da Silva Adriano Zanardi, Iucksch Dielise Debona, Israel Vera Lúcia
Graduate Program of Physical Education, Federal University of Paraná, Curitiba, Paraná, Brazil.
Department of Prevention and Rehabilitation in Physical Therapy and Graduate Program in Physical Education, Federal University of Paraná, Curitiba, Paraná, Brazil.
Health Serv Insights. 2023 Jun 12;16:11786329231180768. doi: 10.1177/11786329231180768. eCollection 2023.
Parkinson's disease (PD) is a neurodegenerative disorder that impacts the dopaminergic neurons of the substantia nigra, leading to motor and non-motor symptoms, as well as changes in activities of daily living (ADL) and quality of life (QoL). Aquatic physical exercises and dual-task physical exercises have been used to manage PD symptoms. The aim of this study was to investigate the effects of a dual-task aquatic exercise program on the ADL, motor symptoms, and QoL of individuals with PD.
A randomized controlled trial with a parallel group design was employed, and participants were randomized into 2 groups: a control group and an experimental group. The intervention was a 10-week program consisting of twice-weekly 40-minute aquatic dual-task exercises. Pre-intervention evaluations of ADL, motor function, and QoL were conducted at baseline (AS1), immediately after the intervention (AS2), and 3 months post-intervention (follow-up-AS3). The Unified Parkinson's Disease Rating Scale (UPDRS) II and III sections and the Parkinson's Disease Questionnaire 39 (PDQ-39) were utilized for outcome measures.
A total of 25 individuals completed the study. The experimental group showed significant improvements in both the UPDRS II (ADL) and III (motor function) sections ('s < .05), but there was no significant difference in PDQ-39 scores. Additionally, significant differences were observed in the experimental group between the AS2 and AS3 time periods ( < .05) for both UPDRS II and III scores ( < .05).
Aquatic dual-task training may be effective in improving both ADL and motor functions in individuals with PD. Furthermore, the combination of aquatic environment and dual-task exercises may represent a promising approach to maintaining and improving the functionality of individuals with PD.
帕金森病（PD）是一种神经退行性疾病，会影响黑质中的多巴胺能神经元，导致运动和非运动症状，以及日常生活活动（ADL）和生活质量（QoL）的变化。水上体育锻炼和双任务体育锻炼已被用于管理PD症状。本研究的目的是调查双任务水上运动计划对PD患者的ADL、运动症状和QoL的影响。
采用平行组设计的随机对照试验，参与者被随机分为两组：对照组和实验组。干预措施是一个为期10周的计划，包括每周两次、每次40分钟的水上双任务锻炼。在基线（AS1）、干预后立即（AS2）和干预后3个月（随访-AS3）对ADL、运动功能和QoL进行干预前评估。使用统一帕金森病评定量表（UPDRS）第二和第三部分以及帕金森病问卷39（PDQ-39）作为结果指标。
共有25名个体完成了研究。实验组在UPDRS第二部分（ADL）和第三部分（运动功能）均有显著改善（P<0.05），但PDQ-39评分无显著差异。此外，实验组在AS2和AS3时间段之间，UPDRS第二部分和第三部分的评分均有显著差异（P<0.05）。
水上双任务训练可能对改善PD患者的ADL和运动功能有效。此外，水上环境和双任务锻炼的结合可能是维持和改善PD患者功能的一种有前景的方法。
