Exercise programs improve mobility and balance in people with Parkinson's disease

Background: The second most common age-related chronic neurodegenerative disease after Alzheimer's disease is Parkinson's disease (PD). Objective: The focus of this study was to improve the functional capabilities of the participants with PD. Study groups: The PD participants were randomized into two groups: Feldenkrais and control. Methods: The Feldenkrais group underwent 50 sessions of an exercise program based on the Feldenkrais method. The control group received educational lectures during this period. Unified Parkinson's Disease Rate Scale (UPDRSsession III), mini-mental state evaluation (MMSE), Hoehn and Yahr scale, and functional tests (figure-of-eight walk test, timed-up-and-go test, rollover task, 360 degrees turnin-place, functional-reach test, sitting-and-standing test, Berg balance scale (BBS), and hip-flexion strength) were assessed in both groups. Procedures during the 50 sessions were conducted in an appropriate room, twice-a-week, on alternate days and lasted 60 min. Results: Thirty subjects were randomly divided into two groups: the Feldenkrais (n = 15) and the control (n = 15) group. The Feldenkrais group presented significantly better in functional tests (p < 0.05) when compared to the control group. The control group received lower scores after the

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“…Therefore, the result of muscular strength was represented as Nm/kg. The peak value was obtained from four test trials [20,21].…”

Section: Hip-flexion Strength Testmentioning

confidence: 99%

Feldenkrais method and functionality in Parkinson’s disease: a randomized controlled clinical trial

Teixeira-Machado

Araújo

Menezes

et al. 2016

International Journal on Disability and Human Development

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“…In addition to pharmacological treatments that reduce motor and non-motor symptoms in PD (Jankovic & Stacy, 2007), exercise programs can be considered an efficient strategy to improve functionality, balance, gait and quality of life (Goodwin, Richards, Taylor, Taylor, & Campbell, 2008). Recent evidence has shown positive changes after an exercise program not only in balance and mobility (Gobbi et al, 2009;Hackney & Earhart, 2010) but also in motor symptoms (Sage & Almeida, 2009;Sage & Almeida, 2010) in patients with PD. In addition, physical activity is an important factor that can improve functional capacity (Cyarto, Brown, Marshall, & Trost, 2008).…”

Section: Introductionmentioning

confidence: 99%

Effects of a multimodal exercise program on the functional capacity of Parkinson's disease patients considering disease severity and gender

Orcioli‐Silva

Barbieri

Simieli

et al. 2014

Motriz: rev. educ. fis.

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Abstract-The purpose of this study was to investigate the effects of a multimodal exercise program (MEP) on the functional capacity of patients with Parkinson's disease (PD) according to disease severity and gender. Fourteen patients with PD participated in the study and were distributed into groups according to 1) stage of disease and 2) gender. Functional capacity was evaluated before and after 6 months of intervention. The overall PD patient group improved their coordination and strength. Men and women improved in strength performance after exercise. Men also improved on coordination. For severity of disease, the unilateral group improved in strength, while the bilateral group improved in strength, balance, coordination and the UPDRS-functional score. In conclusion, a MEP is efficient in improving components of functional capacity in patients with PD, especially in strength. Gender may be considered in the exercise program. Individuals in the bilateral disease group appeared to benefit more from exercise. Keywords: multimodal exercise program, functional capacity, Parkinson's diseaseResumo-"Efeitos de um programa de exercícios multimodal na capacidade funcional de pacientes com doença de Parkinson considerando a gravidade da doença e sexo". O objetivo deste estudo foi investigar o efeito de um programa de exercício multimodal (PEM) na capacidade funcional de pacientes com doença de Parkinson (DP), de acordo com a severidade da doença e gênero. Catorze pacientes com DP participaram do estudo, distribuídos em dois grupos: 1) severidade da doença, 2) gênero. A capacidade funcional foi avaliada antes e após 6 meses de intervenção. Em geral, os pacientes melhoraram a coordenação e força. Homens e mulheres melhoraram o desempenho da força após o exercício. Os homens também melhoraram a coordenação. Para a severidade da doença, o grupo unilateral melhorou a força, enquanto o grupo bilateral melhorou força, equilíbrio, coordenação e UPDRS funcional. Portanto, o PEM é eficiente na melhoria dos componentes da capacidade funcional de pacientes com DP, especialmente a força. O gênero deve ser considerado no programa de exercício. Pacientes no estágio bilateral parecem ter mais benefícios do exercício. Palavras-chave: programa de exercício multimodal, capacidade funcional, doença de ParkinsonResumen-"Efectos de un programa de ejercicio multimodal en la capacidad funcional de los pacientes con enfermedad de Parkinson teniendo en cuenta la gravedad de la enfermedad y el sexo". Esto estudio investigó el efecto de un programa de ejercicio multimodal (PEM) en la capacidad funcional de pacientes con enfermedad de Parkinson (EP), considerando la severidad de la enfermedad y el género. Catorce pacientes con EP participaron del estudio, distribuidos en grupos: 1) severidad de la enfermedad, 2) género. La capacidad funcional fue avaluada antes y después de 6-meses de intervención. En general, los pacientes mejoraron coordinación y fuerza. Hombres y mujeres mejoraron el desempeño de la fuerza después del ejercicio. Todavía, los homb...

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“…Although the BBS is commonly used for identifying the probability of a tumble and assess balance in individuals with neurological disorders [13][14][15], we haven't been able to find any studies assessing balance after the combination of techniques used in this research.…”

Section: Discussionmentioning

confidence: 99%

The Effect of the Combination of Physical Therapies on Functional Mobility and Balance for Hemiparetic Patients who had a Cerebrovascular Accident

Mafra¹,

Lopes²,

Barbosa³

et al. 2016

Int J Phys Med Rehabil

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Exercise programs improve mobility and balance in people with Parkinson's disease

Cited by 106 publications

References 27 publications

Feldenkrais method and functionality in Parkinson’s disease: a randomized controlled clinical trial

Feldenkrais method and functionality in Parkinson’s disease: a randomized controlled clinical trial

Effects of a multimodal exercise program on the functional capacity of Parkinson's disease patients considering disease severity and gender

The Effect of the Combination of Physical Therapies on Functional Mobility and Balance for Hemiparetic Patients who had a Cerebrovascular Accident

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