Graded peak cycle ergometer test for cognitively impaired patients with Parkinson's disease: a pilot study.
Cognitive decline affects up to 50% of patients with Parkinson's disease (PD) in the course of the disease and may be amenable to exercise interventions. To accurately set adequate training intensities, standardized exercise testing is required but such testing takes considerable time and effort. Th...
| Publicado en: | Physiotherapy Theory & Practice Vol. 39; no. 6; pp. 1249 - 1257 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163915350&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163915350 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jun2023 vid: 39 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 163915350 155168806 163915350 163915350 10.1080/09593985.2022.2034078 163915350 ppf: 1249 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Graded peak cycle ergometer test for cognitively impaired patients with Parkinson's disease: a pilot study. aug: au: Hürlimann, André Pastore-Wapp, Manuela van Beek, Judith Hirsch, Mark A. van Wegen, Erwin E.H. Vanbellingen, Tim affil: Neurocenter, Luzerner Kantonsspital, Luzern, Switzerland sug: subj: Parkinson Disease Therapy Cognition Disorders Therapy Ergometry Evaluation Exercise Physiology Methods Human Exercise Intensity Pilot Studies Convenience Sample Heart Rate Evaluation Age Factors Comparative Studies Descriptive Statistics Confidence Intervals Spearman's Rank Correlation Coefficient Funding Source ab: Cognitive decline affects up to 50% of patients with Parkinson's disease (PD) in the course of the disease and may be amenable to exercise interventions. To accurately set adequate training intensities, standardized exercise testing is required but such testing takes considerable time and effort. The aim of this pilot study was to investigate the feasibility of a graded peak cycle ergometer exercise test in cognitively impaired patients with Parkinson's Disease (PD), and to define whether age-predicted maximal heart rate (HRmax) matched measured HRmax. A convenience sample of seven patients with PD (Hoehn and Yahr: 2–4, and cognitive impairment (Montreal Cognitive Assessment (MoCA) ≤ 26) completed a graded peak cycle ergometer test to voluntary exhaustion. Borg Rating of Perceived Exertion was used to record the individual's perception of exertion. Pre-defined age-predicted HRmax (calculated as 208-(0.7 × age) was compared with the measured HRmax using Bland-Altman plot and a two-one-sided test. All PD patients completed the graded exercise test between 8–12 minutes, showing therefore 100% compliance to the test protocol. No adverse events occurred. Predicted HRmax and measured HRmax did not differ. We demonstrate feasibility of graded peak cycle ergometer testing in PD patients with cognitive impairment. The good correspondence of age-predicted HRmax equation with measured HRmax, in this small sample, may in the future provide clinicians with a tool to define training intensities in cognitively impaired PD, without cardiac disease. However, further research is needed to confirm these results. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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