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Task-oriented circuit training combined with aerobic training improves motor performance and balance in people with Parkinson′s Disease

  • Fatih SokeEmail author
  • Arzu Guclu-Gunduz
  • Bilge Kocer
  • Isil Fidan
  • Pembe Keskinoglu
Original article
  • 41 Downloads

Abstract

Goal-based training such as task practice combined with aerobic training (AT) has been suggested to improve motor performance and neuroplasticity for people with Parkinson′s Disease (PwPD); however, its effect on clinical outcomes is unclear. Therefore, the main aim was to investigate the effects of task-oriented circuit training combined with AT (TOCT-AT) on balance and gait in PwPD. The secondary aim was to investigate the effects of TOCT-AT on functional mobility, balance confidence, disease severity, and quality of life. Twenty-six PwPD were randomly assigned to either to the experimental group (n = 14) or the control group (n = 12). The control group received AT, while the experimental group received TOCT-AT three times a week for 8 weeks. The main outcomes were the Berg Balance Scale (BBS), Postural Stability Test (PST), Limits of Stability Test (LOS), Pull Test (PT), Six Minute Walk Test (6MWT), Timed Up and Go Test (TUG), Activities-specific Balance Confidence Scale (ABC), Unified Parkinson′s Disease Rating Scale (UPDRS), and eight-item Parkinson′s Disease Questionnaire (PDQ-8) were secondary outcomes. After intervention, between-group comparisons showed that the experimental group significantly improved more than the control group in all outcomes (p < 0.05). Additionally, both groups significantly improved in BBS, 6MWT, TUG, ABC, UPDRS-II, UPDRS-III, UPDRS total, and PDQ-8 (p < 0.05), while only the experimental group significantly improved in PST, LOS, and PT (p < 0.001). This study suggest that TOCT-AT could improve balance and gait performance, which could also be positively translated into functional mobility, balance confidence, disease severity, and quality of life in PwPD.

Keywords

Parkinson′s Disease Task-oriented circuit training Aerobic training Rehabilitation Balance Gait 

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the study involving human participants were in accordance with the ethical standards of the Institutional Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all participants.

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Copyright information

© Belgian Neurological Society 2019

Authors and Affiliations

  1. 1.Department of Physiotherapy and Rehabilitation, Faculty of Health SciencesGazi UniversityAnkaraTurkey
  2. 2.Department of NeurologyDiskapi Yildirim Beyazit Teaching and Research HospitalAnkaraTurkey
  3. 3.Department of Medical Microbiology, Faculty of MedicineGazi UniversityAnkaraTurkey
  4. 4.Department of Biostatistics, School of MedicineDokuz Eylul UniversityIzmirTurkey

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