The Movement Disorder Society

MDS Abstract of the 16th International Congress of Parkinson's Disease and Movement Disorders, Volume 27,
June 2012 Abstract Supplement

Movement Disorders 2012
Dublin, Ireland June 17-21, 2012.


Benefits of exercise in Parkinson's disease

Cheon,  S.M., Sung,  H.R., Chae,  B.K., Ryu,  H.J., Kim,  J.W.

Objective:

The aim of this study is to review the benefits of short-term exercise in Parkinson's disease (PD) comprehensively, including cognition, autonomic symptoms, depression, and fatigue.

Background:

Benefits of various exercise programs in Parkinson's disease have been shown mainly focusing on the motor aspects of PD.

Methods:

Total 138 patients with mild to moderate PD were consecutively recruited (Hoehn and Yahr stage (HY) 1.5-3). Of those, patients who finished the 12 week exercise program (performed for 60-75minutes at 3 times a week and composed of Tai Chi, elastic band exercise, and folk dancing) were analyzed. Parkinsnoian symptoms were evaluated by unified Parkinson's disease rating scale (UPDRS) and Schwab and England activities of daily living (SEADL). Cognition (Korean mini-mental status examination; K-MMSE), depression (Beck's depression inventory; BDI), fatigue (fatigue severity scale; FSS), symptoms of autonomic dysfunctions (autonomic dysfunction questionnaire; ADQ), and quality of life (Parkinson's disease quality of life; PDQL) of patients were also evaluated.

Results:

One-hundred and five patients have participated more than 80% of practices (39 males, age 64.5± 9.5 years, HY 2.3±0.5, disease duration 3.2±4.4 years). After 12-week exercise program, parkinsonian symptoms were improved (UDPRS 35.8±15.6 vs. 32.4±15.5, not in SEADL). Cognition was not changed (K-MMSE 27.4±2.5 vs. 27.6±2.3). Autonomic symptoms showed improvement (ADQ 13.4±8.9 vs. 12.2±8.2, especially salivation and constipation), and fatigue and depression of patients also improved (FSS 32.9±15.4 vs. 27.2±15.1, BDI 19.9±9.8 vs. 17.1±10.7). PDQL also showed benefits of exercise (119.7±29 vs. 130.2±34.3). These benefits and improvements were more prominent in male patients and patients with moderate severity (HY>=2.5).

Conclusions:

The authors could find benefits of short-term exercise program not only in parkinsonian symptoms and quality of life, but also in autonomic symptoms, fatigue, and depression in PD.

Keywords :

Autonomic dysfunction,Depression,Parkinsonism,Rehabilitation

To cite this abstract, please use the following information:
Cheon, S.M., Sung, H.R., Chae, B.K., Ryu, H.J., Kim, J.W.; Benefits of exercise in Parkinson's disease [abstract]. Movement Disorders 2012;27 Suppl 1 :350