Influence of whole-body vibration and gait training with additional load on functioning, balance, and gait in patients with Parkinson’s disease
DOI:
https://doi.org/10.33448/rsd-v11i8.28612Keywords:
Parkinson disease; Vibration; Gait; Functionality; Postural balance.Abstract
Parkinson’s disease (PD) is characterized by the selective loss of dopaminergic neurons from the substantia nigra compacta and nigrostriatal pathway, which leads to sensory and motor impairments. The aim of the present study was to compare the effect of whole-body vibration and gait training with additional load on functioning, balance and gait in patients with PD. Twenty-two male and female patients (mean age: 61 ± 5.6 years) were randomly allocated to a Control Group (CG), Vibration Group (VG), or Added Weight Group (AWG). The following evaluations were performed before and after the intervention: Unified Parkinson’s Disease Rating Scale – subscales “Activities of Daily Living” and “Motor Examination”; Tinetti Test, Timed Up and Go test, Berg Balance Scale, and baropodometry. The ordinal variables were evaluated using the Kruskal-Wallis test (p ≤ 0.05) and the numerical variables were analyzed using two-way ANOVA followed by the Student-Newman-Keuls post hoc test (p ≤ 0.05). The results demonstrated a significant increase in functioning, balance, and gait quality in the VG and AWG compared to the CG. Vibration training and gait training with additional weight exert a positive influence on functioning, balance, and gait in patients with PD. Other studies can be carried out comparing the effect of the vibratory training with the partial weight support and the addition of body weight using the same variables of the present research.
References
Aboutorabi, A., Arazpour, M., Bahramizadeh, M., Farahmand, F., & Fadayevatan, R. (2018). Effect of vibration on postural control and gait of elderly subjects: a systematic review. Aging Clinical and Experimental Research, 30(7), 713–726. https://doi.org/10.1007/s40520-017-0831-7
Alashram, A. R., Padua, E., & Annino, G. (2019). Effects of Whole-Body Vibration on Motor Impairments in Patients With Neurological Disorders: A Systematic Review. American Journal of Physical Medicine & Rehabilitation, 98(12), 1084–1098. https://doi.org/10.1097/PHM.0000000000001252
Arcolin, I., Pisano, F., Delconte, C., Godi, M., Schieppati, M., Mezzani, A., Picco, D., Grasso, M., & Nardone, A. (2016). Intensive cycle ergometer training improves gait speed and endurance in patients with Parkinson’s disease: A comparison with treadmill training. Restorative Neurology and Neuroscience, 34(1), 125–138. https://doi.org/10.3233/RNN-150506
Arias, P., Chouza, M., Vivas, J., & Cudeiro, J. (2009). Effect of whole body vibration in Parkinson’s disease: a controlled study. Movement Disorders, 24(6), 891–898. https://doi.org/10.1002/mds.22468
Berg, K. O., Maki, B. E., Williams, J. I., Holliday, P. J., & Wood-Dauphinee, S. L. (1992). Clinical and laboratory measures of postural balance in an elderly population. Archives of Physical Medicine and Rehabilitation, 73(11), 1073–1080.
