Daily Exercise Patterns and Their Differences between Parkinson's Disease Patients with and without Postural Instability

Joomee Song; Jun Kyu Mun; Jong Hyeon Ahn; Jinyoung Youn; Inyoung Choi; Jin Whan Cho

doi:10.1155/2022/3191598

Daily Exercise Patterns and Their Differences between Parkinson's Disease Patients with and without Postural Instability

Parkinsons Dis. 2022 May 19:2022:3191598. doi: 10.1155/2022/3191598. eCollection 2022.

Authors

Joomee Song^{1

2}, Jun Kyu Mun^{1

2}, Jong Hyeon Ahn^{1

2}, Jinyoung Youn^{1

2}, Inyoung Choi^{1

2}, Jin Whan Cho^{1

2}

Affiliations

¹ Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
² Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea.

Abstract

Background: Due to the clinical impact of exercise in patients with Parkinson's disease (PD), management should include personalized and effective exercises according to patient's PD stage. We investigated the detailed exercise behaviors of patients with mild to advanced PD and compared their patterns between PD with and without postural instability (PI).

Methods: We enrolled PD patients from September to December 2019. Clinical data on parkinsonism, exercise behaviors, and Physical Activity Scale of the Elderly (PASE) scores were collected and compared between mild PD without PI (Hoehn-Yahr (HY) stages 1 and 2) and advanced PD with PI (HY stages 3 and 4).

Results: In total, 263 PD patients were recruited. The mean exercise frequency was 4.7 ± 2.1 times/week, and the average duration was 7.8 ± 6.7 hours/week. The most common exercise was an aerobic exercise (71.9%) of mild-to-moderate intensity, with active walking being the most common (49.0%). The mild PD patients demonstrated a higher duration and intensity of exercise and more physical activity than the advanced PD patients. However, the frequency of exercise was not significantly different between the two groups. The PASE score was significantly higher in mild PD patients than in advanced PD patients (p < 0.001).

Conclusion: PD patients focused mostly on aerobic exercises, especially active walking. With the disease progression, the amount and intensity of exercise decreased while frequency remained. Higher intensity of exercise is needed in the mild PD group, while the advanced PD group requires the increment of duration for each exercise session.