Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease
Identifieur interne : 000641 ( Istex/Corpus ); précédent : 000640; suivant : 000642Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease
Auteurs : Michael D. Sage ; Quincy J. AlmeidaSource :
- Movement Disorders [ 0885-3185 ] ; 2009-06-15.
English descriptors
- KwdEn :
Abstract
The current study compared lower‐limb aerobic training and sensory attention focused exercise (PD SAFEx) to a non‐exercise control group with the overall objective of determining which strategy would have a greater benefit for Parkinson's disease (PD) symptoms and gait. PD SAFEx was developed to focus on sensorimotor deficits identified in PD with the aim of increasing sensory feedback and body awareness, while the lower‐limb aerobic training utilized a specially designed semi‐recumbent elliptical device. Intervention groups (PD SAFEx, n = 18; aerobic, n = 13) exercised three times/week for 10–12 weeks, while nonexercise control participants (n = 15) maintained their regular activity level for 12 weeks. Outcome measures included the Unified Parkinson's disease rating scale motor section (UPDRS) administered by a blinded clinician; a posture and gait (PG) score (total of UPDRS items 27–31); the Timed‐Up‐and‐Go (TUG); and spatiotemporal aspects of self‐paced gait. PD SAFEx resulted in an improved UPDRS, PG score, and TUG (reached significance when participants with poor attendance were excluded) but not self‐paced gait. The lower‐limb aerobic training led to increased step length and velocity but had no change to disease severity. Since gait improvements were not combined with symptomatic changes, lower‐limb aerobic exercise may not be optimal for individuals with PD. Conversely, sensory‐based exercise (PD SAFEx) was beneficial, and led to improvement in symptoms and functional movement control. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22469
Links to Exploration step
ISTEX:78659A06784910CE5CBDA9D134ACEA86328A241FLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title><author><name sortKey="Sage, Michael D" sort="Sage, Michael D" uniqKey="Sage M" first="Michael D." last="Sage">Michael D. Sage</name><affiliation><mods:affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Almeida, Quincy J" sort="Almeida, Quincy J" uniqKey="Almeida Q" first="Quincy J." last="Almeida">Quincy J. Almeida</name><affiliation><mods:affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON, Canada N2L 3C5</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:78659A06784910CE5CBDA9D134ACEA86328A241F</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1002/mds.22469</idno><idno type="url">https://api-v5.istex.fr/document/78659A06784910CE5CBDA9D134ACEA86328A241F/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000641</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000641</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title><author><name sortKey="Sage, Michael D" sort="Sage, Michael D" uniqKey="Sage M" first="Michael D." last="Sage">Michael D. Sage</name><affiliation><mods:affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Almeida, Quincy J" sort="Almeida, Quincy J" uniqKey="Almeida Q" first="Quincy J." last="Almeida">Quincy J. Almeida</name><affiliation><mods:affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON, Canada N2L 3C5</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-06-15">2009-06-15</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1132">1132</biblScope><biblScope unit="page" to="1138">1138</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">78659A06784910CE5CBDA9D134ACEA86328A241F</idno><idno type="DOI">10.1002/mds.22469</idno><idno type="ArticleID">MDS22469</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>exercise</term><term>gait</term><term>proprioception</term><term>rehabilitation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The current study compared lower‐limb aerobic training and sensory attention focused exercise (PD SAFEx) to a non‐exercise control group with the overall objective of determining which strategy would have a greater benefit for Parkinson's disease (PD) symptoms and gait. PD SAFEx was developed to focus on sensorimotor deficits identified in PD with the aim of increasing sensory feedback and body awareness, while the lower‐limb aerobic training utilized a specially designed semi‐recumbent elliptical device. Intervention groups (PD SAFEx, n = 18; aerobic, n = 13) exercised three times/week for 10–12 weeks, while nonexercise control participants (n = 15) maintained their regular activity level for 12 weeks. Outcome measures included the Unified Parkinson's disease rating scale motor section (UPDRS) administered by a blinded clinician; a posture and gait (PG) score (total of UPDRS items 27–31); the Timed‐Up‐and‐Go (TUG); and spatiotemporal aspects of self‐paced gait. PD SAFEx resulted in an improved UPDRS, PG score, and TUG (reached significance when participants with poor attendance were excluded) but not self‐paced gait. The lower‐limb aerobic training led to increased step length and velocity but had no change to disease severity. Since gait improvements were not combined with symptomatic changes, lower‐limb aerobic exercise may not be optimal for individuals with PD. Conversely, sensory‐based exercise (PD SAFEx) was beneficial, and led to improvement in symptoms and functional movement control. © 2009 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Michael D. Sage MSc</name><affiliations><json:string>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Quincy J. Almeida PhD</name><affiliations><json:string>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</json:string><json:string>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON, Canada N2L 3C5</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>exercise</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>rehabilitation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>proprioception</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>gait</value></json:item></subject><articleId><json:string>MDS22469</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>The current study compared lower‐limb aerobic training and sensory attention focused exercise (PD SAFEx) to a non‐exercise control group with the overall objective of determining which strategy would have a greater benefit for Parkinson's disease (PD) symptoms and gait. PD SAFEx was developed to focus on sensorimotor deficits identified in PD with the aim of increasing sensory feedback and body awareness, while the lower‐limb aerobic training utilized a specially designed semi‐recumbent elliptical device. Intervention groups (PD SAFEx, n = 18; aerobic, n = 13) exercised three times/week for 10–12 weeks, while nonexercise control participants (n = 15) maintained their regular activity level for 12 weeks. Outcome measures included the Unified Parkinson's disease rating scale motor section (UPDRS) administered by a blinded clinician; a posture and gait (PG) score (total of UPDRS items 27–31); the Timed‐Up‐and‐Go (TUG); and spatiotemporal aspects of self‐paced gait. PD SAFEx resulted in an improved UPDRS, PG score, and TUG (reached significance when participants with poor attendance were excluded) but not self‐paced gait. The lower‐limb aerobic training led to increased step length and velocity but had no change to disease severity. Since gait improvements were not combined with symptomatic changes, lower‐limb aerobic exercise may not be optimal for individuals with PD. Conversely, sensory‐based exercise (PD SAFEx) was beneficial, and led to improvement in symptoms and functional movement control. © 2009 Movement Disorder Society</abstract><qualityIndicators><score>7.006</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1551</abstractCharCount><pdfWordCount>4294</pdfWordCount><pdfCharCount>27490</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>226</abstractWordCount></qualityIndicators><title>Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title><genre><json:string>article</json:string></genre><host><title>Movement Disorders</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi><issn><json:string>0885-3185</json:string></issn><eissn><json:string>1531-8257</json:string></eissn><publisherId><json:string>MDS</json:string></publisherId><volume>24</volume><issue>8</issue><pages><first>1132</first><last>1138</last><total>7</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Research Article</value></json:item></subject></host><categories><wos><json:string>science</json:string><json:string>clinical neurology</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>neurology & neurosurgery</json:string></scienceMetrix><inist><json:string>sciences appliquees, technologies et medecines</json:string><json:string>sciences biologiques et medicales</json:string><json:string>sciences medicales</json:string></inist></categories><publicationDate>2009</publicationDate><copyrightDate>2009</copyrightDate><doi><json:string>10.1002/mds.22469</json:string></doi><id>78659A06784910CE5CBDA9D134ACEA86328A241F</id><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api-v5.istex.fr/document/78659A06784910CE5CBDA9D134ACEA86328A241F/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api-v5.istex.fr/document/78659A06784910CE5CBDA9D134ACEA86328A241F/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api-v5.istex.fr/document/78659A06784910CE5CBDA9D134ACEA86328A241F/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Copyright © 2009 Movement Disorder Society</p></availability><date>2009</date></publicationStmt><notesStmt><note type="content">*Potential conflict of interest: None reported.</note><note>Parkinson's Society Canada</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title><author xml:id="author-1"><persName><forename type="first">Michael D.</forename><surname>Sage</surname></persName><roleName type="degree">MSc</roleName><affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</affiliation></author><author xml:id="author-2"><persName><forename type="first">Quincy J.