Acute Effects of Cycling Dual-task in Parkinson´s Disease.

University of Vigo44 enrolled

Overview

Taking into account the process of functional and cognitive evolution that patients with Parkinson's disease experience throughout the pathology, the objective of this study is to evaluate the acute effects of aerobic exercise in forced cycling performed with lower limbs and freecycling of upper limbs combined with cognitive stimuli on attention, exploration skills, and short-term motor skills in people with Parkinson's disease.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Parkinson Disease

Interventions

Cycling combined with cognitive tasksOTHER

A 30-minute session of Forced Cycling aerobic exercise performed with lower limbs and free active cycling performed with upper limbs combined with cognitive stimuli. An intelligent cycle ergometer (Motomed Viva 2 Parkinson) will be used, at a reserve heart rate of 55-70% (Borg scale 12-14) during the active part. The forced cycling program will consist of a 6-minute passive warm-up part (40-60 RPM), a 20-minute active part (90 RPM), and a 4-minute passive cool down (40 RPM). The cognitive task will be a PowerPoint presentation structured in a way that is consistent with the phases of the cycling program. The passive phases (6 minutes of warm-up and 4 minutes of passive cycling back to cool down), images of the nearby environment will be played. For the active phase (20 minutes of assisted active cycling) the PowerPoint presentation will be structured with tasks related to: orientation, memory, calculation, language, similarities.

CyclingOTHER

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Idiopathic Parkinson's disease * Present stage between I and III on the Hoenh and Yarh scale * Being able to move autonomously Exclusion Criteria: * Moderate-severe cognitive impairment (Mini-mental test \> 24) * Comorbidity that discourages the practice of physical exercise and that allows performing all scheduled assessments * Severe visual alterations that prevent the development of the session

Locations (1)

University of Vigo

Pontevedra, Pontevedra, Spain

Outcomes

Primary Outcomes

Change from baseline Symbol Digit Modalities Test at 30 minutes

Detection of cognitive dysfuntions.

Time frame: Pre and up to 30 minutes.

Mini-Mental State Examination (MMSE)

To detect and estimate cognitive decline and dementia.

Time frame: Pre

Secondary Outcomes

Borg Rated Perceived Exertion Scale

Perceived exertion. These include a rating of 6 perceiving "no exertion at all" to 20 perceiving a "maximal exertion" of effort.

Time frame: Up to 30 minutes.

Change from baseline Heart Rate at 30 minutes

Heart rate

Time frame: Pre and up to 30 minutes

Data from ClinicalTrials.gov

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