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Introducing a multifaceted exercise intervention particular to older adults diagnosed with Parkinson’s disease: a preliminary study

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Abstract

Background and aim

With a substantial increase in diagnosed Parkinson’s disease, it is of great importance to examine tolerance and physical measures of evolving exercise interventions. Of particular importance, a multifaceted exercise intervention combining active-assisted cycling and resistance training to older adults diagnosed with Parkinson’s disease is being assessed.

Methods

Fourteen older adults diagnosed with Parkinson’s disease and ten healthy older adults (67.5 ± 7.9 years of age) engaged in an 8-week, 24-session, multifaceted exercise protocol. The protocol consisted of both active-assisted cycling and resistance training. Tolerance was measured, as well as multiple indicators of health-related physical fitness. These indicators examined improvements in cardiovascular performance, muscular strength, muscular endurance, and flexibility.

Results

Twenty-two older adults and older adults diagnosed with Parkinson’s disease tolerated the intervention by completing all 24 sessions. Repeated-measures analysis of variance demonstrated significant (P ≤ 0.003) improvements in cardiovascular performance, muscular strength, muscular endurance, and flexibility for both groups of individuals.

Discussion and conclusion

The multifaceted intervention is the first to combine both active-assisted cycling and resistance training. The older adult and the older adult diagnosed with Parkinson’s disease exhibited both tolerance and health-related improvements in physical fitness following the intervention.

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References

  1. Dorsey E, Constantinescu R, Thompson J, Biglan K, Holloway R, Kieburtz K, Marshall F, Ravina B, Schifitto G, Siderowf A, Tanner CM (2007) Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology 68(5):384–386

    Article  CAS  PubMed  Google Scholar 

  2. Aarsland D, Andersen K, Larsen J, Lolk A, Nielsen H, Kragh-Sorenson P (2001) Risk of dementia in Parkinson’s disease: a community-based, prospective study. Neurology 56(6):730–736

    Article  CAS  PubMed  Google Scholar 

  3. Diederich N, Moore C, Leurgans S, Chmura T, Goetz C (2003) Parkinson disease with old-age onset: a comparative study with individuals with middle-age onset. Arch Neurol 60:529–533

    Article  PubMed  Google Scholar 

  4. Ridgel A, Peacock C, Fickes E, Kim CH (2012) Active-assisted cycling improves tremor and bradykinesia in Parkinson’s disease. Arch Phys Med Rehabil 93(11):2049–2054

    Article  PubMed  Google Scholar 

  5. Hirsch M, Toole T, Maitland C, Rider R (2003) The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson’s disease. Arch Phys Med Rehabil 84(8):1109–1117

    Article  PubMed  Google Scholar 

  6. Koller W, Kase S (1986) Muscle strength testing in Parkinson’s disease. Eur Neurol 25(2):130–133

    Article  CAS  PubMed  Google Scholar 

  7. Palmer S, Mortimer J, Webster D, Bistevins R, Dickinson G (1986) Exercise therapy for Parkinson’s disease. Arch Phys Med Rehabil 67(10):741–745

    Article  CAS  PubMed  Google Scholar 

  8. Hass C, Buckley T, Pitsikoulis C, Barthelemy EJ (2012) Progressive resistance training improves gait initiation in individuals with Parkinson’s disease. Gait Posture 34(4):669–673

    Article  Google Scholar 

  9. Dibble L, Hale T, Marcus R, Gerber J, LaStayo P (2009) High intensity eccentric resistance training decreases bradykinesia and improves quality of life in persons with Parkinson’s disease: a preliminary study. Parkinsonism Relat Disord 15(10):752–757

    Article  PubMed  Google Scholar 

  10. Falvo M, Schilling B, Earhart G (2008) Parkinson’s disease and resistive exercise: rationale, review, and recommendations. Mov Disord 23(1):1–11

    Article  PubMed  Google Scholar 

  11. Burini D, Farabollini B, Iacucci S, Rimatori C, Riccardi G, Capecci M et al (2006) Randomized controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson’s disease. Eura Medicophys 42(3):231–238

    CAS  PubMed  Google Scholar 

  12. Herman T, Giladi N, Gruendlinger L, Hausdorff J (2007) Six weeks of intensive treadmill training improves gait and quality of life in patients with Parkinson’s disease: a pilot study. Arch Phys Med Rehabil 88(9):1154–1158

    Article  PubMed  Google Scholar 

  13. Fabre C, Chamari K, Mucci P, Masse-Biron J, Prefaut C (2002) Improvement of cognitive function by mental and/or individualized aerobic training in healthy older adult individuals. Int J Sports Med 23(6):415–421

    Article  CAS  PubMed  Google Scholar 

  14. Colcombe S, Kramer A (2003) Fitness effects on the cognitive performance in middle-aged and older adults: a meta-analytic study. Psychol Sci 14(2):125–130

    Article  PubMed  Google Scholar 

  15. Robertson R, Goss F, Dube J (2004) Validation of the adult OMNI scale of perceived exertion for cycle ergometer exercise. Med Sci Sports Exerc 36(1):102–108

    Article  PubMed  Google Scholar 

  16. Toner M, Glickman E, McGardle W (1990) Cardiovascular adjustments to exercise distributed between the upper and lower body. Med Sci Sports Exerc 22(6):773–778

    Article  CAS  PubMed  Google Scholar 

  17. Hoeger W, Barette S, Hale D, Hopkins D (1987) Relationship between repetition and selected percentages of one repetition maximum. J Appl Sport Sci Res 1(1):11–13

    Google Scholar 

  18. Hoeger W, Hopkins D, Barette S, Hale D (1990) Relationship between repetitions and selected percentages of one repetition maximum: a comparison between untrained and trained males and females. J Appl Sport Sci Res 4(2):47–54

    Google Scholar 

  19. Graves J, Pollcok M, Bryan C (2011) ACSM’s resource manual for guidelines for exercise testing and prescription, 4th edn. Lippincott Williams & Wilkins, Baltimore

    Google Scholar 

  20. Protas E, Stanley R, Jankovic J, MacNeill B (1996) Cardiovascular and metabolic responses to upper- and lower-extremity exercise in men with idiopathic Parkinson’s disease. Phys Ther 76(1):34–40

    CAS  PubMed  Google Scholar 

  21. Schenkman M, Cutson T, Kuchibhatla M, Chandler J, Pieper C, Ray L et al (1998) Exercise to improve spinal flexibility and function for people with Parkinson’s disease: a randomized, controlled trial. J Am Geriatr Soc 46(10):1207–1216

    CAS  PubMed  Google Scholar 

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Acknowledgments

Funding was provided by a KSU EHHS Seed grant and a grant from The Foundation for Aging Studies and Exercise Science. We would like to thank Jacob Barkley, Ph.D., for statistical support. We would also like to thank the Kent State University graduate researchers including Robert Fioritto, Yong Suk Seo, Meghan Williamson, Keith Burns, Rachel Knepley, Andrew Carnes, and Brandon Pollock for training support.

Conflict of interest

There is no conflict of interest.

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Correspondence to Corey A. Peacock.

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Peacock, C.A., Sanders, G.J., Wilson, K.A. et al. Introducing a multifaceted exercise intervention particular to older adults diagnosed with Parkinson’s disease: a preliminary study. Aging Clin Exp Res 26, 403–409 (2014). https://doi.org/10.1007/s40520-013-0189-4

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  • DOI: https://doi.org/10.1007/s40520-013-0189-4

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