Objective: The objective of this study was to verify the effect of micro-loads and elastic bands exercise program in a group of patients with Parkinson's disease (PD). Methods: Twenty-one people with PD, participated in this study. All participants were able to walk unassisted, and their disability score using the Hoehn & Yahr scale was 2 ± 0.5. Subjects were randomly assigned to micro-loads group (11 subjects, age 69 ± 10 years; weight 72 ± 12 kg, height 171 ± 7 cm) or to elastic band group (9 subjects, age 70 ± 11 years; weight 69 ± 15 kg and high 169 ± 9 cm). Both groups performed two sessions of physical activity per week during a period of 5 months. Subjects were evaluated on flexibility with sit and reach test; the body balance with stabilometric platform, useful to evaluate the center of pressure (COP); the Spinal Mouse ® to assess the column shape and the sit to stand test to measure the strength performance of lower limbs. Tests were three times during the training period: after the first and the third month of physical activity and at the end of the training period. Results: Data showed a statistically significant variation in the sit to stand test in the EG group (T 0 vs T 2 ; Anova, p < 0.001, post hoc, p < 0.01, +19%). Conclusion: Both micro-loads and elastic band exercises were well-tolerated. Elastic bands exercises produced a significant improvement in the lower limbs muscles performance.
Objective: The objective of this study was to verify the effects of two different training protocols based on Core Stability and Body Balance exercises in subjects with Parkinsons's Disease. Methods: Eight elderly men with PD (age of 73 ± 9 years, weight 69 ± 16 kg, height 164 ± 13 cm, 2 ± 1 of Disability Score according to Hoehn and Yahr scale). The disability score was evaluated using Hoehn and Yahr scale. This study was 12-month-long organized in 3 blocks of 4 months each. The sample was divided in two groups formed by 4 subjects each group. During the first four months, one group performed core stability exercises (CSG) while the other group exercised itself through a Balance Exercises Program (BG). After this first part of the study both protocols were stopped for the following 4 months. Finally, the group were reversed (counter balance design) for the last 4 months of physical activity. The two groups were measured twice, before (T0) and after the treatment (T1). Both treatments were designed in order to investigate the improvement in core muscles performance in order to grant a better balance control and to reduce the risk of falling. Results: statistically significant variations were found in the flight time of Sit-to-Stand (p < 0.05, +27%) and in the step length (p < 0.05, −3%). In the CSG group, statistically significant variations were detected in Speed of Steps (p < 0.05, +5%), Step Cadence (p < 0.05, +3%), and Left Stride Duration (p < 0.05, −3%) ( Table 1). Conclusion: Both Body Balance and Core training can be considered two good physical exercise methods for people with PD. This study highlights the positive effects of this training protocol on legs strength improvements and on the balance control while walking.
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