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.


The effect of exercise on different clinical severity of Parkinson's disease

Sung,  H., Cheon,  S.M., Kim,  J.W.

Objective:

We compared the effect of combined exercise program on the functional fitness, postural stability, UPDRS and quality of life (QoL) in patients with different severity of PD.

Background:

Exercise has been well known to be helpful in Parkinson's disease (PD) regardless of clinical severity or other managements.

Methods:

Sixty-six PD patients participated in this study. We divided the patients into two groups based on clinical severity; 33 patients with mild (H&Y stage 1.5 or 2.0) and 33 patients with moderate severity (H&Y stage 2.5 or 3.0). They were all matched for age, gender and K-MMSE. Combined exercise program consists of stretching, step training and modified Tai Chi program for arthritis developed for patient with arthritis. Each program was performed 3 times a week and 60-70 minutes per time for 12 weeks. Antiparkinonian medications were fixed during exercise program. Functional fitness, postural stability, UPDRS and QoL were assessed before and after exercise in all subjects. We compared the results between mild and moderate groups.

Results:

Mild group included 10 men and 23 women (mean age 63.3±6.8, H&Y 1.83±0.3, K-MMSE 28.4±1.5) and moderate group 10 men and 23 women (mean age 64.5±6.9, H&Y 2.7±0.3, K-MMSE 27.3±2.9). Compared with baseline, there was a significant improvement of functional fitness and postural stability in both groups. In addition, motor and ADL parts of UPDRS and QoL also improved in moderate group.

Conclusions:

It is concluded that exercise program improved not only functional fitness but postural stability in PD patients regardless of clinical severity. Improvement of ADL and QoL through exercise was more evident in moderate group than in mild group.

Keywords :

Aging,Cell death,Pain,Parkinsonism

To cite this abstract, please use the following information:
Sung, H., Cheon, S.M., Kim, J.W.; The effect of exercise on different clinical severity of Parkinson's disease [abstract]. Movement Disorders 2012;27 Suppl 1 :914