Parkinson Disease
Conditions
Brief summary
Taking into account the process of functional and cognitive evolution that patients with Parkinson's disease experience throughout the pathology, the objective of this study is to evaluate the acute effects of aerobic exercise in forced cycling performed with lower limbs and freecycling of upper limbs combined with cognitive stimuli on attention, exploration skills, and short-term motor skills in people with Parkinson's disease.
Interventions
A 30-minute session of Forced Cycling aerobic exercise performed with lower limbs and free active cycling performed with upper limbs combined with cognitive stimuli. An intelligent cycle ergometer (Motomed Viva 2 Parkinson) will be used, at a reserve heart rate of 55-70% (Borg scale 12-14) during the active part. The forced cycling program will consist of a 6-minute passive warm-up part (40-60 RPM), a 20-minute active part (90 RPM), and a 4-minute passive cool down (40 RPM). The cognitive task will be a PowerPoint presentation structured in a way that is consistent with the phases of the cycling program. The passive phases (6 minutes of warm-up and 4 minutes of passive cycling back to cool down), images of the nearby environment will be played. For the active phase (20 minutes of assisted active cycling) the PowerPoint presentation will be structured with tasks related to: orientation, memory, calculation, language, similarities.
A 30-minute session of Forced Cycling aerobic exercise performed with lower limbs and free active cycling performed with upper limbs combined with cognitive stimuli. An intelligent cycle ergometer (Motomed Viva 2 Parkinson) will be used, at a reserve heart rate of 55-70% (Borg scale 12-14) during the active part. The forced cycling program will consist of a 6-minute passive warm-up part (40-60 RPM), a 20-minute active part (90 RPM), and a 4-minute passive cool down (40 RPM).
Sponsors
Study design
Eligibility
Inclusion criteria
* Idiopathic Parkinson's disease * Present stage between I and III on the Hoenh and Yarh scale * Being able to move autonomously
Exclusion criteria
* Moderate-severe cognitive impairment (Mini-mental test \> 24) * Comorbidity that discourages the practice of physical exercise and that allows performing all scheduled assessments * Severe visual alterations that prevent the development of the session
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Symbol Digit Modalities Test at 30 minutes | Pre and up to 30 minutes. | Detection of cognitive dysfuntions. |
| Mini-Mental State Examination (MMSE) | Pre | To detect and estimate cognitive decline and dementia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Borg Rated Perceived Exertion Scale | Up to 30 minutes. | Perceived exertion. These include a rating of 6 perceiving no exertion at all to 20 perceiving a maximal exertion of effort. |
| Change from baseline Heart Rate at 30 minutes | Pre and up to 30 minutes | Heart rate |
Other
| Measure | Time frame | Description |
|---|---|---|
| Passive Speed (rpm) | During the unique session | Average cycling assisted speed in rotation per minute |
| Active Distance (m) | During the unique session | Cycling active distance in meters. |
| Symmetry (%) | During the unique session | Percentage of the active work developed by each lower limb, right and left. |
| Passive Distance (m) | During the unique session | Cycling assisted distance in meters. |
| Total Work (W) | During the unique session | Cycling total work developed in Watts |
| Active Speed (rpm) | During the unique session | Average cycling active speed in rotation per minute |
Countries
Spain