Effectiveness of High-Intensity Therapy in Rehabilitation of Parkinson's Disease Patients

被引:0
作者
Kora, Szilvia [1 ,2 ,3 ,4 ]
Wersenyi, Gyorgy [2 ]
Prukner, Peter [2 ]
Drotar, Istvan [2 ]
Prontvai, Nandor [1 ,3 ]
Kos, Petra [1 ]
Tollar, Jozsef [1 ,2 ,3 ]
机构
[1] Som Cty Kap Mor Teaching Hosp, H-7400 Kaposvar, Hungary
[2] Szecheny Istvan Univ, Dept Telecommun, H-9026 Gyor, Hungary
[3] Univ Pecs, Fac Hlth Sci, Doctoral Sch Hlth Sci, H-7621 Pecs, Hungary
[4] Univ Szeged, Fac Hlth Sci & Social Stud, Dept Theoret Hlth Sci & Hlth Management, Temesvar Krt 31, H-6726 Szeged, Hungary
来源
APPLIED SCIENCES-BASEL | 2025年 / 15卷 / 11期
关键词
Parkinson's disease; virtual reality; high-intensity rehabilitation; neuroplasticity; physical therapy; CONVENTIONAL PHYSICAL-THERAPY; PEOPLE; EXERGAMES; FEASIBILITY; EXERCISE; BALANCE; STROKE; SYSTEM;
D O I
10.3390/app15115890
中图分类号
O6 [化学];
学科分类号
0703 ;
摘要
Parkinson's disease (PD) is a progressive movement disorder with no cure. In this randomized controlled study, 100 patients with PD were assigned to four intervention groups (Exergame, Cycling, Agility, and Robot) for 14 weeks. This study evaluates the effectiveness of high-intensity therapy in a randomized clinical trial. Exergaming, cycling, agility, and robot therapies improved motor function, postural stability, and cardiovascular health. Heart rate monitoring and Borg Scale ratings confirmed the safety and adaptability of high-intensity training, with patients sustaining moderate-to-high exertion without adverse effects. Significant improvements were observed in gait speed (+0.30-0.50 m/s), Functional Independence Measure (FIM) (+25-30 points), and Berg Balance Scale scores. Integrating high-intensity, functional movement-based therapies into PD rehabilitation may offer superior motor, gait, and cardiovascular benefits compared to conventional methods.
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页数:23
相关论文
共 51 条
[1]   Effectiveness of a Long-Term, Home-Based Aerobic Exercise Intervention on Slowing the Progression of Parkinson Disease: Design of the Cyclical Lower Extremity Exercise for Parkinson Disease II (CYCLE-II) Study [J].
Alberts, Jay L. ;
Rosenfeldt, Anson B. ;
Lopez-Lennon, Cielita ;
Suttman, Erin ;
Jansen, A. Elizabeth ;
Imrey, Peter B. ;
Dibble, Leland E. .
PHYSICAL THERAPY, 2021, 101 (11)
[2]   Assessment Tasks and Virtual Exergames for Remote Monitoring of Parkinson's Disease: An Integrated Approach Based on Azure Kinect [J].
Amprimo, Gianluca ;
Masi, Giulia ;
Priano, Lorenzo ;
Azzaro, Corrado ;
Galli, Federica ;
Pettiti, Giuseppe ;
Mauro, Alessandro ;
Ferraris, Claudia .
SENSORS, 2022, 22 (21)
[3]   Xbox 360 system architecture [J].
Andrews, J ;
Baker, N .
IEEE MICRO, 2006, 26 (02) :25-37
[4]   Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients' Rehabilitation [J].
Berton, Alessandra ;
Longo, Umile Giuseppe ;
Candela, Vincenzo ;
Fioravanti, Sara ;
Giannone, Lucia ;
Arcangeli, Valeria ;
Alciati, Viviana ;
Berton, Claudia ;
Facchinetti, Gabriella ;
Marchetti, Anna ;
Schena, Emiliano ;
De Marinis, Maria Grazia ;
Denaro, Vincenzo .
JOURNAL OF CLINICAL MEDICINE, 2020, 9 (08) :1-13
[5]   Exergaming in VR: The Impact of Immersive Embodiment on Motivation, Performance, and Perceived Exertion [J].
Born, Felix ;
Abramowski, Sophie ;
Masuch, Maic .
2019 11TH INTERNATIONAL CONFERENCE ON VIRTUAL WORLDS AND GAMES FOR SERIOUS APPLICATIONS (VS-GAMES), 2019, :25-32
[6]   Xbox 360 Kinect Exergames for Health [J].
Boulos, Maged N. Kamel .
GAMES FOR HEALTH JOURNAL, 2012, 1 (05) :326-330
[7]   The IntegraPark Study: An Opportunity to Facilitate High-Intensity Exercise with Immersive Virtual Reality in Parkinson's Disease Patients [J].
Cancela-Carral, Jose M. ;
Campo-Prieto, Pablo ;
Rodriguez-Fuentes, Gustavo .
JOURNAL OF FUNCTIONAL MORPHOLOGY AND KINESIOLOGY, 2024, 9 (03)
[8]   Comparison of upright balance in stroke, Parkinson and multiple sclerosis [J].
Cattaneo, D. ;
Carpinella, I. ;
Aprile, I. ;
Prosperini, L. ;
Montesano, A. ;
Jonsdottir, J. .
ACTA NEUROLOGICA SCANDINAVICA, 2016, 133 (05) :346-354
[9]   An Immersive Virtual Reality Exergame for People with Parkinson's Disease [J].
Chen, Weiqin ;
Bang, Martin ;
Krivonos, Daria ;
Schimek, Hanna ;
Naval, Arnau .
COMPUTERS HELPING PEOPLE WITH SPECIAL NEEDS, ICCHP 2020, PT I, 2020, 12376 :138-145
[10]   Exergaming for physical activity: A systematic review [J].
Davis, Jacob C. ;
Killen, Lauren G. ;
Green, J. Matt ;
Waldman, Hunter S. ;
Renfroe, Lee G. .
JOURNAL OF AMERICAN COLLEGE HEALTH, 2024, 72 (07) :2090-2098