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Background: Physical inactivity is a significant health risk, particularly in the growing population of elders with chronic neurodegenerative conditions like Parkinson’s Disease (PD). Purpose: Determine if individuals with mild to moderate PD can achieve aerobic levels of exercise using novel rehabilitative technology (AlterGR, GlideTrakTM, Vasper) and if short term aerobic training is associated withmobility performance and subjective perceptions. Methodology: Two quality assurance, pre-post test design studies were carried out with individuals with PD (Hoehn and Yahr I-III) involved in physical therapy in a health and wellness center. In study I, with a 3 month cross over delay, 12 participants were randomly assigned to daily training (5 days, 40 minutes/session) on two novel body weight supported treadmill systems (Alter-GR and GlideTrakTM). In study II, ten participants trained for 5 weeks (2x/week, 20 minutes/session) on the recumbent NuStepTMT5XR recumbent cross trainer with cooling, compression and grounding by Vasper. Self reported signs, symptoms and training challenges were assessed before, during and after training complemented with mobility and balance assessments before and after training (ten meter walk, six minute walk, timed up and go and five times sit to stand). Results: Twenty participants started and safely completed the assigned technology assisted-aerobic training sessions (each 200 minutes). All but two participants achieved a target heart rate of 60-80% of age relevant maximum with all reaching an exertion level ≥3/10). After each training protocol, participants achieved significant (p<0.025) gains in balance and gait, improving by 1-2 seconds on the TUG and FTSST and gaining 0.28 m/sec in walking speed to achieve a community level of participation. Walking endurance increased an average of 80 meters. During aerobic training, participants self reported mild to moderate discomfort, but noted improvement in energy, resilience and gait stability without exacerbation of PD signs and symptoms. Training gains varied by technology assisted exercise groups. Summary: Novel rehabilitative-technology allowed participants with mild to moderate PD to exercise aerobically and improve mobility, balance and resilience without exacerbating pain, freezing or tremors. Participants recommend the incorporation of technology assisted aerobic equipment in community fitness centers and group exercise programs to enable individuals with PD to independently maintain health and wellness.

community medicine and public health care

Short Term Technology-Assisted-Aerobic Exercise (AlterGR, GlideTrakTM, Vasper) in a Community Fitness Center for Patients with Mild to Moderate Parkinson’s Disease: Subjective Perceptions and Motor Effects