Article

Forced exercise training presents a valid method of improving symptoms of
Parkinson's disease such as rigor, dyskinesia and gait dysfunctions. Brain
imaging data suggest that use of active assistive forced exercise could improve
Parkinsonian symptoms more effectively than passive assistive forced exercise.
However, the long-term effects of active versus passive assistive forced exercise
on the symptoms of Parkinson's disease are unknown. Here, 24 patients showing
bilateral effects of Parkinson's disease underwent a 12 week intervention of
either passive or active assistive forced exercise. We analyzed tremor scores,
gait patterns, and scores on the Unified Parkinson's Disease Rating Scale-III
from three timepoints--before beginning the intervention, upon completion of the
intervention, and twelve weeks after completion of the intervention.
Participation in both passive and active assistive forced exercise increased gait
velocity (0.5 km/h), swing phase (2%), monopedal stance phase (2%), elongated
stride length (11 cm) and decreased double stance phase (4%). However, with
participation in active assistive forced exercise, postural and kinetic tremor
were also reduced and gait velocity and stride length were increased long-term.
Given these findings, we conclude that future treatment for patients bilaterally
affected by Parkinson's disease should carefully consider the type of assistive
forced exercise intervention to be used.
CI - Copyright (c) 2015 Elsevier B.V. All rights reserved.

Langue : ANGLAIS