Effect of activity-based training versus strengthening exercises on upper extremity functions in Parkinson's patients; A randomized controlled, single blind, superiority trial

Zare, Maryam; Özdemir, Hande; Tavşan, Merve Yalçın; Tuna, Filiz; Süt, Necdet; Güler, Sibel; Kabayel, Derya Demirba

doi:10.1016/j.clineuro.2022.107261

Cited by 6 publications

(2 citation statements)

References 22 publications

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“…Physical training (e.g. strengthening training) and activity training is known to improve upper limb functions of persons with PD [6]. Ideally, the training creates a socalled flow state in which attention becomes "an experience in itself ".…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a combined intermittent theta-burst stimulation and video game-based dexterity training in Parkinson’s disease

Pastore‐Wapp

Kaufmann

Nyffeler

et al. 2023

J NeuroEngineering Rehabil

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Background Persons with Parkinson’s disease (PD) often exhibit difficulties with dexterity during the performance of activities of daily living (ADL), inter alia due to dysfunctional supplementary motor area (SMA). Combined intermittent theta-burst stimulation (iTBS) over the SMA followed by video game-based training (VBT) may therefore improve dexterity related ADL. The VBT may induce high flow levels related to high performance during the training. The aim of this study is to evaluate the feasibility of a combined iTBS-VBT intervention in persons with PD. Methods A total of nine persons with PD (mean age 63.3 ± 8.76 years) with self-reported difficulties with dexterity related ADL were included in this pilot iTBS-VBT study. All participants received either iTBS or sham stimulation over the SMA followed by a 45-min VBT, three times a week for a total of three weeks. Feasibility was measured by means of the adherence rate and the system usability (System Usability Scale). Moreover, flow was measured after the last VBT session. Results Adherence rate was excellent with 100%. High system usability scores (i.e., mean 80%, range 55–97.5) and a significant Spearman’s correlation with the Flow State Scale (r = .762, p = .017) further point to the high feasibility of the VBT. Neither demographic variables nor difficulties in dexterity related ADL affected the usability of the VBT. Conclusion This study demonstrates the high feasibility of a combined iTBS-VBT intervention. Moreover, the level of self-reported usability was related to flow experience. Whether this kind of combined iTBS-VBT intervention improves dexterity will be evaluated in a randomized controlled trial. Trial registration clincaltrials.gov NCT04699149, date of registration 1. June 2021

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Section: Introductionmentioning

confidence: 99%

Feasibility of a combined intermittent theta-burst stimulation and video game-based dexterity training in Parkinson’s disease

Pastore‐Wapp

Kaufmann

Nyffeler

et al. 2023

J NeuroEngineering Rehabil

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“…Solving this issue requires an integrated approach due to the combination of modern research in power fitness, sports physiology, biochemistry of motor activity, diagnostics of body systems, dynamic anatomy [2,10,15]. A comprehensive approach to the process of modeling the effective activities for the neuromuscular system readaptation requires substantiating the correspondence of the external stimulus to the initial level of the body adaptive reserves [16,17]. Using innovative complexes of physical exercises with different kinematics, methods of load correction depending on the features of adaptive and compensatory reactions to the stimulus, assessment of the functional state and the neuromuscular system state are the basis for modeling.…”

Section: Introductionmentioning

confidence: 99%

Kinesiological models of the neuromuscular system readaptation in mature women after prolonged hypokinesia

Чернозуб

Manolachi

Potop

et al. 2023

HSR

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Purpose To study the peculiarities of adaptive and compensatory reactions in mature women after prolonged hypokinesia using various kinesiological models of the neuromuscular system readaptation. Material and methods 52 women of mature age (39-46 years) after long-term (6-7 years) hypokinesia took part in the study. Group A used a kinesiological model based on free weight exercises with changes in kinematic and dynamic characteristics. Group B used a model based on machine exercises. The following methods were used to monitor adaptation processes: bioelectrical impedance analysis, anthropometry, testing of strength capabilities, biochemical blood analysis (cortisol and creatinine concentration). Results The dynamics of the studied indicators differed significantly between the groups using the proposed kinesiological models for 12 weeks. Thus, the fat-free and body cell mass indicators were 5 times higher in group A women compared to group B participants. The body fat mass decreased by 5 times in group A participants. The circumference measurements reduced in all participants, but in group A the rate of change was 1.8 times faster. The level of strength growth was almost the same in all study participants; it fluctuated within 10-25% compared to the initial data. The cortisol concentration in the blood serum increased only in group B during all stages of control. At the end of the research, the cortisol level did not change in response to stress in the women of group A, which indicates increasing of their resistance level. The basal level of creatinine grew by 4% in group A women after 12 weeks of training, but it did not change in group B participants. These changes indicate an accelerated growth of muscle mass in group A women. Conclusions Pronounced adaptive changes occurred in women of mature age after prolonged hypokinesia in case of using the kinesiological model of the neuromuscular system readaptation with free weight exercises. Applying this model helps to increase the functional capabilities of the body, to strengthen the level of resistance to a stress stimulus, and to improve the morphometric parameters of the body.

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Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Malwanage,

Dissanayaka,

Allen

et al. 2024

Archives of Physical Medicine and Rehabilitation

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Effect of activity-based training versus strengthening exercises on upper extremity functions in Parkinson's patients; A randomized controlled, single blind, superiority trial

Cited by 6 publications

References 22 publications

Feasibility of a combined intermittent theta-burst stimulation and video game-based dexterity training in Parkinson’s disease

Feasibility of a combined intermittent theta-burst stimulation and video game-based dexterity training in Parkinson’s disease

Kinesiological models of the neuromuscular system readaptation in mature women after prolonged hypokinesia

Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials

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