</forename><surname>Almeida</surname></persName><roleName type="degree">PhD</roleName><affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</affiliation><affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON, Canada N2L 3C5</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-06-15"></date><biblScope unit="volume">24</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1132">1132</biblScope><biblScope unit="page" to="1138">1138</biblScope></imprint></monogr><idno type="istex">78659A06784910CE5CBDA9D134ACEA86328A241F</idno><idno type="DOI">10.1002/mds.22469</idno><idno type="ArticleID">MDS22469</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>The current study compared lower‐limb aerobic training and sensory attention focused exercise (PD SAFEx) to a non‐exercise control group with the overall objective of determining which strategy would have a greater benefit for Parkinson's disease (PD) symptoms and gait. PD SAFEx was developed to focus on sensorimotor deficits identified in PD with the aim of increasing sensory feedback and body awareness, while the lower‐limb aerobic training utilized a specially designed semi‐recumbent elliptical device. Intervention groups (PD SAFEx, n = 18; aerobic, n = 13) exercised three times/week for 10–12 weeks, while nonexercise control participants (n = 15) maintained their regular activity level for 12 weeks. Outcome measures included the Unified Parkinson's disease rating scale motor section (UPDRS) administered by a blinded clinician; a posture and gait (PG) score (total of UPDRS items 27–31); the Timed‐Up‐and‐Go (TUG); and spatiotemporal aspects of self‐paced gait. PD SAFEx resulted in an improved UPDRS, PG score, and TUG (reached significance when participants with poor attendance were excluded) but not self‐paced gait. The lower‐limb aerobic training led to increased step length and velocity but had no change to disease severity. Since gait improvements were not combined with symptomatic changes, lower‐limb aerobic exercise may not be optimal for individuals with PD. Conversely, sensory‐based exercise (PD SAFEx) was beneficial, and led to improvement in symptoms and functional movement control. © 2009 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>Parkinson's disease</term></item><item><term>exercise</term></item><item><term>rehabilitation</term></item><item><term>proprioception</term></item><item><term>gait</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2008-07-02">Received</change><change when="2008-12-24">Registration</change><change when="2009-06-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api-v5.istex.fr/document/78659A06784910CE5CBDA9D134ACEA86328A241F/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="80"><doi origin="wiley" registered="yes">10.1002/mds.v24:8</doi><numberingGroup><numbering type="journalVolume" number="24">24</numbering><numbering type="journalIssue">8</numbering></numberingGroup><coverDate startDate="2009-06-15">15 June 2009</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="4" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.22469</doi><idGroup><id type="unit" value="MDS22469"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="articleCategory">Research Article</title><title type="tocHeading1">Research Articles</title></titleGroup><copyright ownership="thirdParty">Copyright © 2009 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="2008-07-02"></event><event type="manuscriptRevised" date="2008-11-01"></event><event type="manuscriptAccepted" date="2008-12-24"></event><event type="firstOnline" date="2009-04-16"></event><event type="publishedOnlineFinalForm" date="2009-06-18"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2009-04-16"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.4.7 mode:FullText source:FullText result:FullText" date="2011-02-24"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">1132</numbering><numbering type="pageLast">1138</numbering></numberingGroup><correspondenceTo>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON, Canada N2L 3C5</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS22469.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="3"></count><count type="referenceTotal" number="22"></count><count type="wordTotal" number="5656"></count></countGroup><titleGroup><title type="main" xml:lang="en">Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease<link href="#fn1"></link></title><title type="short" xml:lang="en">PD SAFEx vs. Aerobic Training in PD</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Michael D.</givenNames><familyName>Sage</familyName><degrees>MSc</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Quincy J.</givenNames><familyName>Almeida</familyName><degrees>PhD</degrees></personName><contactDetails><email>qalmeida@wlu.ca</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="CA" type="organization"><unparsedAffiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword><keyword xml:id="kwd2">exercise</keyword><keyword xml:id="kwd3">rehabilitation</keyword><keyword xml:id="kwd4">proprioception</keyword><keyword xml:id="kwd5">gait</keyword></keywordGroup><fundingInfo><fundingAgency>Parkinson's Society Canada</fundingAgency></fundingInfo><supportingInformation><p> Additional Supporting Information may be found in the online version of this article. </p><supportingInfoItem><mediaResource alt="supporting information" href="urn-x:wiley:08853185:media:mds22469:MDS_22469_sm_suppinfo"></mediaResource><caption>Supporting Information</caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>The current study compared lower‐limb aerobic training and sensory attention focused exercise (PD SAFEx) to a non‐exercise control group with the overall objective of determining which strategy would have a greater benefit for Parkinson's disease (PD) symptoms and gait. PD SAFEx was developed to focus on sensorimotor deficits identified