Cardiovascular Responses During Resistance Exercise in Patients With Parkinson Disease

PM & R : the Journal of Injury, Function, and Rehabilitation
Roberto S MiyasatoH Kanegusuku

Abstract

Patients with Parkinson disease (PD) present cardiovascular autonomic dysfunction that impairs blood pressure control. However, cardiovascular responses during resistance exercise are unknown in these patients. To investigate cardiovascular responses during resistance exercise performed with different muscle masses in patients with PD. Prospective, repeated-measures. Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo. Thirteen patients with PD (4 women, 62.7 ± 1.3 years, stages 2-3 of the modified Hoehn and Yahr scale; "on" state of medication) and 13 paired control patients without PD (7 women, 66.2 ± 2.0 years). Both groups performed, in a random order, bilateral and unilateral knee extension exercises (2 sets, 10-12 maximal repetition, 2-minute intervals). Systolic blood pressure (SBP) and heart rate (HR) were assessed before (pre) and during the exercises. Independent of set and exercise type, SBP and HR increases were significantly lower in PD than the control group (combined values: +45 ± 2 versus +73 ± 4 mm Hg and +18 ± 1 versus +31 ± 2 bpm, P = .003 and .007, respectively). Independently of group and set, the SBP increase was greater in the bilateral than the unilateral exer...Continue Reading

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