The Effects of Multimodal Exercise Program on Functional Capacity and Quality of Life in Elderly Patients with Parkinson&#039;s Disease

Abdel Amir Nasser, Abbas; Jalali Dehkordi, khosro; Nasser Radhi                                   Nasser Radhi                                  Nasser , Mahmoud; Taghian, Farzaneh; Chitsaz, Ahmad

doi:10.18502/ehj.v10i2.17366

Volume 10, Issue 2 (December 2024) Elderly Health Journal 2024, 10(2): 122-128 | Back to browse issues page

‎ 10.18502/ehj.v10i2.17366

Mendeley

Zotero

RefWorks

Abdel Amir Nasser A, Jalali Dehkordi K, Nasser Radhi Nasser Radhi Nasser M, Taghian F, Chitsaz A. The Effects of Multimodal Exercise Program on Functional Capacity and Quality of Life in Elderly Patients with Parkinson's Disease. Elderly Health Journal 2024; 10 (2) :122-128
URL: http://ehj.ssu.ac.ir/article-1-333-en.html

The Effects of Multimodal Exercise Program on Functional Capacity and Quality of Life in Elderly Patients with Parkinson's Disease

Abbas Abdel Amir Nasser

, Khosro Jalali Dehkordi ^*

, Mahmoud Nasser Radhi Nasser Radhi Nasser

, Farzaneh Taghian

, Ahmad Chitsaz

Department of Physical Education and Sport Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran , khosrojalali@gmail.com

Abstract: (50 Views)

Introduction: Parkinson's disease (PD) is a degenerative neurological illness characterized by various motor and non-motor symptoms that can lead to varying degrees of functional impairment. This study aims to investigate the effects of a multimodal exercise program (MEP) on functional capacity and quality of life in elderly patients with PD.

Methods: Thirty elderly patients with PD were randomly divided into two equal groups of MEP and control, with no significant differences in age, weight, and height. The variables of Functional Factors and Quality of Life were assessed in pre- and post-tests. MEP was performed five days a week for twelve weeks. Data were analyzed using repeated measures ANOVA at a significance level of p < 0.05.
Results: The study observed significant differences in quality of life, static balance, dynamic balance, wrist strength, and walking performance between the two groups of PD patients (p <0.001). The mean scores of quality of life, static balance, dynamic balance, and wrist strength in the MEP group were significantly higher compared to the control group (p <0.001). Additionally, after the intervention, the walking speed in the MEP group showed a significant improvement, with a lower completion time compared to the control group (p <0.001).
Conclusion: MEP can be used as a useful and effective method to improve quality of life, static balance, dynamic balance, wrist strength and walking performance of PD patients. Therefore, MEP (resistance, aerobic, and balance) is recommended as the most effective complementary therapeutic strategy for PD.

Keywords: Multimodal Exercise Program, Parkinson’s Disease, Functional Factors, Quality of Life, Aging

Full-Text [PDF 529 kb] (39 Downloads) | | Full-Text (HTML) (3 Views)

Type of Study: Research | Subject: Special
Received: 2024/11/25 | Accepted: 2024/12/9 | Published: 2024/12/20

References

1. Jankovic J, Kapadia AS. Functional decline in Parkinson disease. Archives of Neurology. 2001; 58(10): 1611-5.

2. Lewis SJ, Barker RA. Understanding the dopaminergic deficits in Parkinson’s disease: insights into disease heterogeneity. Journal of Clinical Neuroscience. 2009; 16(5): 620-5.

3. Hubble JP, Cao T, Hassanein R, Neuberger J, Roller W. Risk factors for Parkinson's disease. Neurology. 1993; 43(9): 1693.

4. Huang Z, de la Fuente-Fernández R, Stoessl AJ. Etiology of Parkinson's disease. Canadian Journal of Neurological Sciences. 2003; 30(S1): 10-8.

5. Robinson K, Dennison A, Roalf D, Noorigian J, Cianci H, Bunting-Perry L, et al. Falling risk factors in Parkinson's disease. NeuroRehabilitation. 2005; 20(3): 169-82.

