Article

OBJECTIVES: To compare the effects of functional training, bicycle exercise, and
exergaming on walking capacity of elderly with Parkinson disease (PD). DESIGN: A
pilot randomized, controlled, single-blinded trial.
SETTING: A state reference
health care center for elderly, a public reference outpatient clinic for the
elderly. PARTICIPANTS: Elderly individuals (>/=60 years of age; N=62) with
idiopathic PD (stage 2 to 3 of modified Hoehn and Yahr staging scale) according
to the London Brain Bank. INTERVENTION: The participants were randomly assigned
to three groups. Group 1 (G1) participated in functional training (n=22); group 2
(G2) performed bicycle exercise (n=20), and group 3 (G3) trained with Kinect
Adventures (Microsoft, Redmond, WA) exergames (n=20). MAIN OUTCOME MEASURES: The
primary outcome measure was the 6-minute walk test (6MWT); secondary outcome
measures were the 10-m walk test (10MWT), sitting-rising test (SRT), body mass
index, Parkinson Disease Questionnaire-39, World Health Organization Disability
Assessment Schedule 2.0 (WHODAS 2.0), and 15-item Geriatric Depression Scale.
RESULTS: All groups showed significant improvements in 6MWT (G1 P=.008; G2
P=.001; G3 P=.005), SRT (G1 P<.001; G2 P=.001; G3 P=.003), and WHODAS 2.0 (G1
P=.018; G2 P=.019; G3 P=.041). Only G3 improved gait speed in 10MWT (P=.11). G1
(P=.014) and G3 (P=.004) improved quality of life. No difference was found
between groups. CONCLUSIONS: Eight weeks of exergaming can improve the walking
capacity of elderly patients with PD. Exergame training had similar outcomes
compared with functional training and bicycle exercise.
The three physical
exercise modalities presented significant improvements on walking capacity,
ability to stand up and sit, and functionality of the participants.
CI - Copyright (c) 2018 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS