Abstract
Objectives
To compare the effects of functional training, bicycle exercise, and exergaming on
walking capacity of elderly with Parkinson disease (PD).
Design
A pilot randomized, controlled, single-blinded trial.
Setting
A state reference health care center for elderly, a public reference outpatient clinic
for the elderly.
Participants
Elderly individuals (≥60 years of age; N=62) with idiopathic PD (stage 2 to 3 of modified
Hoehn and Yahr staging scale) according to the London Brain Bank.
Intervention
The participants were randomly assigned to three groups. Group 1 (G1) participated
in functional training (n=22); group 2 (G2) performed bicycle exercise (n=20), and
group 3 (G3) trained with Kinect Adventures (Microsoft, Redmond, WA) exergames (n=20).
Main Outcome Measures
The primary outcome measure was the 6-minute walk test (6MWT); secondary outcome measures
were the 10-m walk test (10MWT), sitting-rising test (SRT), body mass index, Parkinson
Disease Questionnaire-39, World Health Organization Disability Assessment Schedule
2.0 (WHODAS 2.0), and 15-item Geriatric Depression Scale.
Results
All groups showed significant improvements in 6MWT (G1 P=.008; G2 P=.001; G3 P=.005), SRT (G1 P<.001; G2 P=.001; G3 P=.003), and WHODAS 2.0 (G1 P=.018; G2 P=.019; G3 P=.041). Only G3 improved gait speed in 10MWT (P=.11). G1 (P=.014) and G3 (P=.004) improved quality of life. No difference was found between groups.
Conclusions
Eight weeks of exergaming can improve the walking capacity of elderly patients with
PD. Exergame training had similar outcomes compared with functional training and bicycle
exercise. The three physical exercise modalities presented significant improvements
on walking capacity, ability to stand up and sit, and functionality of the participants.
Keywords
List of abbreviations:
PD (Parkinson disease), 6MWT (6-minute walk test), 10MWT (10-m walk test), SRT (sitting-rising test), WHODAS 2.0 (World Health Organization Disability Assessment Schedule 2.0), PDQ-39 (Parkinson's Disease Questionnaire-39)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 11, 2018
Footnotes
The study was conducted at the State Reference Health Care Centre for Elderly (SRHCCE), a public reference outpatient clinic for the elderly in Salvador, Bahia, Brazil, between June 1, 2015 and March 27, 2017.
Clinical Trial Register No. ClinicalTrials.gov (clinical trial identifier: NCT02622737).
Disclosures: none.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