6. Lord S, Sherrington C, Menz H, Close J. Falls in older people: risk factors and strategies for prevention. 2007.

7. Colón-Semenza C, Darbandsari P, Carolan K, Marquez DX, Gorin A. Comparing physical activity and exercise experiences, values, and beliefs of Latino, Latina, and/or Latine people and non-Latino, non-Latina, and/or non-Latine people with Parkinson disease: a qualitative study. Physical Therapy. 2024; 104(10): 119.

8. Abuoaf R, AlKaabi R, Mohamed Saleh A, Zerough U, Hartley T, Van Niekerk S-M, et al. The effect of physical exercise on anxiety in people with Parkinson’s disease: a systematic review of randomized control trials. NeuroRehabilitation. 2023; 52(3): 387-402.

9. Dai S, Yuan H, Wang J, Yang Y, Wen S. Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson’s disease: A meta-analysis. Frontiers in Physiology. 2023; 14: 1-10.

10. Giroux ML. Parkinson disease: managing a complex, progressive disease at all stages. Cleveland Clinic Journal of Medicine. 2007; 74(5): 313-4.

11. Mak MK, Wong-Yu IS, Shen X, Chung CL. Long-term effects of exercise and physical therapy in people with Parkinson disease. Nature Reviews Neurology. 2017; 13(11): 689-703.

12. Wang D, Cui WJ, Hou ZH, Gao Y. Effectiveness of different exercises in improving postural balance among Parkinson's disease patients: a systematic review and network meta-analysis. Frontiers in Aging Neuroscience. 2023; 15: 1-12.

13. Zhang TY, Hu Y, Nie ZY, Jin RX, Chen F, Guan Q, et al. Effects of Tai Chi and multimodal exercise training on movement and balance function in mild to moderate idiopathic Parkinson disease. American Journal of Physical Medicine & Rehabilitation. 2015; 94(10S): 921-9.

14. Scherbaum R, Hartelt E, Kinkel M, Gold R, Muhlack S, Tönges L. Parkinson’s disease multimodal complex treatment improves motor symptoms, depression and quality of life. Journal of Neurology. 2020; 267(4): 954-65.

15. De Maio M, Castellani L, Cugusi L, Cortis C, Fusco A. The effect of a combined exercise program on postural control and fine motor skills in Parkinson’s disease: study design. International Journal of Environmental Research and Public Health. 2022; 19(22): 1-10.

16. Daneshvar P, Ghasemi G, Zolaktaf V, Karimi MT. Comparison of the effect of 8-week rebound therapy-based exercise program and weight-supported exercises on the range of motion, proprioception, and the quality of life in patients with Parkinson's disease. International Journal of Preventive Medicine. 2019; 10(1): 1-8.

17. Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology. 1967; 17(5): 427-42

18. Jenkinson C, Fitzpatric R, Peto V. The Parkinson’s Disease Questionnaire (PDQ-39): development and validation of a Parkinson’s disease summary index score. Age & Aging. 1997; 26; 353-357.

19. Ghaem H, Borhani Haghighi A, Zeghami B, Dehghan A. Validity and reliability of the Persian version of the Parkinson disease quality of life (PDQL) questionnaire. Journal of Kerman University of Medical Sciences. 2010 1; 16(1): 49-57.

20. Dunn R, Stepanek J, Eboka R, Pradhan GN. Effects of acute hypocapnia on postural standing balance measured by sharpened Romberg testing (SRT) in healthy subjects. Wilderness & Environmental Medicine. 2024: 35(4): 417-21.

21. Kocer B, Soke F, Ataoglu NE, Ersoy N, Gulsen C, Gulsen EO, et al. The reliability and validity of the 3-m backward walk test in people with Parkinson’s disease. Irish Journal of Medical Science (1971). 2023; 192(6): 3063-71.

