Can functional training influence physical aspects in people with parkinsonism? A randomized trial
DOI:
https://doi.org/10.21527/2176-7114.2024.48.14712Keywords:
Physical Exercise, Parkinson's Disease, Postural Balance, Muscle Strength, Gripping StrengthAbstract
Introduction: Physical exercise is considered a complementary form of treatment to medication and has been shown in the literature to improve some motor symptoms in People with Parkinson. Objective: To analyze the effect of a functional training intervention on the Unified Parkinson's Disease Scale III score, balance, flexibility, lower and upper limb strength, and functional mobility in people with Parkinson's disease. Methods: The study included a functional training intervention group (n=12) and control group (n=12), totaling 24 participants of both sexes (64.08 ± 10.1 years). Information was collected on personal and clinical characteristics, and the following tests were applied; the Unified Parkinson's Disease Scale – part III, balance test (MiniBESTest), lower limb flexibility (Sitting and Reaching), shoulder range of motion (Goniometry), lower limb muscle strength (isokinetic dynamometer), handgrip strength (Dynamometry), and functional mobility (Timed Up & Go). Results: After the intervention there were significant intragroup improvements in the intervention group for the variables left shoulder range of motion in abduction (p= 0.014) and flexion (p= 0.018), right and left lower limb flexibility (p=0.013; p=0.002), right and left leg extension strength (p=0.028; p=0.017), and right and left leg flexion strength (p=0.006; p=0.002). In addition, intra-group statistical differences in the worsening of the control group in the Unified Parkinson's Disease Scale III (p=0.023), right shoulder range of motion in flexion (p=0.000), and left lower limb flexibility (p=0.043). None of the variables demonstrated an intergroup effect, and the variables balance, functional mobility, and handgrip presented no significant intragroup effects. Conclusion: A functional training program can positively influence physical aspects related to strength, range of motion, and flexibility, and was shown to be a safe and viable complementary treatment for people with Parkinson's disease.
References
Armstrong MJ, Okun MS. Diagnosis and treatment of Parkinson disease: A review: JAMA. 2020;323(6):548–60.
Gandhi, KR., Saadabadi, A. Levodopa (L-Dopa). StatPearls Publishing.2022.
Véronneau-Veilleux F, Ursino M, Robaey P, Lévesque D, Nekka F. Nonlinear pharmacodynamics of levodopa through Parkinson's disease progression. Chaos. 2020;30(9):093146.
Duchesne C, Gheysen F, Bore A, Albouy G, Nadeau A, Robillard ME, et al. Influence of aerobic exercise training on the neural correlates of motor learning in Parkinson’s disease individuals. NeuroImage Clin. 2016; 12:559–69.
Soke F, Guclu-Gunduz A, Kocer B, Fidan I, Keskinoglu P. Task-oriented circuit training combined with aerobic training improves motor performance and balance in people with Parkinson's Disease. Acta Neurol Belg. 2021;121(2):535-543.
Strand KL, Cherup NP, Totillo MC, Castillo DC, Gabor NJ, Signorile JF. Periodized Resistance Training With and Without Functional Training Improves Functional Capacity, Balance, and Strength in Parkinson's Disease. J Strength Cond Res. 2021;35(6):1611-1619.
Ernst M, Folkerts A-K, Gollan R, Lieker E, Caro-Valenzuela J, Adams A, et al. Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023;1(3).
La Scala Teixeira, C. V., Evangelista, A. L., Novaes, J. S., Da Silva Grigoletto, M. E., & Behm, D. G. “You're only as strong as your weakest link”: a current opinion about the concepts and characteristics of functional training. Frontiers in physiology. 2017; 8, 643.
Leal LC, Abrahin O, Rodrigues RP, da Silva MC, Araújo AP, de Sousa EC, Pimentel CP, Cortinhas-Alves EA. Low-volume resistance training improves the functional capacity of older individuals with Parkinson’s disease. Geriatrics & gerontology international. 2019;635–40.
Allen, NE. et al. Interventions for preventing falls in Parkinson's disease. Cochrane Database of Systematic Reviews. 2022; 6.
Ortiz-Rubio A, Cabrera-Martos I, Torres-Sánchez I, Casilda-López J, López-López L, Valenza MC. Effects of a resistance training program on balance and fatigue perception in patients with Parkinson's disease: A randomized controlled trial. Med Clin (Barc). 2018;150(12):460-464.
Moratelli JA, Alexandre KH, Boing L, Vieira M de CS, Guimarães AC de A. Functional training versus Mat Pilates in motor and non-motor symptoms of individuals with Parkinson’s disease: study protocol for a randomized controlled trial. Motriz. 2022; 28.
