Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial.
Identifieur interne : 000317 ( Main/Corpus ); précédent : 000316; suivant : 000318Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial.
Auteurs : J Zsef Tollár ; Ferenc Nagy ; Tibor HortobágyiSource :
- Gerontology [ 1423-0003 ] ; 2019.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Aged (MeSH), Depression (diagnosis), Depression (physiopathology), Exercise Therapy (classification), Exercise Therapy (methods), Female (MeSH), Gait (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Mobility Limitation (MeSH), Muscle Rigidity (diagnosis), Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson Disease (therapy), Postural Balance (MeSH), Quality of Life (MeSH), Surveys and Questionnaires (MeSH), Symptom Assessment (methods), Treatment Outcome (MeSH).
- MESH :
- classification : Exercise Therapy.
- diagnosis : Depression, Muscle Rigidity, Parkinson Disease.
- methods : Exercise Therapy, Symptom Assessment.
- physiopathology : Depression, Parkinson Disease.
- psychology : Parkinson Disease.
- therapy : Parkinson Disease.
- Activities of Daily Living, Aged, Female, Gait, Humans, Male, Middle Aged, Mobility Limitation, Postural Balance, Quality of Life, Surveys and Questionnaires, Treatment Outcome.
Abstract
OBJECTIVES
To directly compare the effects of agility exergaming (EXE) and stationary cycling (CYC) exercise training on Parkinson's disease (PD) patients' mobility and clinical symptoms.
DESIGN
Randomized clinical trial.
SETTING
Outpatient physiotherapy clinic in a hospital.
PARTICIPANTS
Seventy-four stage 2-3, nondemented PD patients were included in this study.
INTERVENTION
The groups were as follows: EXE (n = 25), CYC (n = 25), and a wait-listed control group (CON; n = 24). The EXE and CYC groups exercised 5×/week for 5 weeks, matched at 80% of the age-predicted maximal heart rate.
MAIN OUTCOMES
The primary outcome was the Movement Disorders Society Unified Parkinson's Disease Rating Scale (UPDRS-II) score. Secondary outcomes were Parkinson's Disease Quastionnaire-39 (PDQ-39), the Beck Depression Inventory (BDI), the Schwab and England Activities of Daily Living (SE-ADL) scale, Euro-Quality of Life-5 Dimensions (EQ-5D) questionnaire, the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Tinetti Assessment Tool (TAT), the Dynamic Gait Index, the 6-min walk test (6MWT), and standing posturography.
RESULTS
After treatment, UPDRS-II scores improved (mean change: EXE, -4.5 points; CYC, -3.2 points). The results for the other outcomes (EXE and CYC, respectively) were: PDQ, 13 and 17%; BDI, -2.5 and -2.1 points; 6MWT, 129.6 and 141.6 m; and EQ-5D, 12 and 9% (all p < 0.05, but there was no difference between groups). EXE vs. CYC resulted in improved SE-ADL (8.4 and 4.0 points, effect size [ES]: 0.12), BBS (8.8 and 4.2 points, ES: 0.44), and 2 measures of posturography (ES: 0.11 and 0.21) (p < 0.05). BESTtest, TAT, the Dynamic Gait Index, and 4 out of 6 posturography measures did not change (p > 0.05).
CONCLUSION
Two highly different exercise programs resulted in similar improvement of most motor and clinical symptoms in PD patients.
DOI: 10.1159/000493127
PubMed: 30368495
Links to Exploration step
pubmed:30368495Le document en format XML
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<author><name sortKey="Tollar, J Zsef" sort="Tollar, J Zsef" uniqKey="Tollar J" first="J Zsef" last="Tollár">J Zsef Tollár</name>
<affiliation><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, Hungarytollarjozsef86@gmail.com.</nlm:affiliation>
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<author><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name>
<affiliation><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, Hungary.</nlm:affiliation>
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<author><name sortKey="Hortobagyi, Tibor" sort="Hortobagyi, Tibor" uniqKey="Hortobagyi T" first="Tibor" last="Hortobágyi">Tibor Hortobágyi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial.</title>
<author><name sortKey="Tollar, J Zsef" sort="Tollar, J Zsef" uniqKey="Tollar J" first="J Zsef" last="Tollár">J Zsef Tollár</name>
<affiliation><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, Hungarytollarjozsef86@gmail.com.</nlm:affiliation>
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<series><title level="j">Gerontology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Depression (diagnosis)</term>
<term>Depression (physiopathology)</term>
<term>Exercise Therapy (classification)</term>
<term>Exercise Therapy (methods)</term>
<term>Female (MeSH)</term>
<term>Gait (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Mobility Limitation (MeSH)</term>
<term>Muscle Rigidity (diagnosis)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Postural Balance (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Symptom Assessment (methods)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Exercise Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Depression</term>
<term>Muscle Rigidity</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term>