22. Piry H, Naserpour N, Sheikhhosseini R. The effect of core stability exercises on static and dynamic balance in healthy older men. Journal of Gerontology. 2023; 7(4): 61-74. [Persian]

23. Decostre V, Canal A, Ollivier G, Ledoux I, Moraux A, Doppler V, et al. Wrist flexion and extension torques measured by highly sensitive dynamometer in healthy subjects from 5 to 80 years. BMC Musculoskeletal Disorders. 2015; 16: 1-11.

24. Ferrusola-Pastrana A, Davison G, Meadows SN. The therapeutic effects of multimodal exercise for people with Parkinson's: A longitudinal community-based study. Parkinsonism & Related Disorders. 2023; 110: 105366.

25. Alavi Kh, Sheikh M, Bagherzadeh F. Comparing effect of Tai Chi and Pilates exercises on static and dynamic balance of elderly men with Parkinson's disease. Journal of Gerontology. 2018; 3(2): 72-83. [Persian]

26. Nosratikia R, Mahdavinejad R, Esmaeili H. Effect of 12 weeks dynamic neuromuscular stabilization training on balance in people with Parkinson's disease. Studies in Sport Medicine. 2023; 14(34): 143-68.

27. Peto D, Schmidmeier F, Katzdobler S, Fietzek UM, Levin J, Wuehr M, et al. No evidence for effects of low-intensity vestibular noise stimulation on mild-to-moderate gait impairments in patients with Parkinson’s disease. Journal of Neurology. 2024; 271(8): 1-9.

28. Auston Brickell B, Passmore T, Holt R, Lee J, Feasley R, Wood F, et al. Effects of balance-based recreational therapy on postural stability in those diagnosed with Parkinson's disease. Therapeutic Recreation Journal. 2024; 58(4).

29. Mollinedo-Cardalda I, Cancela-Carral JM, Vila-Suárez MH. Effect of a Mat Pilates program with TheraBand on dynamic balance in patients with Parkinson's disease: feasibility study and randomized controlled trial. Rejuvenation Research. 2018; 1; 21(5): 423-30.

30. Shimada H, Obuchi S, Furuna T, Suzuki T. New intervention program for preventing falls among frail elderly people: the effects of perturbed walking exercise using a bilateral separated treadmill. American Journal of Physical Medicine & Rehabilitation. 2004; 83(7): 493-9.

31. Bambaeichi E, Rahnama N, Mahmoudi F. Effects of resistance and balance training on muscle strength of male patients with Parkinson's. Sport Physiology. 2014; 6(21): 31-42. [Persian]

32. Murakami K, Koh J, Ogami S, Aoki Y, Hori K, Emori S, et al. Prevalence, impact, and screening methods of sarcopenia in Japanese patients with Parkinson’s disease: a prospective cross-sectional study. Cureus. 2024; 16(7): 1-11.

33. Cui W, Li D, Yue L, Xie J. The effects of exercise dose on patients with Parkinson’s disease: a systematic review and meta-analysis of randomized controlled trials. Journal of Neurology. 2023; 270(11): 5327-43.

34. Nascimento LR, Boening A, Rocha RJ, do Carmo WA, Ada L. Walking training with auditory cueing improves walking speed more than walking training alone in ambulatory people with Parkinson’s disease: a systematic review. Journal of Physiotherapy. 2024; 70(3): 208-15.

35. Azadian E, Majlesi M, Fatahi A, Bakhtiyarian R. Evaluation of spatio-temporal gait variability during obstacle crossing in Parkinson's disease. Journal of Sport Biomechanics. 2023; 9(3): 234-50.

36. Keykha Hosseinpoor A, Rahnama N. Effect of eight weeks of laughter yoga exercises on the quality of life of patients‎ with Parkinson disease. Journal of Paramedical Sciences & Rehabilitation. 2021; 10(2): 39-48. [Persian]

37. Cheng WH, Quan Y, Thompson WF. The effect of dance on mental health and quality of life of people with Parkinson's disease: A systematic review and three-level meta-analysis. Archives of Gerontology and Geriatrics. 2024; 120: 105326.