High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease

Introduction. Exercise has been shown to be an important adjunct therapy to medication in Parkinson’s disease (PD). However, the optimal type, frequency, and intensity of exercise or physiotherapy are still being debated. An important part of understanding the optimal frequency is to examine how acu...

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Main Authors: Angela L. Ridgel, Dana L. Ault
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2019/4076862
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author Angela L. Ridgel
Dana L. Ault
author_facet Angela L. Ridgel
Dana L. Ault
author_sort Angela L. Ridgel
collection DOAJ
description Introduction. Exercise has been shown to be an important adjunct therapy to medication in Parkinson’s disease (PD). However, the optimal type, frequency, and intensity of exercise or physiotherapy are still being debated. An important part of understanding the optimal frequency is to examine how acute bouts of exercise affect motor function and mobility in this population. The purpose of this study is to assess if six bouts of high-cadence cycling improves motor function and mobility in individuals with PD. Methods. Sixteen subjects with mild-moderate idiopathic PD were randomized into either a high-cadence cycling or a control (stretching) group. High-cadence cycling was completed on a custom motorized recumbent bicycle at a high cadence between 75 and 85 rpm. Cycling and stretching sessions were separated by 1 day of rest and took place over a 15-day period. Motor function and mobility were assessed after every cycling/stretching bout using the UPDRS Motor III scale, Kinesia ONE, and Timed up and Go (TUG). Results. Six bouts of high-cadence cycling improved UPDRS scores (2.5 pts, P=0.002), hand movement amplitude (P=0.013), rapid alternating hand movement speed (P=0.003), gait (P=0.012), and TUG time (1.17 s, P=0.002) from baseline testing to end of treatment. The control group showed no improvements. Conclusions. These findings suggest that they are both acute and sustained improvements in motor function and mobility after high-cadence cycling. Future research should examine how exercise type, frequency, and intensity can be optimized for each individual.
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spelling doaj-art-e9eb3518e63c462bb74738d9036580f82025-02-03T07:23:52ZengWileyParkinson's Disease2090-80832042-00802019-01-01201910.1155/2019/40768624076862High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s DiseaseAngela L. Ridgel0Dana L. Ault1Department of Exercise Physiology, Kent State University, 350 Midway Dr., Kent, OH, USADepartment of Exercise Physiology, Kent State University, 350 Midway Dr., Kent, OH, USAIntroduction. Exercise has been shown to be an important adjunct therapy to medication in Parkinson’s disease (PD). However, the optimal type, frequency, and intensity of exercise or physiotherapy are still being debated. An important part of understanding the optimal frequency is to examine how acute bouts of exercise affect motor function and mobility in this population. The purpose of this study is to assess if six bouts of high-cadence cycling improves motor function and mobility in individuals with PD. Methods. Sixteen subjects with mild-moderate idiopathic PD were randomized into either a high-cadence cycling or a control (stretching) group. High-cadence cycling was completed on a custom motorized recumbent bicycle at a high cadence between 75 and 85 rpm. Cycling and stretching sessions were separated by 1 day of rest and took place over a 15-day period. Motor function and mobility were assessed after every cycling/stretching bout using the UPDRS Motor III scale, Kinesia ONE, and Timed up and Go (TUG). Results. Six bouts of high-cadence cycling improved UPDRS scores (2.5 pts, P=0.002), hand movement amplitude (P=0.013), rapid alternating hand movement speed (P=0.003), gait (P=0.012), and TUG time (1.17 s, P=0.002) from baseline testing to end of treatment. The control group showed no improvements. Conclusions. These findings suggest that they are both acute and sustained improvements in motor function and mobility after high-cadence cycling. Future research should examine how exercise type, frequency, and intensity can be optimized for each individual.http://dx.doi.org/10.1155/2019/4076862
spellingShingle Angela L. Ridgel
Dana L. Ault
High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease
Parkinson's Disease
title High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease
title_full High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease
title_fullStr High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease
title_full_unstemmed High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease
title_short High-Cadence Cycling Promotes Sustained Improvement in Bradykinesia, Rigidity, and Mobility in Individuals with Mild-Moderate Parkinson’s Disease
title_sort high cadence cycling promotes sustained improvement in bradykinesia rigidity and mobility in individuals with mild moderate parkinson s disease
url http://dx.doi.org/10.1155/2019/4076862
work_keys_str_mv AT angelalridgel highcadencecyclingpromotessustainedimprovementinbradykinesiarigidityandmobilityinindividualswithmildmoderateparkinsonsdisease
AT danalault highcadencecyclingpromotessustainedimprovementinbradykinesiarigidityandmobilityinindividualswithmildmoderateparkinsonsdisease