Effects of physical exercise on articular range of motion of the lower limb in the Parkinson's disease individuals

The aim of this study was to investigate the effect of eight months of a multimodal program of physical exercise on articular range of motion of the lower limb of patients with Parkinson disease (PD), considering gender and disease stage. Seventeen individuals with PD participated in this study. Participants were assessed before of multimodal program of the physical exercise and after four and eight months of physical exercise. In these periods were evaluated the clinical aspects and articular range of motion of the lower limb. For statistical analysis, patients were distributed according to gender and disease stage. A MANOVA considering exercise, gender and stage of disease, with repeated measures for the first factor, was performed. The clinical results showed regression of disease progression, indicating cognitive decline for women. The articular range of motion improved after four and eight months of physical exercise, especially for the hip and ankle, independent of gender and stage of PD. It was concluded that the multimodal exercise program of the eight months was effective in improving articular range of motion in patients with PD. The benefits of exercise for this physical capacity were independent of gender and severity of PD.本研究旨在探讨为期8个月的多模态体育锻炼方案对帕金森病（Parkinson Disease, PD）患者下肢关节活动度的影响，并将性别与疾病分期作为考量变量。本研究共纳入17名帕金森病患者作为受试者。受试者分别于多模态体育锻炼方案实施前、实施后4个月及8个月时接受评估。在此三个时间节点，对受试者的临床指标与下肢关节活动度进行了测评。统计学分析环节，依据性别与疾病分期对患者进行分组，并采用包含锻炼干预、性别、疾病分期三因素的重复测量多元方差分析（MANOVA），其中锻炼干预因素设置为重复测量变量。临床结果显示，受试者整体疾病进展出现一定延缓，但女性受试者呈现认知功能下降。下肢关节活动度在锻炼后4个月及8个月时均得到显著改善，尤以髋关节与踝关节为著，且该改善效果不受性别与帕金森病分期的影响。综上，为期8个月的多模态体育锻炼方案可有效改善帕金森病患者的下肢关节活动度，该锻炼对该项身体机能的益处不受性别与疾病严重程度的制约。