The effects of functional training, bicycle exercise and exergaming on walking capacity of elderly with Parkinson's disease: a pilot randomized controlled single-blinded trial

Publication date: Available online 11 January 2018
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Daniel Dominguez Ferraz, Karen Valadares Trippo, Gabriel Pereira Duarte, Mansueto Gomes Neto, Kionna Oliveira Bernardes Santos, Jamary Oliveira Filho
ObjectivesTo compare the effects of functional training, bicycle exercise and exergaming on walking capacity of elderly with Parkinson disease (PD).DesignA pilot randomized controlled single-blinded trial.SettingA State Reference Health Care Centre for Elderly, a public reference outpatient clinic for the elderly.ParticipantsSixty-two elderly individuals (≥60 years-old) with idiopathic PD (stage 2 to 3 of modified Hoehn and Yahr) according to the London Brain Bank.InterventionThe participants were randomized into three groups. Group 1 (G1) was submitted to functional training (n=22), Group 2 (G2) performed bicycle exercise (n=20) and Group 3 (G3) trained with Kinect Adventures exergames (n=20).Main Outcome MeasuresThe primary outcome measure was the 6-minute walk test (6MWT); secondary outcome measures were the 10-meters 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.ResultsAll groups showed significant improvements in 6MWT (G1 p=0.008; G2 p=0.001; G3 p=0.005), SRT (G1 p<0.001; G2 p=0.001; G3 p=0.003) and WHODAS 2.0 (G1 p=0.018; G2 p=0.019; G3 p=0.041). Only G3 improved gait speed in 10MWT (p=0.011). G1 (p=0.014) and G3 (p=0.004) improved quality of life. No difference was found between groups.Conclusion8-weeks of exergaming are able to improve walking capacity of elderly PD patients. 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.



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