brasil and a PhD in Physical Activity and Sports Sciences from the University of Léon (Spain). Area of knowledge: sports psychology. Teacher and tutor at the International Ibero-American University and at the Ibero-American University Foundation in the areas of sports, nutrition and education in specialization, master's and doctoral programs

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