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Complex Exercises Improve Cognition in People With Parkinson's Disease and Freezing of Gait.
Silva-Batista, Carla; Almeida, Filipe Oliveira de; Batista, Alana; Barbosa, Egberto Reis; Horak, Fay B; Ugrinowitsch, Carlos.
Afiliação
  • Silva-Batista C; Exercise Neuroscience Research Group, University of São Paulo, SP, Brazil.
  • Almeida FO; Laboratory of Neuromuscular Adaptations to Strength Training, School of Physical Education and Sport, University of São Paulo, SP, Brazil.
  • Batista A; Department of Neurology, Oregon Health and Science University, Portland, OR, USA.
  • Barbosa ER; Exercise Neuroscience Research Group, University of São Paulo, SP, Brazil.
  • Horak FB; Department of Radiology, University of São Paulo, SP, Brazil.
  • Ugrinowitsch C; Department of Radiology, University of São Paulo, SP, Brazil.
Neurorehabil Neural Repair ; : 15459683241290793, 2024 Oct 15.
Article em En | MEDLINE | ID: mdl-39403970
ABSTRACT

BACKGROUND:

Evidence has suggested that cognitive decline may be a risk factor for freezing of gait (FOG) in Parkinson's disease (PD). Complex and challenging exercises have been suggested as potential rehabilitation strategies to decrease FOG severity and improve cognition; however, it is unknown whether improvement in cognition would explain decreased FOG severity following exercise.

OBJECTIVE:

In this secondary analysis, we evaluated the effects of the adapted resistance training with instability (ARTI-complex and challenging exercises) compared with traditional motor rehabilitation (TMR-without challenging exercises) on cognitive function in people with FOG of PD. We also verified whether cognitive improvement explains the decrease in FOG previously published.

METHODS:

Participants were randomized to either the experimental group (ARTI, n = 17) or the active control group (TMR, n = 15). Both training groups exercised 3 times a week for 12 weeks (80-90 minute each session). FOG severity (FOG ratio from inertial sensors during a 360° turning-in-place task), frontal lobe function (Frontal Assessment Battery [FAB]), global cognition (Montreal Cognitive Assessment [MoCA]), and attention and psychomotor speed (Digit Symbol Substitution Test [DSST]) were evaluated before and after interventions.

RESULTS:

Only the ARTI group improved FAB, MoCA, and DSST scores at posttraining. In addition, ARTI was more effective than TMR in improving FAB scores at posttraining. The changes in FAB scores explained the changes in FOG ratio following ARTI (R2 = .43, P < .01).

CONCLUSIONS:

This pilot study suggests that ARTI, a complex and challenging training, improves cognition in people with FOG of PD. Improvements in frontal lobe function with ARTI help explain decreased FOG severity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Neurorehabil Neural Repair Assunto da revista: NEUROLOGIA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Neurorehabil Neural Repair Assunto da revista: NEUROLOGIA / REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos