Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial
ABSTRACT Background: Postural instability affects Parkinson’s disease (PD) patients’ postural control right from the early stages of the disease. The benefits of resistance training (RT) for balance and functional capacity have been described in the literature, but few studies have been conducted...
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Thieme Revinter Publicações
2021-07-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000600511&tlng=en |
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| author | Janini CHEN Hsin Fen CHIEN Debora Cristina Valente FRANCATO Alessandra Ferreira BARBOSA Carolina de Oliveira SOUZA Mariana Callil VOOS Julia Maria D'Andréa GREVE Egberto Reis BARBOSA |
| author_facet | Janini CHEN Hsin Fen CHIEN Debora Cristina Valente FRANCATO Alessandra Ferreira BARBOSA Carolina de Oliveira SOUZA Mariana Callil VOOS Julia Maria D'Andréa GREVE Egberto Reis BARBOSA |
| author_sort | Janini CHEN |
| collection | DOAJ |
| description | ABSTRACT Background: Postural instability affects Parkinson’s disease (PD) patients’ postural control right from the early stages of the disease. The benefits of resistance training (RT) for balance and functional capacity have been described in the literature, but few studies have been conducted showing its effects on PD patients’ postural control. Objective: To investigate the effects of a three-month RT intervention on static posturography (SP) measurements and clinical functional balance assessment among PD patients. Methods: Seventy-four patients were randomly assigned to a three-month RT intervention consisting of using weightlifting machines at a gym (gym group) or RT consisting of using free weights and elastic bands (freew group), or to a control group. The participants were evaluated at baseline, three months and six months. We evaluated changes of SP measurements under eyes-open, eyes-closed and dual-task conditions (primary endpoint), along with motor performance and balance effects by means of clinical scales, dynamic posturography and perceptions of quality of life (secondary endpoints). Results: There were no significant interactions in SP measurements among the groups. Unified Parkinson Disease Rating Scale (UPDRS-III) motor scores decreased in both RT groups (p<0.05). Better perceived quality of life for the mobility domain was reported in the gym group while functional balance scores improved in the freew group, which were maintained at the six-month follow-up (p<0.05). Conclusions: This study was not able to detect changes in SP measurements following a three-month RT intervention. Both RT groups of PD patients showed improved motor performance, with positive balance effects in the freew group and better perceived quality of life in the gym group. |
| format | Article |
| id | doaj-art-7a56530debfd4d39970abcaf7f8352be |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-7a56530debfd4d39970abcaf7f8352be2025-08-20T02:07:36ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-07-0179651152010.1590/0004-282x-anp-2020-0285Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trialJanini CHENhttps://orcid.org/0000-0003-3591-1472Hsin Fen CHIENhttps://orcid.org/0000-0002-2490-6021Debora Cristina Valente FRANCATOhttps://orcid.org/0000-0003-1008-5012Alessandra Ferreira BARBOSAhttps://orcid.org/0000-0002-8215-7858Carolina de Oliveira SOUZAhttps://orcid.org/0000-0002-4177-5262Mariana Callil VOOShttps://orcid.org/0000-0001-6252-7287Julia Maria D'Andréa GREVEhttps://orcid.org/0000-0003-1778-0448Egberto Reis BARBOSAhttps://orcid.org/0000-0002-6996-9130ABSTRACT Background: Postural instability affects Parkinson’s disease (PD) patients’ postural control right from the early stages of the disease. The benefits of resistance training (RT) for balance and functional capacity have been described in the literature, but few studies have been conducted showing its effects on PD patients’ postural control. Objective: To investigate the effects of a three-month RT intervention on static posturography (SP) measurements and clinical functional balance assessment among PD patients. Methods: Seventy-four patients were randomly assigned to a three-month RT intervention consisting of using weightlifting machines at a gym (gym group) or RT consisting of using free weights and elastic bands (freew group), or to a control group. The participants were evaluated at baseline, three months and six months. We evaluated changes of SP measurements under eyes-open, eyes-closed and dual-task conditions (primary endpoint), along with motor performance and balance effects by means of clinical scales, dynamic posturography and perceptions of quality of life (secondary endpoints). Results: There were no significant interactions in SP measurements among the groups. Unified Parkinson Disease Rating Scale (UPDRS-III) motor scores decreased in both RT groups (p<0.05). Better perceived quality of life for the mobility domain was reported in the gym group while functional balance scores improved in the freew group, which were maintained at the six-month follow-up (p<0.05). Conclusions: This study was not able to detect changes in SP measurements following a three-month RT intervention. Both RT groups of PD patients showed improved motor performance, with positive balance effects in the freew group and better perceived quality of life in the gym group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000600511&tlng=enResistance TrainingParkinson DiseasePostural BalanceRehabilitationQuality of Life |
| spellingShingle | Janini CHEN Hsin Fen CHIEN Debora Cristina Valente FRANCATO Alessandra Ferreira BARBOSA Carolina de Oliveira SOUZA Mariana Callil VOOS Julia Maria D'Andréa GREVE Egberto Reis BARBOSA Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial Arquivos de Neuro-Psiquiatria Resistance Training Parkinson Disease Postural Balance Rehabilitation Quality of Life |
| title | Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial |
| title_full | Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial |
| title_fullStr | Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial |
| title_full_unstemmed | Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial |
| title_short | Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial |
| title_sort | effects of resistance training on postural control in parkinson s disease a randomized controlled trial |
| topic | Resistance Training Parkinson Disease Postural Balance Rehabilitation Quality of Life |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000600511&tlng=en |
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