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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2012, Number 1

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Rev Esp Med Quir 2012; 17 (1)

Changes in balance and walk of patients with Parkinson’s disease using a bicycle ergometer

Lucatero LL, Loeza MP

Language: Spanish
References: 123
Page: 8-14
PDF size: 150.09 Kb.


ABSTRACT

Background: Rehabilitation of Parkinson’s patients is based on motor symptoms or cognitive disorders associated with the movement.
Objective: To determine if training with cycloergometer improve the gait, balance and distance travelled in patients with Parkinson’s disease.
Material and methods: An open, prospective and comparative study was realized. We used different tests like: 10 meters walking, 6 minutes walking, questionnaire for quality of health SF-36, veteran’s test of activity specifies, Berg balance scale, and Up and Go Test. The patients received physical therapy during 20 sessions consisting of reeducation of the gait, stretching and reeducation of the balance; in addition, the group of study was trained in cycloergometer. The follow-up was made at the end of 20 sessions.
Results: In the group of study there were no statistical differences in the evaluations to the beginning and at the end of the treatment; being the same case in the control group. To determine the variability between the groups a comparison was made, but there were no statistical differences to the beginning and at the end of the study.
Conclusion: The sample was analyzed in agreement to distribution of information. There were no statistical differences for any variable, nor within groups or between them, so it is not possible to reject the null hypothesis despite clinical differences. The number of cases do not statistical corroboration.


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  97. American Thoracic Society Statement: Guidelines for the Six-Minute Walk Test. Am J Respir Crit Care Med 2002;166:111-117.

  98. Enright P. The Six-Minute Walk Test. Respir Care 2003;48(8):783-785.

  99. Schenkman M, Cutson T, Kuchibhatla M. Reliability of impairment and physical performance measures for persons with Parkinson’s disease. Phys Ther 1997;77:19-27.

  100. Nayak USL, Isaacs B, Mathias S. Balance in elderly patients: the “get up and go” test. Arch Phys Med Rehabil 1986:67:387-389.

  101. Qutubuddin AA, Pegg PO, Cifu DX, Brown R, McNamee S. Validating the Berg Balance Scale for patients with Parkinson’s disease: a key to rehabilitation evaluation. Arch Phys Med Rehabil 2005;86:789-792.

  102. Herman T, Giladi N, Gruendlinger L, Hausdorff JM. 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 2007;88:1154-1158.

  103. Winogrodzka A, Wagenaar RC, Booij J, Wolters EC. Rigidity and bradykinesia reduce interlimb coordination in Parkinsonian gait. Arch Phys Med Rehabil 2005;86:183-189.

  104. Falvo MJ, Earhart GM. Six-minute walk distance in persons with Parkinson disease: a hierarchical regression model. Arch Phys Med Rehabil 2009;90:1004-1008.

  105. Hirsch MA, Toole T, Maitland CG, Rider RA. The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson’s disease. Arch Phys Med Rehabil 2003;84:1109-1117.

  106. Fisher BE, Wu AD, Salem GJ, et al. The effect of exercise training in improving motor performance and corticomotor excitability in people with early Parkinson’s disease. Arch Phys Med Rehabil 2008;89:1221-1229.

  107. Band JM, Morris M. Goal-directed secondary motor tasks: their effects on gait in subjects with Parkinson disease. Arch Phys Med Rehabil 2000;81:110-116.

  108. Sofuwa O, Nieuwboer A, Desloovere K, et al. Quantitative gait analysis in Parkinson’s disease: comparison with a healthy control group. Arch Phys Med Rehabil 2005;86:1007-1013.

  109. de Goede CJT, Keus SHJ, Kwakkel G, Wagenaar RC. The effects of physical therapy in Parkinson's disease: a research synthesis. Arch Phys Med Rehabil 2001;82:509-515.

  110. Brusse KJ, Zimdars S, Zalewski KR, Steffen TM. Testing functional performance in people with Parkinson disease. Phys Ther 2005;85:134-141.

  111. Pohl M, Rockstroh G, Rückriem S, Mrass G, Mehrholz J. Immediate effects of speed-dependent treadmill training on gait parameters in early Parkinson’s disease. Arch Phys Med Rehabil 2003;84:1760-1766.

  112. Moran GT, McGlynn GH. Cross-training for sports. Champaign, Ill: human kinetics. Citado en: IAAF. Entrenadores de Nivel II del SFCE, 2004.

  113. Cinea KE. Cross training for endurance athletes: a super set machine program. NCSA Performance Training Journal 2002;1(2):24-27.

  114. Hagerman P. How to cross train your way to grater fitness. NCSA Performance Training Journal 2002;1(2):10-12.

  115. Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: Six- Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther 2002;82:128-137.

  116. Alonso J. La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Med Clin (Barc) 1995;104:771-776.

  117. Zúñiga AM, Carrillo JGT, Fos PJ, Gandek B, Medina MRM. Evaluación del estado de salud con la Encuesta SF-36: resultados preliminares en México. Salud Publica Mex 1999;41(2):110-118.

  118. Myers J, Herbert W. A nomogram to predict exercise capacity from a specific activity questionnaire and clinical data. United States: Excerpta medica. Am J Cardiol 1994;73:591-596.

  119. López-Chicharro J. Fisiología clínica del ejercicio. Buenos Aires: Editorial Médica Panamericana, 2008;189-196.

  120. Normativa SEPAR. Pruebas de ejercicio cardiopulmonar. Arch Bronconeumol 2001;37:247-268.

  121. Stokes M. Fisioterapia en la rehabilitación neurológica. Madrid: Elsevier, 2006;231.

  122. White DK, Wagenaar RC, Ellis TD, Tickle-Degnen L. Changes in walking activity and endurance following rehabilitation for people with Parkinson disease. Arch Phys Med Rehabil 2009;90:43-50.

  123. Dennison AC, Noorigian JV. Falling in Parkinson disease: identifying and priorizing risk factors in recurrent fallers. Am J Phys Med Rehabil 2007;86:621-632.




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