Intensive cycle ergometer training improves gait speed and endurance in patients with Parkinson's disease: A comparison with treadmill training

Ilaria Arcolin, Fabrizio Pisano, Carmen Delconte, Marco Godi, Marco Schieppati, Alessandro Mezzani, Daniele Picco, Margherita Grasso, Antonio Nardone

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Cycle ergometer training improves gait in the elderly, but its effect in patients with Parkinson's disease (PD) is not completely known. Methods: Twenty-nine PD inpatients were randomized to treadmill (n = 13, PD-T) or cycle ergometer (n = 16, PD-C) training for 3 weeks, 1 hour/day. Outcome measures were distance travelled during the 6-min walking test (6MWT), spatio-temporal variables of gait assessed by baropodometry, the Timed Up and Go (TUG) duration, the balance score through the Mini-BESTest, and the score of the Unified Parkinson's Disease Rating Scale (UPDRS). Results: Sex, age, body mass index, disease duration, Hoehn-Yahr staging, comorbidity and medication did not differ between groups. At end of training, ANCOVA showed significant improvement, of similar degree, in both groups for 6MWT, speed, step length and cadence of gait, TUG, Mini-BESTest and UPDRS. Conclusions: This pilot study shows that cycle ergometer training improves walking parameters and reduces clinical signs of PD, as much as treadmill training does. Gait velocity is accompanied by step lengthening, making the gait pattern close to that of healthy subjects. Cycle ergometer is a valid alternative to treadmill for improving gait in short term in patients with PD.

Original languageEnglish
Pages (from-to)125-138
Number of pages14
JournalRestorative Neurology and Neuroscience
Volume34
Issue number1
DOIs
Publication statusPublished - 2016

Keywords

  • Aerobic exercise
  • Balance
  • Cycle ergometer
  • Gait
  • Parkinson's Disease
  • Treadmill

ASJC Scopus subject areas

  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

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