Brucki, S. M. D., Nitrini, R., Caramelli, P., Bertolucci, P. H. F., & Okamoto, I. H. (2003). Sugestões para o uso do mini-exame do estado mental no Brasil TT - Suggestions for utilization of the mini-mental state examination in Brazil. Arquivos de Neuro-Psiquiatria, 61(3B), 777–781. https://doi.org/10.1590/S0004-282X2003000500014
Capecci, M., Pournajaf, S., Galafate, D., Sale, P., Le Pera, D., Goffredo, M., De Pandis, M. F., Andrenelli, E., Pennacchioni, M., Ceravolo, M. G., & Franceschini, M. (2019). Clinical effects of robot-assisted gait training and treadmill training for Parkinson’s disease. A randomized controlled trial. Annals of Physical and Rehabilitation Medicine, 62(5), 303–312. https://doi.org/10.1016/j.rehab.2019.06.016
Creaby, M. W., & Cole, M. H. (2018). Gait characteristics and falls in Parkinson’s disease: A systematic review and meta-analysis. Parkinsonism & Related Disorders, 57, 1–8. https://doi.org/10.1016/j.parkreldis.2018.07.008
Cuevas-Trisan, R. (2017). Balance Problems and Fall Risks in the Elderly. Physical Medicine and Rehabilitation Clinics of North America, 28(4), 727–737. https://doi.org/10.1016/j.pmr.2017.06.006
Dietz, V., Gollhofer, A., Kleiber, M., & Trippel, M. (1992). Regulation of bipedal stance: dependency on “load” receptors. Experimental Brain Research, 89(1), 229–231. https://doi.org/10.1007/BF00229020
Ebersbach, G., Edler, D., Kaufhold, O., & Wissel, J. (2008). Whole body vibration versus conventional physiotherapy to improve balance and gait in Parkinson’s disease. Archives of Physical Medicine and Rehabilitation, 89(3), 399–403. https://doi.org/10.1016/j.apmr.2007.09.031
Feng, Y.-S., Yang, S.-D., Tan, Z.-X., Wang, M.-M., Xing, Y., Dong, F., & Zhang, F. (2020). The benefits and mechanisms of exercise training for Parkinson’s disease. Life Sciences, 245, 117345. https://doi.org/10.1016/j.lfs.2020.117345
Filippin, N. T., da Costa, P. H. L., & Mattioli, R. (2010). Effects of treadmill-walking training with additional body load on quality of life in subjects with Parkinson’s disease. Brazilian Journal of Physical Therapy, 14(4), 344–350. https://doi.org/10.1590/s1413-35552010005000016
Filippin, N., da Costa, P. H. L., & Mattioli, R. (2017). Treadmill training with additional body load: Effects on the gait of people with parkinson’s disease. International Journal of Therapy and Rehabilitation, 24(6), 248–254. https://doi.org/10.12968/ijtr.2017.24.6.248
Flores, F. da T., Rossi, A. G., & Schmidt, P. da S. (2011). Avaliação do equilíbrio corporal na doença de Parkinson TT - Physical balance evaluation in Parkinson disease. Arquivos Internacionais de Otorrinolaringologia, 15(2), 142–150. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48722011000200004&lang=en
Goetz, C. G., Poewe, W., Rascol, O., Sampaio, C., Stebbins, G. T., Counsell, C., Giladi, N., Holloway, R. G., Moore, C. G., Wenning, G. K., Yahr, M. D., & Seidl, L. (2004). Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: status and recommendations. Movement Disorders, 19(9), 1020–1028. https://doi.org/10.1002/mds.20213
Goetz, C. G., Tilley, B. C., Shaftman, S. R., Stebbins, G. T., Fahn, S., Martinez-Martin, P., Poewe, W., Sampaio, C., Stern, M. B., Dodel, R., Dubois, B., Holloway, R., Jankovic, J., Kulisevsky, J., Lang, A. E., Lees, A., Leurgans, S., LeWitt, P. A., Nyenhuis, D., … LaPelle, N. (2008). Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Movement Disorders, 23(15), 2129–2170. https://doi.org/10.1002/mds.22340
Kaut, O., Brenig, D., Marek, M., Allert, N., & Wüllner, U. (2016). Postural Stability in Parkinson’s Disease Patients Is Improved after Stochastic Resonance Therapy. Parkinson’s Disease, 2016, 7948721. https://doi.org/10.1155/2016/7948721
King, L. A., Peterson, D. S., Mancini, M., Carlson-Kuhta, P., Fling, B. W., Smulders, K., Nutt, J. G., Dale, M., Carter, J., Winters-Stone, K. M., & Horak, F. B. (2015). Do cognitive measures and brain circuitry predict outcomes of exercise in Parkinson Disease: a randomized clinical trial. BMC Neurology, 15, 218. https://doi.org/10.1186/s12883-015-0474-2
Lau, R. W. K., Teo, T., Yu, F., Chung, R. C. K., & Pang, M. Y. C. (2011). Effects of whole-body vibration on sensorimotor performance in people with Parkinson disease: a systematic review. Physical Therapy, 91(2), 198–209. https://doi.org/10.2522/ptj.20100071
Leavy, B., Kwak, L., Hagströmer, M., & Franzén, E. (2017). Evaluation and implementation of highly challenging balance training in clinical practice for people with Parkinson’s disease: protocol for the HiBalance effectiveness-implementation trial. BMC Neurology, 17(1), 27. https://doi.org/10.1186/s12883-017-0809-2
Opara, J., Małecki, A., Małecka, E., & Socha, T. (2017). Motor assessment in Parkinson’s disease. Annals of Agricultural and Environmental Medicine, 24(3), 411–415. https://doi.org/10.5604/12321966.1232774
Rehn, B., Lidström, J., Skoglund, J., & Lindström, B. (2007). Effects on leg muscular performance from whole-body vibration exercise: a systematic review. Scandinavian Journal of Medicine & Science in Sports, 17(1), 2–11. https://doi.org/10.1111/j.1600-0838.2006.00578.x
Rivolta, M. W., Aktaruzzaman, M., Rizzo, G., Lafortuna, C. L., Ferrarin, M., Bovi, G., Bonardi, D. R., Caspani, A., & Sassi, R. (2019). Evaluation of the Tinetti score and fall risk assessment via accelerometry-based movement analysis. Artificial Intelligence in Medicine, 95, 38–47. https://doi.org/10.1016/j.artmed.2018.08.005
Schenkman, M. L., Clark, K., Xie, T., Kuchibhatla, M., Shinberg, M., & Ray, L. (2001). Spinal movement and performance of a standing reach task in participants with and without Parkinson disease. Physical Therapy, 81(8), 1400–1411. https://doi.org/10.1093/ptj/81.8.1400
Sharififar, S., Coronado, R. A., Romero, S., Azari, H., & Thigpen, M. (2014). The effects of whole body vibration on mobility and balance in Parkinson disease: a systematic review. Iranian Journal of Medical Sciences, 39(4), 318–326.