Antes, G. The new CONSORT statement. BMJ. Clinical Research Ed. 2010.
Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinicopathological study of 100 cases. J Neurol Neurosurg Psychiatry. 1992;55(3):181-4
García Amor GE. Diseño de material gráfico para pacientes con Enfermedad de Parkinson: aprendiendo a identificar las fluctuaciones on-off. 2020.
Almeida, KJ., Carvalho, L., Monteiro, T.., Gonçalves, P.., & Campos-Sousa, R.. Cutoff values of the Portuguese version of the “Monreal Cognitive Assessment” for cognitive assessment in Parkinson's disease. Neuropsychology. 2019; 13, 210-215.
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967. 17(5):427-42.
Moher D, Chan A-W. SPIRIT (standard protocol items: Recommendations for interventional trials). Guidelines for Reporting Health Research: A User’s Manual. 2014. 56–67.
Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease. The Unified Parkinson's Disease Rating Scale (UPDRS): status and recommendations. Mov Disord. 2003;18(7):738-750.
Maia AC, et al. Adaptação transcultural e análise das propriedades psicométricas do Balance Evaluation Systems Test e do MiniBESTest em idosos e indivíduos com doença de Parkinson: aplicação do modelo Rasch. Braz J Phys Ther 2013; 17.3.
Wells KF, Dillon EK. The Sit and Reach-A Test of Back and Leg Flexibility. Research Quarterly. American Association for Health. Physical Education and Recreation. 1952;23:115–8.
Ammitzboll G, et al. Progressive strength training to prevent lymphoedema in the first year after breast Cancer-the lyca feasibility study. Acta oncologica 2017; 56:360-366.2.
Richards LG, Olson B, Palmiter-Thomas P. How forearm position affects grip strength. Am J Occup Ther. 1996;50(2):133-138.
Borges ED, Silva MS, Bottaro M, Lima RM, Allam N, Oliveira RJ de Isokinetic muscle strength of knee extensors in individuals with Parkinson's disease. Fisioter Em Mov. 2013;26(4):803–11.
Cabral ALL. Tradução e validação do teste Timed Up and Go e sua correlação com diferentes alturas da cadeira. 2011;102.
Paul SS, Canning CG, Song J, Fung VS, Sherrington C. Leg muscle power is enhanced by training in people with Parkinson's disease: a randomized controlled trial. Clin Rehabil. 2014;28(3):275-288.
Nadeau A, Lungu O, Boré A, et al. A 12-Week Cycling Training Regimen Improves Upper Limb Functions in People With Parkinson's Disease. Front Hum Neurosci. 2018;12:351.
Roberts HC, Syddall HE, Butchart JW, Stack EL, Cooper C, Sayer AA. The Association of Grip Strength With Severity and Duration of Parkinson's: A Cross-Sectional Study. Neurorehabil Neural Repair. 2015;29(9):889-896.
Alberts, J L., Linder, SM., Penko, A L., Lowe, MJ., & Phillips, M.. It is not about the bike, it is about the pedaling: forced exercise and Parkinson’s disease. Exercise and Sport Sciences Reviews. 2011; 39(4), 177–186.
Chung CLH, Thilarajah S, Tan D. Effectiveness of resistance training on muscle strength and physical function in people with Parkinson’s disease: a systematic review and meta-analysis. Clin Rehabil. 2016;30(1):11–23.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Contexto & Saúde
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam na Revista Contexto & Saúde concordam com os seguintes termos:
a) A submissão de trabalho(s) científico(s) original(is) pelos autores, na qualidade de titulares do direito de autor do(s) texto(s) enviado(s) ao periódico, nos termos da Lei 9.610/98, implica na cessão de direitos autorais de publicação na Revista Contexto e Saúde do(s) artigo(s) aceitos para publicação à Universidade Regional do Noroeste do Estado do Rio Grande do Sul, autorizando-se, ainda, que o(s) trabalho(s) científico(s) aprovado(s) seja(m) divulgado(s) gratuitamente, sem qualquer tipo de ressarcimento a título de direitos autorais, por meio do site da revista e suas bases de dados de indexação e repositórios, para fins de leitura, impressão e/ou download do arquivo do texto, a partir da data de aceitação para fins de publicação. Isto significa que, ao procederem a submissão do(s) artigo(s) à Revista Contexto e Saúde e, por conseguinte, a cessão gratuita dos direitos autorais relacionados ao trabalho científico enviado, os autores têm plena ciência de que não serão remunerados pela publicação do(s) artigo(s) no periódico.
b). Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
c). Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
d. Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado (Veja O Efeito do Acesso Livre).
