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Exercise and Parkinson Disease: Comparing Tango, Treadmill, and Stretching.
J Neurol Phys Ther. 2019 01; 43(1):26-32.JN

Abstract

BACKGROUND AND PURPOSE

Impaired gait, balance, and motor function are common in Parkinson disease (PD) and may lead to falls and injuries. Different forms of exercise improve motor function in persons with PD, but determining which form of exercise is most effective requires a direct comparison of various approaches. In this prospective, controlled trial, we evaluated the impact of tango, treadmill walking, and stretching on gait, balance, motor function, and quality of life. We hypothesized tango and treadmill would improve forward walking and motor symptom severity, and tango would also improve backward walking, balance, and quality of life.

METHODS

Ninety-six participants (age: 67.2 ± 8.9 years, 42% female) with mild to moderate idiopathic PD were serially assigned to tango, treadmill walking, or stretching (active control group) and attended 1-hour classes twice weekly for 12 weeks. Assessments occurred OFF anti-PD medication before and after the intervention and at follow-up 12 weeks after the intervention.

RESULTS

Forward velocity and backward velocity improved for the treadmill group from baseline to posttest and improvements persisted at follow-up. Backward velocity and motor functioning improved for the stretching group from baseline to posttest, but results did not persist at follow-up. There were no significant changes in the tango group across time points.

DISCUSSION AND CONCLUSIONS

Contrary to our hypotheses, only treadmill improved forward walking, while backward walking improved with treadmill and stretching. Future research should examine combinations of exercises with a focus on optimizing dosing and examining whether specific characteristics of people with PD correlate with different types of exercise.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A237).

Authors+Show Affiliations

Program in Physical Therapy (K.S.R., M.E.M., R.P.D., J.S.P., G.M.E.), Department of Neurology (M.E.M., R.P.D., J.S.P., G.M.E.), Department of Neuroscience (J.S.P., G.M.E.), Department of Radiology (J.S.P.), and Program in Occupational Therapy (J.S.P.), Washington University School of Medicine in Saint Louis, Missouri; and Department of Kinesiology and Occupational Therapy Program, University of Wisconsin-Madison (K.A.P.).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Controlled Clinical Trial
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

30531383

Citation

Rawson, Kerri S., et al. "Exercise and Parkinson Disease: Comparing Tango, Treadmill, and Stretching." Journal of Neurologic Physical Therapy : JNPT, vol. 43, no. 1, 2019, pp. 26-32.
Rawson KS, McNeely ME, Duncan RP, et al. Exercise and Parkinson Disease: Comparing Tango, Treadmill, and Stretching. J Neurol Phys Ther. 2019;43(1):26-32.
Rawson, K. S., McNeely, M. E., Duncan, R. P., Pickett, K. A., Perlmutter, J. S., & Earhart, G. M. (2019). Exercise and Parkinson Disease: Comparing Tango, Treadmill, and Stretching. Journal of Neurologic Physical Therapy : JNPT, 43(1), 26-32. https://doi.org/10.1097/NPT.0000000000000245
Rawson KS, et al. Exercise and Parkinson Disease: Comparing Tango, Treadmill, and Stretching. J Neurol Phys Ther. 2019;43(1):26-32. PubMed PMID: 30531383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exercise and Parkinson Disease: Comparing Tango, Treadmill, and Stretching. AU - Rawson,Kerri S, AU - McNeely,Marie E, AU - Duncan,Ryan P, AU - Pickett,Kristen A, AU - Perlmutter,Joel S, AU - Earhart,Gammon M, PY - 2018/12/12/entrez PY - 2018/12/12/pubmed PY - 2020/5/6/medline SP - 26 EP - 32 JF - Journal of neurologic physical therapy : JNPT JO - J Neurol Phys Ther VL - 43 IS - 1 N2 - BACKGROUND AND PURPOSE: Impaired gait, balance, and motor function are common in Parkinson disease (PD) and may lead to falls and injuries. Different forms of exercise improve motor function in persons with PD, but determining which form of exercise is most effective requires a direct comparison of various approaches. In this prospective, controlled trial, we evaluated the impact of tango, treadmill walking, and stretching on gait, balance, motor function, and quality of life. We hypothesized tango and treadmill would improve forward walking and motor symptom severity, and tango would also improve backward walking, balance, and quality of life. METHODS: Ninety-six participants (age: 67.2 ± 8.9 years, 42% female) with mild to moderate idiopathic PD were serially assigned to tango, treadmill walking, or stretching (active control group) and attended 1-hour classes twice weekly for 12 weeks. Assessments occurred OFF anti-PD medication before and after the intervention and at follow-up 12 weeks after the intervention. RESULTS: Forward velocity and backward velocity improved for the treadmill group from baseline to posttest and improvements persisted at follow-up. Backward velocity and motor functioning improved for the stretching group from baseline to posttest, but results did not persist at follow-up. There were no significant changes in the tango group across time points. DISCUSSION AND CONCLUSIONS: Contrary to our hypotheses, only treadmill improved forward walking, while backward walking improved with treadmill and stretching. Future research should examine combinations of exercises with a focus on optimizing dosing and examining whether specific characteristics of people with PD correlate with different types of exercise.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A237). SN - 1557-0584 UR - https://www.unboundmedicine.com/medline/citation/30531383/Exercise_and_Parkinson_Disease:_Comparing_Tango_Treadmill_and_Stretching_ L2 - https://doi.org/10.1097/NPT.0000000000000245 DB - PRIME DP - Unbound Medicine ER -