Shin, M.-S., Kim, T.-W., Lee, J.-M., Ji, E.-S., & Lim, B.-V. (2017). Treadmill exercise alleviates nigrostriatal dopaminergic loss of neurons and fibers in rotenone-induced Parkinson rats. Journal of Exercise Rehabilitation, 13(1), 30–35. https://doi.org/10.12965/jer.1734906.453
Skinner, J. W., Christou, E. A., & Hass, C. J. (2019). Lower Extremity Muscle Strength and Force Variability in Persons With Parkinson Disease. Journal of Neurologic Physical Therapy, 43(1), 56–62. https://doi.org/10.1097/NPT.0000000000000244
Takakusaki, K. (2017). Functional Neuroanatomy for Posture and Gait Control. Journal of Movement Disorders, 10(1), 1–17. https://doi.org/10.14802/jmd.16062
Tarakad, A., & Jankovic, J. (2018). Essential Tremor and Parkinson’s Disease: Exploring the Relationship. Tremor and Other Hyperkinetic Movements, 8, 589. https://doi.org/10.7916/D8MD0GVR
Toole, T., Maitland, C. G., Warren, E., Hubmann, M. F., & Panton, L. (2005). The effects of loading and unloading treadmill walking on balance, gait, fall risk, and daily function in Parkinsonism. NeuroRehabilitation, 20(4), 307–322.
Trigueiro, L. C. de L., Gama, G. L., Ribeiro, T. S., Ferreira, L. G. L. de M., Galvão, É. R. V. P., Silva, E. M. G. de S. E., Júnior, C. de O. G., & Lindquist, A. R. R. (2017). Influence of treadmill gait training with additional load on motor function, postural instability and history of falls for individuals with Parkinson’s disease: A randomized clinical trial. Journal of Bodywork and Movement Therapies, 21(1), 93–100. https://doi.org/10.1016/j.jbmt.2016.05.009
van Hedel, H. J. A., Waldvogel, D., & Dietz, V. (2006). Learning a high-precision locomotor task in patients with Parkinson’s disease. Movement Disorders, 21(3), 406–411. https://doi.org/10.1002/mds.20710
Winser, S. J., Kannan, P., Bello, U. M., & Whitney, S. L. (2019). Measures of balance and falls risk prediction in people with Parkinson’s disease: a systematic review of psychometric properties. Clinical Rehabilitation, 33(12), 1949–1962. https://doi.org/10.1177/0269215519877498
Zirek, E., Ersoz Huseyinsinoglu, B., Tufekcioglu, Z., Bilgic, B., & Hanagasi, H. (2018). Which cognitive dual-task walking causes most interference on the Timed Up and Go test in Parkinson’s disease: a controlled study. Neurological Sciences, 39(12), 2151–2157. https://doi.org/10.1007/s10072-018-3564-2
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Copyright (c) 2022 Diogo Costa Garção; Maria Rafaela Hungria dos Santos; Alisson Guilherme da Silva Correia; Catarina Andrade Garcez Cajueiro; Jeison Saturnino de Oliveira; Byanka Porto Fraga; Olga Sueli Marques Moreira
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