Kanegusuku Hélcio, Correia Marilia de Almeida, Longano Paulo, Okamoto Erika, Piemonte Maria Elisa Pimentel, Cucato Gabriel Grizzo, Ritti-Dias Raphael Mendes
Hospital Israelita Albert Einstein, São Paulo, Brazil.
Universidade Nove de Julho, São Paulo, Brazil.
NeuroRehabilitation. 2021;48(3):267-272. doi: 10.3233/NRE-201569.
Exercise with self-selected intensity (SSI) has emerged as a new strategy for exercise prescription aiming to increase exercise adherence in Parkinson's disease (PD).
We compared the cardiovascular, perceived exertion and affective responses during traditional aerobic exercise and with SSI in PD.
Twenty patients with PD performed two aerobic exercise sessions in random order with an interval of at least 72 h between them: Traditional session (cycle ergometer, 25 min, 50 rpm) with imposed intensity (II) (60-80% maximum heart rate [HR]) and SSI: (cycle ergometer, 25 min, 50 rpm) with SSI. The HR (Polar V800 monitor), systolic blood pressure (auscultatory method), rating of perceived exertion (Borg scale 6-20) and affective responses (feeling scale) were assessed during the exercise at 8th and 18th minute. The Generalized Estimating Equation Model was used for comparison between both sessions (P < 0.05).
The exercise intensity was not significantly different between both exercise sessions (8th minute: II -76.3±1.0 vs. SSI -76.5±1.3 % of maximal HR; 18th minute: II -78.9±0.9 vs. SSI -79.1±1.3 % of maximal HR, p = 0.93). Blood pressure, perceived exertion and affective responses were also not significantly different between both sessions (P > 0.05).
Cardiovascular and psychophysiological responses were not different during aerobic exercise performed with II and with SSI in patients with PD.
自我选择强度（SSI）运动已成为一种新的运动处方策略，旨在提高帕金森病（PD）患者的运动依从性。
我们比较了传统有氧运动和PD患者自我选择强度运动时的心血管反应、主观用力感觉和情感反应。
20例PD患者以随机顺序进行两次有氧运动，两次运动间隔至少72小时：传统运动（功率自行车，25分钟，50转/分钟），设定强度（II）（最大心率[HR]的60-80%）和自我选择强度运动（SSI）：（功率自行车，25分钟，50转/分钟），自我选择强度。在运动的第8分钟和第18分钟评估心率（Polar V800监测仪）、收缩压（听诊法）、主观用力感觉评分（Borg量表6-20）和情感反应（感觉量表）。采用广义估计方程模型对两次运动进行比较（P<0.05）。
两次运动的运动强度无显著差异（第8分钟：II-76.3±1.0 vs. SSI-76.5±1.3%最大心率；第18分钟：II-78.9±0.9 vs. SSI-79.1±1.3%最大心率，p=0.93）。两次运动之间的血压、主观用力感觉和情感反应也无显著差异（P>0.05）。
PD患者在设定强度运动和自我选择强度运动时的心血管和心理生理反应无差异。