<term>Symptom Assessment</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Depression</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term>
<term>Aged</term>
<term>Female</term>
<term>Gait</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mobility Limitation</term>
<term>Postural Balance</term>
<term>Quality of Life</term>
<term>Surveys and Questionnaires</term>
<term>Treatment Outcome</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To directly compare the effects of agility exergaming (EXE) and stationary cycling (CYC) exercise training on Parkinson's disease (PD) patients' mobility and clinical symptoms.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Randomized clinical trial.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Outpatient physiotherapy clinic in a hospital.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>Seventy-four stage 2-3, nondemented PD patients were included in this study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTION</b>
</p>
<p>The groups were as follows: EXE (n = 25), CYC (n = 25), and a wait-listed control group (CON; n = 24). The EXE and CYC groups exercised 5×/week for 5 weeks, matched at 80% of the age-predicted maximal heart rate.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOMES</b>
</p>
<p>The primary outcome was the Movement Disorders Society Unified Parkinson's Disease Rating Scale (UPDRS-II) score. Secondary outcomes were Parkinson's Disease Quastionnaire-39 (PDQ-39), the Beck Depression Inventory (BDI), the Schwab and England Activities of Daily Living (SE-ADL) scale, Euro-Quality of Life-5 Dimensions (EQ-5D) questionnaire, the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Tinetti Assessment Tool (TAT), the Dynamic Gait Index, the 6-min walk test (6MWT), and standing posturography.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>After treatment, UPDRS-II scores improved (mean change: EXE, -4.5 points; CYC, -3.2 points). The results for the other outcomes (EXE and CYC, respectively) were: PDQ, 13 and 17%; BDI, -2.5 and -2.1 points; 6MWT, 129.6 and 141.6 m; and EQ-5D, 12 and 9% (all p < 0.05, but there was no difference between groups). EXE vs. CYC resulted in improved SE-ADL (8.4 and 4.0 points, effect size [ES]: 0.12), BBS (8.8 and 4.2 points, ES: 0.44), and 2 measures of posturography (ES: 0.11 and 0.21) (p < 0.05). BESTtest, TAT, the Dynamic Gait Index, and 4 out of 6 posturography measures did not change (p > 0.05).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Two highly different exercise programs resulted in similar improvement of most motor and clinical symptoms in PD patients.</p>
</div>
</front>
</TEI>
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<Title>Gerontology</Title>
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<ArticleTitle>Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVES">To directly compare the effects of agility exergaming (EXE) and stationary cycling (CYC) exercise training on Parkinson's disease (PD) patients' mobility and clinical symptoms.</AbstractText>
<AbstractText Label="DESIGN">Randomized clinical trial.</AbstractText>
<AbstractText Label="SETTING">Outpatient physiotherapy clinic in a hospital.</AbstractText>
<AbstractText Label="PARTICIPANTS">Seventy-four stage 2-3, nondemented PD patients were included in this study.</AbstractText>
<AbstractText Label="INTERVENTION">The groups were as follows: EXE (n = 25), CYC (n = 25), and a wait-listed control group (CON; n = 24). The EXE and CYC groups exercised 5×/week for 5 weeks, matched at 80% of the age-predicted maximal heart rate.</AbstractText>
<AbstractText Label="MAIN OUTCOMES">The primary outcome was the Movement Disorders Society Unified Parkinson's Disease Rating Scale (UPDRS-II) score. Secondary outcomes were Parkinson's Disease Quastionnaire-39 (PDQ-39), the Beck Depression Inventory (BDI), the Schwab and England Activities of Daily Living (SE-ADL) scale, Euro-Quality of Life-5 Dimensions (EQ-5D) questionnaire, the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Tinetti Assessment Tool (TAT), the Dynamic Gait Index, the 6-min walk test (6MWT), and standing posturography.</AbstractText>
<AbstractText Label="RESULTS">After treatment, UPDRS-II scores improved (mean change: EXE, -4.5 points; CYC, -3.2 points). The results for the other outcomes (EXE and CYC, respectively) were: PDQ, 13 and 17%; BDI, -2.5 and -2.1 points; 6MWT, 129.6 and 141.6 m; and EQ-5D, 12 and 9% (all p < 0.05, but there was no difference between groups). EXE vs. CYC resulted in improved SE-ADL (8.4 and 4.0 points, effect size [ES]: 0.12), BBS (8.8 and 4.2 points, ES: 0.44), and 2 measures of posturography (ES: 0.11 and 0.21) (p < 0.05). BESTtest, TAT, the Dynamic Gait Index, and 4 out of 6 posturography measures did not change (p > 0.05).</AbstractText>
<AbstractText Label="CONCLUSION">Two highly different exercise programs resulted in similar improvement of most motor and clinical symptoms in PD patients.</AbstractText>
<CopyrightInformation>© 2018 S. Karger AG, Basel.</CopyrightInformation>
</Abstract>
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