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The effects of functional training and stationary cycling on respiratory function of elderly with Parkinson disease: a pilot study
Almeida da Silveira R, Trippo KV, Pereira Duarte G, Gomes Neto M, Oliveira Filho J, Dominguez Ferraz D
Fisioterapia em Movimento [Physical Therapy in Movement] 2018;31:e003119
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Respiratory function changes in patients with Parkinson's disease (PD) contribute to aspiration pneumonia, the main cause of mortality in PD population. OBJECTIVE: To compare the effects of functional training and cycle exercise in respiratory function of elderly with PD. METHODS: Twenty participants were randomised into two groups. Experimental group (EG) (n = 10) performed cycle exercise and control group (CG) (n = 10) was trained with functional training. A blinded researcher evaluated maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), thoracoabdominal amplitude, forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1) before and after interventions. RESULTS: Both groups did not improve significantly respiratory function. Only CG improved significantly FVC (p = 0.01). No differences were found between groups. CONCLUSION: 8-week exercise programs are not able to improve the respiratory function of elderly in 2 to 3 PD Hoehn and Yahr stage. Both functional training and cycle exercise do not to improve respiratory function in elderly with PD.

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