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Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study.
Eur J Phys Rehabil Med. 2017 Apr; 53(2):184-200.EJ

Abstract

BACKGROUND

Physical exercise in addition to standard care (SC) in patients with Parkinson's disease (PD) is now a 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

The aim of this study was 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 three 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).

CONCLUSIONS

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.

Authors+Show Affiliations

Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium - m.demonceau@ulg.ac.be. MoVeRe Research Group, University of Liège, Liège, Belgium - m.demonceau@ulg.ac.be.Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium.Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium.Department of Public Health, University of Liège, Liège, Belgium.Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium.Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium. Department of Physical Medicine, University Hospital Centre, Liège, Belgium.Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium. Department of Physical Medicine, University Hospital Centre, Liège, Belgium.Department of Sports, Rehabilitation and Movement Sciences, University of Liège, Liège, Belgium.MoVeRe Research Group, University of Liège, Liège, Belgium. Department of Neurology, University Hospital Centre, Liège, Belgium.MoVeRe Research Group, University of Liège, Liège, Belgium. Department of Neurology, University Hospital Centre, Liège, Belgium.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27585055

Citation

Demonceau, Marie, et al. "Effects of Twelve Weeks of Aerobic or Strength Training in Addition to Standard Care in Parkinson's Disease: a Controlled Study." European Journal of Physical and Rehabilitation Medicine, vol. 53, no. 2, 2017, pp. 184-200.
Demonceau M, Maquet D, Jidovtseff B, et al. Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study. Eur J Phys Rehabil Med. 2017;53(2):184-200.
Demonceau, M., Maquet, D., Jidovtseff, B., Donneau, A. F., Bury, T., Croisier, J. L., Crielaard, J. M., Rodriguez de la Cruz, C., Delvaux, V., & Garraux, G. (2017). Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study. European Journal of Physical and Rehabilitation Medicine, 53(2), 184-200. https://doi.org/10.23736/S1973-9087.16.04272-6
Demonceau M, et al. Effects of Twelve Weeks of Aerobic or Strength Training in Addition to Standard Care in Parkinson's Disease: a Controlled Study. Eur J Phys Rehabil Med. 2017;53(2):184-200. PubMed PMID: 27585055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study. AU - Demonceau,Marie, AU - Maquet,Didier, AU - Jidovtseff,Boris, AU - Donneau,Anne F, AU - Bury,Thierry, AU - Croisier,Jean L, AU - Crielaard,Jean M, AU - Rodriguez de la Cruz,Carlos, AU - Delvaux,Valérie, AU - Garraux,Gaëtan, Y1 - 2016/09/01/ PY - 2016/9/2/pubmed PY - 2018/4/5/medline PY - 2016/9/2/entrez SP - 184 EP - 200 JF - European journal of physical and rehabilitation medicine JO - Eur J Phys Rehabil Med VL - 53 IS - 2 N2 - BACKGROUND: Physical exercise in addition to standard care (SC) in patients with Parkinson's disease (PD) is now a 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: The aim of this study was 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 three 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). CONCLUSIONS: 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. SN - 1973-9095 UR - https://www.unboundmedicine.com/medline/citation/27585055/Effects_of_twelve_weeks_of_aerobic_or_strength_training_in_addition_to_standard_care_in_Parkinson's_disease:_a_controlled_study_ L2 - http://www.minervamedica.it/index2.t?show=R33Y2017N02A0184 DB - PRIME DP - Unbound Medicine ER -