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Titre : | The Effects of Functional Training, Bicycle Exercise, and Exergaming on Walking Capacity of Elderly Patients With Parkinson Disease: A Pilot Randomized Controlled Single-blinded Trial (2018) |
Auteurs : | Daniel Dominguez Ferraz ; Karen Valadares Trippo ; Gabriel Pereira Duarte |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 5, 2018) |
Article en page(s) : | p. 826-833 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Maladie de Parkinson ; Sujet âgé |
Mots-clés: | Aged ; Parkinson disease ; Physical Therapy Modalities ; Techniques de physiothérapie ; Video Games ; Jeux vidéo ; Virtual Reality Exposure Therapy ; Thérapie par réalité virtuelle |
Résumé : |
Objectives To compare the effects of functional training, bicycle exercise, and exergaming on walking capacity of elderly with Parkinson disease (PD). Design A pilot randomized, controlled, single-blinded trial. Setting A state reference health care center for elderly, a public reference outpatient clinic for the elderly. Participants Elderly individuals (≥60 years of age; N=62) with idiopathic PD (stage 2 to 3 of modified Hoehn and Yahr staging scale) according to the London Brain Bank. Intervention The participants were randomly assigned to three groups. Group 1 (G1) participated in functional training (n=22); group 2 (G2) performed bicycle exercise (n=20), and group 3 (G3) trained with Kinect Adventures (Microsoft, Redmond, WA) exergames (n=20). Main Outcome Measures The primary outcome measure was the 6-minute walk test (6MWT); secondary outcome measures were the 10-m 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. Results All groups showed significant improvements in 6MWT (G1 P=.008; G2 P=.001; G3 P=.005), SRT (G1 P<.001 g2 p=".001;" g3 and whodas only improved gait speed in g1 quality of life. no difference was found between groups.> Conclusions Eight weeks of exergaming can improve the walking capacity of elderly patients with PD. 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |