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Neurological Sciences

, Volume 39, Issue 12, pp 2159–2168 | Cite as

Whole body vibration and treadmill training in Parkinson’s disease rehabilitation: effects on energy cost and recovery phases

  • Silvia Corbianco
  • Gabriella Cavallini
  • Giacomo Baldereschi
  • Maria Chiara Carboncini
  • Francesca Lidia Fiamingo
  • Paolo Bongioanni
  • Marco Dini
Original Article
  • 92 Downloads

Abstract

Background

Although physical treatment is recognized as being beneficial for patients with Parkinson’s disease (PD), there is scant literature on the type of rehabilitation program most useful for patients with PD. The aim of the present study was to investigate the effects of two different training protocols (aerobic treadmill training, AER and whole body vibration training, WBVT) on energy cost and adaptations after exercise and recovery phases, by means of the oxygen consumption measurement and the assay of metabolic biochemical substrates.

Methods

Twenty male patients with idiopathic Parkinson’s disease, aged 51–66 years, were enrolled. Patients were randomly assigned to the training groups. The total work time was 20 min per group for 4 weeks, four times a week. In both groups, training intensity was monitored by the ratings of perceived exertion (RPE). Workload was gradually increased until patients worked up to the exertion level of 13 to 15 on the 20-point Borg scale RPE. The outcome measures were oxygen consumption, free fatty acid (FFA), and amino acid (AA) levels.

Results

The oxygen consumption during exercises does not show significant differences between the two training groups. Instead, only in the AER group, excess post-exercise oxygen consumption measurements increased significantly (p < 0.01) as well as FFA availability (p < 0.01).

Conclusion

The WBVT does not appear to require a long time of recovery and leads to less feeling of fatigue, whereas AER needs an appropriate recovery time after the training session.

Keywords

Parkinson’s disease Rehabilitation Vibration Excess post-exercise oxygen consumption Amino acids Free fatty acids 

Notes

Compliance with ethical standards

The study was approved by the local Ethical Committee of the Azienda Ospedaliero-Universitaria Pisana in accordance with the code of Ethics of the World Medical Association (Declaration of Helsinki). Written informed consent was obtained prior to participation in the study and after explanation of the protocol.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Interdepartmental Research Centre on Biology and Pathology of AgingUniversity of PisaPisaItaly
  2. 2.Human Movement and Rehabilitation Research LaboratoryPisaItaly
  3. 3.Neurorehabilitation UnitAzienda Ospedaliero-Universitaria PisanaPisaItaly
  4. 4.NeuroCare OnlusPisaItaly

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