RESUMO
Gait disturbances are frequent in Parkinson's disease (PD) and are associated with increased energy expenditure during walking. This study evaluated whether the effects of treadmill training are associated with an improvement of walking economy. Ten patients with idiopathic PD underwent treadmill training (30 min, three times a week for 4 weeks). Walking performance (Tauimed Up and Go, 6-min and 10-m walking tests) and metabolic function (oxygen uptake, heart and respiratory rate) were evaluated before training, at the end of treatment and after 30 days with two different graded exercises (treadmill and cycloergometer). Training significantly improved walking performance. Oxygen uptake, and heart and respiratory rates were significantly decreased only during graded exercise on the treadmill, but not on the cycloergometer. Treadmill training reduces energy expenditure during walking in PD, but the improvements of metabolic walking economy are associated with the specifically trained motor activity.
Assuntos
Terapia por Exercício/métodos , Doença de Parkinson/fisiopatologia , Doença de Parkinson/terapia , Caminhada/fisiologia , Idoso , Análise de Variância , Avaliação da Deficiência , Teste de Esforço , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Consumo de Oxigênio , Projetos Piloto , Qualidade de Vida , Taxa Respiratória , Fatores de Tempo , Resultado do TratamentoRESUMO
The effect of a strenuous treadmill exercise on body stability and the mechanisms associated with it have been studied with two different experimental protocols. The former investigation was based on stabilometric and metabolic measurements performed in basal condition and after a strenuous treadmill exercise whilst the latter dealt with the study of the early postural response to a 3s-bilateral soleus muscle vibration after the strenuous exercise. Our exercise protocol was able to induce an important generalized metabolic fatigue, as assessed by the obtained peak values in the measured metabolic parameters, and resulting in a short-lasting body destabilization. A linear relationship between sway path and oxygen uptake was found. Thus, the short duration of body instability could be likely due to the quite rapid recovery of oxygen uptake. Further, the fatigue-induced body instability did not associate with changes in the early postural response to soleus muscle vibration. The present study cannot rule out the possibility that further central and/or peripheral mechanisms, influencing the postural control, may play a role in the fatigue-induced changes in body sway.
