Comparative Effect of Power Training and High-Speed Yoga on Motor Function in Older Patients With Parkinson Disease

Published:November 04, 2015DOI:https://doi.org/10.1016/j.apmr.2015.10.095

      Abstract

      Objectives

      To compare the effects of power training (PWT) and a high-speed yoga program on physical performances in older patients with Parkinson disease (PD), and to test the hypothesis that both training interventions would attenuate PD symptoms and improve physical performance.

      Design

      Randomized controlled trial.

      Setting

      A laboratory of neuromuscular research and active aging.

      Participants

      Patients with PD (N=41; mean age ± SD, 72.2±6.5y).

      Interventions

      Two high-speed exercise interventions (specifically designed yoga program and PWT) were given for 12 weeks (twice a week), and 1 nonexercise control group.

      Main Outcome Measures

      Unified Parkinson Disease Rating Scale motor score (UPDRS MS), Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go, functional reach, single leg stance (SLS), postural sway test, 10-m usual and maximal walking speed tests, 1 repetition maximum (RM), and peak power (PPW) for leg press.

      Results

      For the posttests, both training groups showed significant improvements ( P<.05) in all physical measurements except functional reach on the more affected side, SLS, and postural sway compared with the pretests, and significantly better scores for UPDRS MS, BBS, Mini-BESTest, Timed Up and Go, functional reach on the less affected side, 10-m usual and maximal walking speed tests, 1RM, and PPW than controls, with no differences detected between the yoga program and PWT.

      Conclusions

      Both the specially designed yoga program and PWT programs can significantly improve physical performance in older persons with PD.

      Keywords

      List of abbreviations:

      APDavg ( anterior-posterior average displacement), BBS ( Berg Balance Scale), Mini-BESTest ( Mini-Balance Evaluation Systems Test), MLDavg ( medial-lateral average displacement), PD ( Parkinson disease), PPW ( peak power), PWT ( power training), RM ( repetition maximum), SLS ( single leg stance), UPDRSMS ( Unified Parkinson Disease Rating Scale motor score)
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