Effect of different types of exercises on psychological and cognitive features in people with Parkinson's disease: A randomized controlled trial

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dc.contributor.authorGobbi, Lilian Teresa Bucken [UNESP]
dc.contributor.authorPelicioni, Paulo Henrique Silva
dc.contributor.authorLahr, Juliana [UNESP]
dc.contributor.authorLirani-Silva, Ellen [UNESP]
dc.contributor.authorTeixeira-Arroyo, Claudia
dc.contributor.authorSantos, Paulo Cezar Rocha dos [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversity of New South Wales
dc.contributor.institutionBebedouro
dc.contributor.institutionCenter for Human Movement Sciences
dc.date.accessioned2021-06-25T11:04:58Z
dc.date.available2021-06-25T11:04:58Z
dc.date.issued2021-01-01
dc.description.abstractBackground: Parkinson's disease (PD) is a neurodegenerative and progressive disease marked by the presence of motor and non-motor symptoms, as psychological and cognitive impairment. Physical exercises have been prescribed as complementary therapy for PD, and the type of intervention and duration of the intervention should be taken into account. Objective: We aimed to compare the effect of different exercise modalities (functional mobility, multimodal and cognitive) and length (4 and 8 months) on psychological and cognition in people with PD. This study followed the CONSORT extension for non-pharmacological trials. Methods: In this randomized controlled trial, we assessed 107 participants between 2011 and 2013. At the end of 3 years, participants with PD (mild to moderate stages) who achieved the criteria were assessed considering 3 different groups of exercise: Multimodal (n = 38), Functional Mobility (n = 33) and Mental/Leisure (n = 36). All 3 interventions were performed for 32 weeks, twice a week, with 60 min for each session (64 sessions in total). Psychological and cognitive function were assessed at baseline and after 4 and 8 months. Results: The Functional Mobility and Mental/Leisure training had a potential effect on maintaining cognitive function (executive function, attention and work memory). The Multimodal training did not show a benefit for cognitive features and was not even able to delay the progressive decline in cognitive functions; however, this modality had a positive effect on physical stress after 8 months of exercise. Conclusions: An intervention that requires high complexity and specific activities, such as locomotor and cognitive exercise, provides a maintenance effect against the degeneration in cognition associated with the progression of PD and thus can delay the progressive decline in cognitive function in PD.en
dc.description.affiliationSão Paulo State University (UNESP) Post-graduation Program in Movement Sciences Institute of Biosciences Posture and Gait Studies Laboratory (LEPLO)
dc.description.affiliationNeuroscience Research Australia University of New South Wales
dc.description.affiliationSchool of Public Health and Community Medicine University of New South Wales
dc.description.affiliationCentro Universitário UNIFAFIBE Bebedouro
dc.description.affiliationUniversity of Groningen University Medical Center Groningen Center for Human Movement Sciences
dc.description.affiliationUnespSão Paulo State University (UNESP) Post-graduation Program in Movement Sciences Institute of Biosciences Posture and Gait Studies Laboratory (LEPLO)
dc.identifierhttp://dx.doi.org/10.1016/j.rehab.2020.05.011
dc.identifier.citationAnnals of Physical and Rehabilitation Medicine, v. 64, n. 1, 2021.
dc.identifier.doi10.1016/j.rehab.2020.05.011
dc.identifier.issn1877-0665
dc.identifier.issn1877-0657
dc.identifier.scopus2-s2.0-85092017722
dc.identifier.urihttp://hdl.handle.net/11449/208016
dc.language.isoeng
dc.relation.ispartofAnnals of Physical and Rehabilitation Medicine
dc.sourceScopus
dc.subjectCognition
dc.subjectCognitive training
dc.subjectFunctional mobility training.
dc.subjectParkinson's disease
dc.subjectPhysical activity
dc.titleEffect of different types of exercises on psychological and cognitive features in people with Parkinson's disease: A randomized controlled trialen
dc.typeArtigo

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