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A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease.
Eura Medicophys. 2006 Sep; 42(3):231-8.EM

Abstract

AIM

To investigate the effects of an aerobic training in subjects with Parkinson's disease (PD) as compared to a medical Chinese exercise (Qigong).

DESIGN

randomized controlled trial with a cross over design.

SETTING

PD out-patients referred to a Neurorehabilitation facility for the management of motor disability.

SUBJECTS

26 PD patients in Hoehn and Yahr stage II to III under stable medication were randomly allocated to either Group AT1+QG2 (receiving 20 aerobic training sessions followed by 20 ''Qigong'' group sessions with 2 month interval between the interventions), or Group QG1+AT2 (performing the same treatments with an inverted sequence).

MAIN OUTCOME MEASURES

clinical effects of treatment were sought through the Unified Parkinson's Disease Rating Scale (UPDRS), Brown's Disability Scale (B'DS), six-Minute Walking Test (6MWT), Borg scale for breathlessness, Beck Depression Inventory (BDI) and Parkinson's Disease Questionnaire-39 items (PDQ-39). A spirometry test and maximum cardiopulmonary exercise test (CPET) were also performed to determine the pulmonary function, the metabolic and cardio-respiratory requests at rest and under exercise. All measures were taken immediately before and at the completion of each treatment phase.

RESULTS

The statistical analysis focusing on the evolution of motor disability and quality of life revealed a significant interaction effect between group and time for the 6MWT (time x group effect: F: 5.4 P=0.002) and the Borg scale (time x group effect: F: 4.2 P=0.009). Post hoc analysis showed a significant increase in 6MWT and a larger decrease in Borg score after aerobic training within each subgroup, whereas no significant changes were observed during Qigong. No significant changes over time were detected through the analysis of UPDRS, B'DS, BDI and PDQ-39 scores. The analysis of cardiorespiratory parameters showed significant interaction effects between group and time for the Double Productpeak (time x group effect: F: 7.7 P=0.0003), the VO(2peak) (time x group effect: F: 4.8 P=0.007), and the VO(2)/kg ratio (time x group effect: F: 4.3 P=0.009), owing to their decrease after aerobic training to an extent that was never observed after Qigong treatment.

CONCLUSIONS

Aerobic training exerts a significant impact on the ability of moderately disabled PD patients to cope with exercise, although it does not improve their self-sufficiency and quality of life.

Authors+Show Affiliations

Neurorehabilitation Clinic, Department of Neurosciences, Politecnica University of Marche, Azienda Ospedali Riuniti, Ancona, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17039221

Citation

Burini, D, et al. "A Randomised Controlled Cross-over Trial of Aerobic Training Versus Qigong in Advanced Parkinson's Disease." Europa Medicophysica, vol. 42, no. 3, 2006, pp. 231-8.
Burini D, Farabollini B, Iacucci S, et al. A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease. Eura Medicophys. 2006;42(3):231-8.
Burini, D., Farabollini, B., Iacucci, S., Rimatori, C., Riccardi, G., Capecci, M., Provinciali, L., & Ceravolo, M. G. (2006). A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease. Europa Medicophysica, 42(3), 231-8.
Burini D, et al. A Randomised Controlled Cross-over Trial of Aerobic Training Versus Qigong in Advanced Parkinson's Disease. Eura Medicophys. 2006;42(3):231-8. PubMed PMID: 17039221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease. AU - Burini,D, AU - Farabollini,B, AU - Iacucci,S, AU - Rimatori,C, AU - Riccardi,G, AU - Capecci,M, AU - Provinciali,L, AU - Ceravolo,M G, PY - 2006/10/14/pubmed PY - 2007/3/16/medline PY - 2006/10/14/entrez SP - 231 EP - 8 JF - Europa medicophysica JO - Eura Medicophys VL - 42 IS - 3 N2 - AIM: To investigate the effects of an aerobic training in subjects with Parkinson's disease (PD) as compared to a medical Chinese exercise (Qigong). DESIGN: randomized controlled trial with a cross over design. SETTING: PD out-patients referred to a Neurorehabilitation facility for the management of motor disability. SUBJECTS: 26 PD patients in Hoehn and Yahr stage II to III under stable medication were randomly allocated to either Group AT1+QG2 (receiving 20 aerobic training sessions followed by 20 ''Qigong'' group sessions with 2 month interval between the interventions), or Group QG1+AT2 (performing the same treatments with an inverted sequence). MAIN OUTCOME MEASURES: clinical effects of treatment were sought through the Unified Parkinson's Disease Rating Scale (UPDRS), Brown's Disability Scale (B'DS), six-Minute Walking Test (6MWT), Borg scale for breathlessness, Beck Depression Inventory (BDI) and Parkinson's Disease Questionnaire-39 items (PDQ-39). A spirometry test and maximum cardiopulmonary exercise test (CPET) were also performed to determine the pulmonary function, the metabolic and cardio-respiratory requests at rest and under exercise. All measures were taken immediately before and at the completion of each treatment phase. RESULTS: The statistical analysis focusing on the evolution of motor disability and quality of life revealed a significant interaction effect between group and time for the 6MWT (time x group effect: F: 5.4 P=0.002) and the Borg scale (time x group effect: F: 4.2 P=0.009). Post hoc analysis showed a significant increase in 6MWT and a larger decrease in Borg score after aerobic training within each subgroup, whereas no significant changes were observed during Qigong. No significant changes over time were detected through the analysis of UPDRS, B'DS, BDI and PDQ-39 scores. The analysis of cardiorespiratory parameters showed significant interaction effects between group and time for the Double Productpeak (time x group effect: F: 7.7 P=0.0003), the VO(2peak) (time x group effect: F: 4.8 P=0.007), and the VO(2)/kg ratio (time x group effect: F: 4.3 P=0.009), owing to their decrease after aerobic training to an extent that was never observed after Qigong treatment. CONCLUSIONS: Aerobic training exerts a significant impact on the ability of moderately disabled PD patients to cope with exercise, although it does not improve their self-sufficiency and quality of life. SN - 0014-2573 UR - https://www.unboundmedicine.com/medline/citation/17039221/A_randomised_controlled_cross_over_trial_of_aerobic_training_versus_Qigong_in_advanced_Parkinson's_disease_ DB - PRIME DP - Unbound Medicine ER -