Document Type
Article
Version Deposited
Published Version
Publication Date
9-1-2021
Publication Title
Complementary therapies in medicine
DOI
10.1016/j.ctim.2021.102760
Abstract
BACKGROUND: Recent evidence suggests that high-speed, low-resistance stationary cycling training (termed as speedwork) alleviates motor symptoms in people with Parkinson's disease. Similar motor symptoms commonly exist in people with schizophrenia (Sz); however, they were neglected in the previous literature.
OBJECTIVES: Our objective was to evaluate if speedwork could also be used as a strategy to improve parkinsonian motor symptoms in Sz. We aimed 1) to evaluate the adherence and acceptability of speedwork in Sz, 2) to assess test-retest reliability of the motor assessments that are novel to Sz research, 3) to evaluate the effectiveness of speedwork in improving parkinsonian motor, and 4) psychiatric symptoms in Sz.
METHODS: Ten Sz outpatients with concurrent parkinsonian motor symptoms completed 12 sessions (2 sessions/week) of speedwork training. Participants were evaluated on motor functioning and psychiatric symptom severity twice before (double baseline) and twice after (post-completion and 6-wk follow-up) the speedwork training.
RESULTS: The adherence to speedwork was high (92 %) and the results of exercise acceptability questionnaire indicate participants found various domains of exercise highly acceptable (overall average 4.49/5). There were improvements in various domains of motor symptoms including, walking speed, functional mobility, static and dynamic balance, and upper extremity motor function after the completion of training (all p < 0.025), with many of these improvements remaining at the 6-wk follow-up. Moreover, there was evidence for improvement in positive psychotic symptoms after the completion of speedwork (p < 0.025).
CONCLUSIONS: Speedwork training could be an acceptable and effective strategy to improve motor and psychiatric symptoms in Sz.
Recommended Citation
Uygur M, Dinzeo TJ. Acceptability and effectiveness of a novel cycling training on the parkinsonian motor and psychiatric symptoms in individuals with schizophrenia: A pilot study. Complement Ther Med. 2021 Sep; 61:102760. doi: 10.1016/j.ctim.2021.102760. Epub 2021 Jul 15. PMID: 34274448.
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Comments
Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved. This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.