in PD with the aim of increasing sensory feedback and body awareness, while the lower‐limb aerobic training utilized a specially designed semi‐recumbent elliptical device. Intervention groups (PD SAFEx, n = 18; aerobic, n = 13) exercised three times/week for 10–12 weeks, while nonexercise control participants (n = 15) maintained their regular activity level for 12 weeks. Outcome measures included the Unified Parkinson's disease rating scale motor section (UPDRS) administered by a blinded clinician; a posture and gait (PG) score (total of UPDRS items 27–31); the Timed‐Up‐and‐Go (TUG); and spatiotemporal aspects of self‐paced gait. PD SAFEx resulted in an improved UPDRS, PG score, and TUG (reached significance when participants with poor attendance were excluded) but not self‐paced gait. The lower‐limb aerobic training led to increased step length and velocity but had no change to disease severity. Since gait improvements were not combined with symptomatic changes, lower‐limb aerobic exercise may not be optimal for individuals with PD. Conversely, sensory‐based exercise (PD SAFEx) was beneficial, and led to improvement in symptoms and functional movement control. © 2009 Movement Disorder Society</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Potential conflict of interest: None reported.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>PD SAFEx vs. Aerobic Training in PD</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease</title></titleInfo><name type="personal"><namePart type="given">Michael D.</namePart><namePart type="family">Sage</namePart><namePart type="termsOfAddress">MSc</namePart><affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Quincy J.</namePart><namePart type="family">Almeida</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, Waterloo, Ontario, Canada</affiliation><affiliation>Movement Disorders Research and Rehabilitation Centre, Wilfrid Laurier University, 75 University Ave W, Waterloo, ON, Canada N2L 3C5</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2009-06-15</dateIssued><dateCaptured encoding="w3cdtf">2008-07-02</dateCaptured><dateValid encoding="w3cdtf">2008-12-24</dateValid><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">3</extent><extent unit="references">22</extent><extent unit="words">5656</extent></physicalDescription><abstract lang="en">The current study compared lower‐limb aerobic training and sensory attention focused exercise (PD SAFEx) to a non‐exercise control group with the overall objective of determining which strategy would have a greater benefit for Parkinson's disease (PD) symptoms and gait. PD SAFEx was developed to focus on sensorimotor deficits identified in PD with the aim of increasing sensory feedback and body awareness, while the lower‐limb aerobic training utilized a specially designed semi‐recumbent elliptical device. Intervention groups (PD SAFEx, n = 18; aerobic, n = 13) exercised three times/week for 10–12 weeks, while nonexercise control participants (n = 15) maintained their regular activity level for 12 weeks. Outcome measures included the Unified Parkinson's disease rating scale motor section (UPDRS) administered by a blinded clinician; a posture and gait (PG) score (total of UPDRS items 27–31); the Timed‐Up‐and‐Go (TUG); and spatiotemporal aspects of self‐paced gait. PD SAFEx resulted in an improved UPDRS, PG score, and TUG (reached significance when participants with poor attendance were excluded) but not self‐paced gait. The lower‐limb aerobic training led to increased step length and velocity but had no change to disease severity. Since gait improvements were not combined with symptomatic changes, lower‐limb aerobic exercise may not be optimal for individuals with PD. Conversely, sensory‐based exercise (PD SAFEx) was beneficial, and led to improvement in symptoms and functional movement control. © 2009 Movement Disorder Society</abstract><note type="content">*Potential conflict of interest: None reported.</note><note type="funding">Parkinson's Society Canada</note><subject lang="en"><genre>keywords</genre><topic>Parkinson's disease</topic><topic>exercise</topic><topic>rehabilitation</topic><topic>proprioception</topic><topic>gait</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="journal">journal</genre><note type="content"> Additional Supporting Information may be found in the online version of this article.Supporting Info Item: Supporting Information - </note><subject><genre>article-category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>1132</start><end>1138</end><total>7</total></extent></part></relatedItem><identifier type="istex">78659A06784910CE5CBDA9D134ACEA86328A241F</identifier><identifier type="DOI">10.1002/mds.22469</identifier><identifier type="ArticleID">MDS22469</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Canada/explor/ParkinsonCanadaV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000641 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 000641 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Canada
|area= ParkinsonCanadaV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:78659A06784910CE5CBDA9D134ACEA86328A241F
|texte= Symptom and gait changes after sensory attention focused exercise vs aerobic training in Parkinson's disease
}}
| This area was generated with Dilib version V0.6.29. |  |