Skip to main content
Article thumbnail
Location of Repository

Effects of 6-month, Multimodal Exercise Program on Clinical and Gait Parameters of Patients with Idiopathic Parkinson's Disease: A Pilot Study

By Rodrigo Vitório, Claudia Teixeira-Arroyo, Ellen Lirani-Silva, Fabio Augusto Barbieri, Maria Joana Duarte Caetano, Sebastião Gobbi, Florindo Stella and Lilian Teresa Bucken Gobbi


This pilot study aimed to identify the effects of a 6-month, multimodal exercise program on clinical and gait parameters in patients with Parkinson's disease. Two groups of participants were enrolled in the study: Trained Group (TG) and Control Group (CG). Individuals in the TG exercised three times a week for 24 weeks (in a multimodal exercise program), while the CG participants maintained their regular activity level. Participants in both the TG and the CG were assessed at pre- and posttest by clinical rates and the spatiotemporal parameters of self-paced walking. The two groups were not significantly different in demographic, clinical, and gait data at baseline. There were no significant differences between groups for clinical data at posttest. The purposed multimodal exercise program has found improvement in some kinematic gait parameters for the TG. Further study in the form of randomized controlled trial would be required to establish effectiveness of the intervention

Topics: Clinical Study
Publisher: International Scholarly Research Network
OAI identifier:
Provided by: PubMed Central

Suggested articles


  1. (2009). a n dS .G o b b i ,“ E ffects of postural threat on walking features of Parkinson’s disease patients,”
  2. (2010). A positive influence of vision onmotorsymptomsduringsensoryattentionfocusedexercise forParkinson’sdisease,”MovementDisorders,vol.25,no.1,pp. 64–69,
  3. (1987). and Members of the UPDRS Development Committee, “Unified Parkinson’s disease rating scale,” in Recent Developments in Parkinson’s Disease,
  4. (2006). B a r b o s a ,P .C a r a m e l l i ,D .P .M a i ae ta l . ,“ P a r k i n s o n i s m and Parkinson’s disease in the elderly: a community-based surveyinBrazil(theBambu´ ıStudy),
  5. (2009). Benefits of physical exercise on executive functions in older people with Parkinson’s disease,”
  6. (2008). Biomechanical characteristics of elderly individuals walking on land and in water,”
  7. (1997). Changes in motor performance in persons with Parkinson’s disease after exercise in a mountain area,”
  8. (2010). Effects of obstacle height on obstacle crossing
  9. (2009). Exercise programs improve mobility and balance
  10. (2003). F i g u e r oa ,N .J .L e i t e ,a n dR .M .Ba rr o s ,“ Afl e x i b l es o f t w a r e fortrackingofmarkersusedinhumanmotionanalysis,”Computer
  11. (2005). Gait and step training to reduce falls
  12. Impact of exercise on caudate and putamen in a non-human primate model of Parkinson’sdisease,”NeuroImage,vol.41,pp.T58–T200,2008.
  13. (2007). Improvement in usual gait speed predicts better survival in older adults,”
  14. (2000). K a r l s e n ,E .T a n d b e r g ,D .A r s l a n d ,a n dJ .P .L a r s e n ,
  15. (1999). L o u i s ,M .X .T a n g ,L .C o t e ,B .A l f a r o ,H .M e j i a ,a n d K. Marder, “Progression of Parkinsonian signs in Parkinson disease,”
  16. (2002). Long-term effect of body weight-supported treadmill training in Parkinson’s disease: a randomized controlled trial,”
  17. (1975). Mini mental state”. A practical method for grading the cognitive state of patients for the clinician,”
  18. (1967). Parkinsonism: onset, progression and mortality,”
  19. (2005). Penninx et al., “Prognosticvalueofusualgaitspeedinwell-functioningolder people—results from the health, aging and body composition study,”
  20. (2005). ProgressionofmotorimpairmentanddisabilityinParkinson disease: a population-based study,”
  21. (2008). Quality of life (QoL) in relation to disease severity in Brazilian Parkinson’s patients as measured using the WHOQOL-BREF,”
  22. (2008). Relationships between gait and dynamic balance
  23. (2001). Resistance training and gait function in patients with Parkinson’s disease,”
  24. (2003). S.M.D.Brucki,R.Nitrin,P.Caramelli,P.H.F.Bertolucci,and I.H.Okamoto,“Suggestionsforutilizationofthemini-mental state examination in
  25. (2009). Symptom and gait changes after sensory attention focused exercise vs aerobic training
  26. (2001). The effect of a home physiotherapy program for persons with Parkinson’s disease,”
  27. (2008). The effectiveness of exercise interventions for peoplewithParkinson’sdisease:asystematicreviewandmetaanalysis,”
  28. (2007). The effects of incremental speed-dependent treadmill training on postural instability and fear of falling
  29. (2005). Three-dimensional gait biomechanics in Parkinson’s disease: evidence for a centrally mediated amplitude regulation disorder,”
  30. (2000). Treadmill training with body weight support: its effect on Parkinson’s disease,”

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.