Dynamic High-Cadence Cycling Improves Motor Symptoms in Parkinson’s Disease
Identifieur interne : 000030 ( Main/Exploration ); précédent : 000029; suivant : 000031Dynamic High-Cadence Cycling Improves Motor Symptoms in Parkinson’s Disease
Auteurs : Angela L. Ridgel [États-Unis] ; Robert S. Phillips [États-Unis] ; Benjamin L. Walter [États-Unis] ; Fred M. Discenzo [États-Unis] ; Kenneth A. Loparo [États-Unis]Source :
- Frontiers in Neurology [ 1664-2295 ] ; 2015.
Abstract
Individuals with Parkinson’s disease (PD) often have deficits in kinesthesia. There is a need for rehabilitation interventions that improve these kinesthetic deficits. Forced (tandem) cycling at a high cadence improves motor function. However, tandem cycling is difficult to implement in a rehabilitation setting.
To construct an instrumented, motored cycle and to examine if high cadence dynamic cycling promotes improvements in motor function.
This motored cycle had two different modes: dynamic and static cycling. In dynamic mode, the motor maintained 75–85 rpm. In static mode, the rider determined the pedaling cadence. UPDRS Motor III and Timed Up and Go (TUG) were used to assess changes in motor function after three cycling sessions.
Individuals in the static group showed a lower cadence but a higher power, torque and heart rate than the dynamic group. UPDRS score showed a significant 13.9% improvement in the dynamic group and only a 0.9% improvement in the static group. There was also a 16.5% improvement in TUG time in the dynamic group but only an 8% improvement in the static group.
These findings show that dynamic cycling can improve PD motor function and that activation of proprioceptors with a high cadence but variable pattern may be important for motor improvements in PD.
Url:
DOI: 10.3389/fneur.2015.00194
PubMed: 26388836
PubMed Central: 4557094
Affiliations:
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Phillips</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Exercise Physiology, Kent State University</institution>,<addr-line>Kent, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Walter, Benjamin L" sort="Walter, Benjamin L" uniqKey="Walter B" first="Benjamin L." last="Walter">Benjamin L. Walter</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Movement Disorders Center, University Hospital Cleveland</institution>,<addr-line>Cleveland, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Neurology, Case Western Reserve University</institution>,<addr-line>Cleveland, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Discenzo, Fred M" sort="Discenzo, Fred M" uniqKey="Discenzo F" first="Fred M." last="Discenzo">Fred M. 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Ridgel</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Exercise Physiology, Kent State University</institution>,<addr-line>Kent, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Phillips, Robert S" sort="Phillips, Robert S" uniqKey="Phillips R" first="Robert S." last="Phillips">Robert S. Phillips</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Exercise Physiology, Kent State University</institution>,<addr-line>Kent, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Walter, Benjamin L" sort="Walter, Benjamin L" uniqKey="Walter B" first="Benjamin L." last="Walter">Benjamin L. Walter</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Movement Disorders Center, University Hospital Cleveland</institution>,<addr-line>Cleveland, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Neurology, Case Western Reserve University</institution>,<addr-line>Cleveland, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Discenzo, Fred M" sort="Discenzo, Fred M" uniqKey="Discenzo F" first="Fred M." last="Discenzo">Fred M. Discenzo</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Industrial Automation, Rockwell Automation</institution>,<addr-line>Mayfield Heights, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Loparo, Kenneth A" sort="Loparo, Kenneth A" uniqKey="Loparo K" first="Kenneth A." last="Loparo">Kenneth A. Loparo</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Department of Electrical Engineering and Computer Science, Case Western Reserve University</institution>,<addr-line>Cleveland, OH</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Neurology</title><idno type="eISSN">1664-2295</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="ST1"><title>Rationale</title><p>Individuals with Parkinson’s disease (PD) often have deficits in kinesthesia. There is a need for rehabilitation interventions that improve these kinesthetic deficits. Forced (tandem) cycling at a high cadence improves motor function. However, tandem cycling is difficult to implement in a rehabilitation setting.</p></sec><sec id="ST2"><title>Objective</title><p>To construct an instrumented, motored cycle and to examine if high cadence dynamic cycling promotes improvements in motor function.</p></sec><sec id="ST3"><title>Method</title><p>This motored cycle had two different modes: dynamic and static cycling. In dynamic mode, the motor maintained 75–85 rpm. In static mode, the rider determined the pedaling cadence. UPDRS Motor III and Timed Up and Go (TUG) were used to assess changes in motor function after three cycling sessions.</p></sec><sec id="ST4"><title>Results</title><p>Individuals in the static group showed a lower cadence but a higher power, torque and heart rate than the dynamic group. UPDRS score showed a significant 13.9% improvement in the dynamic group and only a 0.9% improvement in the static group. There was also a 16.5% improvement in TUG time in the dynamic group but only an 8% improvement in the static group.</p></sec><sec id="ST5"><title>Conclusion</title><p>These findings show that dynamic cycling can improve PD motor function and that activation of proprioceptors with a high cadence but variable pattern may be important for motor improvements in PD.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kowal, Sl" uniqKey="Kowal S">SL Kowal</name></author><author><name sortKey="Dall, Tm" uniqKey="Dall T">TM Dall</name></author><author><name sortKey="Chakrabarti, R" uniqKey="Chakrabarti R">R Chakrabarti</name></author><author><name sortKey="Storm, Mv" uniqKey="Storm M">MV Storm</name></author><author><name sortKey="Jain, A" uniqKey="Jain A">A Jain</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahlskog, Je" uniqKey="Ahlskog J">JE Ahlskog</name></author><author><name sortKey="Muenter, 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Rafferty</name></author><author><name sortKey="David, Fj" uniqKey="David F">FJ David</name></author><author><name sortKey="Poon, C" uniqKey="Poon C">C Poon</name></author><author><name sortKey="Vaillancourt, De" uniqKey="Vaillancourt D">DE Vaillancourt</name></author><author><name sortKey="Comella, Cl" uniqKey="Comella C">CL Comella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, Ew" uniqKey="Chen E">EW Chen</name></author><author><name sortKey="Fu, As" uniqKey="Fu A">AS Fu</name></author><author><name sortKey="Chan, Km" uniqKey="Chan K">KM Chan</name></author><author><name sortKey="Tsang, Ww" uniqKey="Tsang W">WW Tsang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Ridgel, Angela L" sort="Ridgel, Angela L" uniqKey="Ridgel A" first="Angela L." last="Ridgel">Angela L. Ridgel</name></noRegion><name sortKey="Discenzo, Fred M" sort="Discenzo, Fred M" uniqKey="Discenzo F" first="Fred M." last="Discenzo">Fred M. Discenzo</name><name sortKey="Loparo, Kenneth A" sort="Loparo, Kenneth A" uniqKey="Loparo K" first="Kenneth A." last="Loparo">Kenneth A. Loparo</name><name sortKey="Phillips, Robert S" sort="Phillips, Robert S" uniqKey="Phillips R" first="Robert S." last="Phillips">Robert S. Phillips</name><name sortKey="Walter, Benjamin L" sort="Walter, Benjamin L" uniqKey="Walter B" first="Benjamin L." last="Walter">Benjamin L. Walter</name><name sortKey="Walter, Benjamin L" sort="Walter, Benjamin L" uniqKey="Walter B" first="Benjamin L." last="Walter">Benjamin L. Walter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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