Abstract：
Various forms of exercise have proven health benefits for people with Parkinson\'s (pwPD) yet high intensity functional training (HIFT) has yet to be studied. The purpose of this study was to examine the feasibility, physical and psychosocial impacts of a HIFT program for pwPD and their care partners (CPs).
A single group, pre-post design with assessments before, in the middle (13 weeks), and after the 25-week intervention.
Community fitness facility.
Fourteen pwPD (10 at Hoehn Yahr Stage ≤2, 4 females) and 10 CPs (5 females) were included (mean age = 71.5 (6.1)).
A 25-week HIFT program (≤49 exercise sessions, ≤75 min long).
Recruitment, retention, attendance, safety and exercise intensity (measured via session-Rating of Perceived Exertion (RPE)) was assessed in addition to cardiovascular endurance, lower extremity strength, walking speed, balance, exercise self-efficacy, balance confidence, social support for exercise and health-related quality of life.
Descriptive data was used to describe feasibility measures. Wilcoxon signed-rank test was used to compare pre- and post-program data. Effect size, r, was calculated.
Recruitment rates were ≥40% for pwPD and CPs and retention rates were 80% for pwPD and 62.5% for CPs. Average session attendance was 71.2% with 15 adverse events reported, including 7 non-injurious falls. Median session-RPE was 5 (IQR = 1) out of 10. PwPD demonstrated significant improvements in cardiovascular endurance, self-selected and fast walking speeds, balance and social support for exercise. CPs demonstrated significant improvements in cardiovascular endurance and lower extremity strength. Exercise self-efficacy, balance confidence and health-related quality of life did not significantly change for pwPD or CPs.
High intensity functional training appears feasible for pwPD and their CPs and may lead to health benefits. Healthcare providers should consider HIFT as another option to engage pwPD in community-based exercise.
A single group, pre-post design with assessments before, in the middle (13 weeks), and after the 25-week intervention.
Community fitness facility.
Fourteen pwPD (10 at Hoehn Yahr Stage ≤2, 4 females) and 10 CPs (5 females) were included (mean age = 71.5 (6.1)).
A 25-week HIFT program (≤49 exercise sessions, ≤75 min long).
Recruitment, retention, attendance, safety and exercise intensity (measured via session-Rating of Perceived Exertion (RPE)) was assessed in addition to cardiovascular endurance, lower extremity strength, walking speed, balance, exercise self-efficacy, balance confidence, social support for exercise and health-related quality of life.
Descriptive data was used to describe feasibility measures. Wilcoxon signed-rank test was used to compare pre- and post-program data. Effect size, r, was calculated.
Recruitment rates were ≥40% for pwPD and CPs and retention rates were 80% for pwPD and 62.5% for CPs. Average session attendance was 71.2% with 15 adverse events reported, including 7 non-injurious falls. Median session-RPE was 5 (IQR = 1) out of 10. PwPD demonstrated significant improvements in cardiovascular endurance, self-selected and fast walking speeds, balance and social support for exercise. CPs demonstrated significant improvements in cardiovascular endurance and lower extremity strength. Exercise self-efficacy, balance confidence and health-related quality of life did not significantly change for pwPD or CPs.
High intensity functional training appears feasible for pwPD and their CPs and may lead to health benefits. Healthcare providers should consider HIFT as another option to engage pwPD in community-based exercise.
摘要：
目的：各种形式的运动已证明对帕金森氏症（pwPD）患者的健康有益，但高强度功能训练（HIFT）尚未研究。这项研究的目的是检验可行性，HIFT计划对pwPD及其护理伙伴（CPs）的身体和心理社会影响。
方法：单组，pre-postdesignwithassessmentsbefore,在中间（13周），在25周的干预之后。
方法：社区健身设施。
方法：包括14名pwPD（10名HoehnYahr≤2期，4名女性）和10名CPs（5名女性）（平均年龄=71.5（6.1））。
方法：一项为期25周的HIFT计划（≤49次锻炼，≤75分钟长)。
方法：招聘，保留,出席,除了心血管耐力外，还评估了安全性和运动强度（通过会话-感知运动（RPE）等级测量），下肢力量,步行速度,balance,锻炼自我效能感,平衡信心，运动和健康相关生活质量的社会支持。
方法：使用描述性数据来描述可行性措施。Wilcoxon符号秩检验用于比较程序前和程序后的数据。效果大小,r,已计算。
结果：pwPD和CPs的招募率≥40％，pwPD和CPs的保留率分别为80％和62.5％。平均会议出勤率为71.2%，报告了15起不良事件，包括7次非伤害性跌倒。中位会话-RPE为10个中的5个(IQR=1)。PwPD在心血管耐力方面表现出显着改善，自选和快速步行速度，锻炼的平衡和社会支持。CP在心血管耐力和下肢力量方面表现出显着改善。锻炼自我效能感，pwPD或CPs的平衡信心和健康相关生活质量没有显著变化.
结论：高强度功能训练对于pwPD及其CP似乎是可行的，并可能带来健康益处。医疗保健提供者应将HIFT视为将pwPD参与基于社区的锻炼的另一种选择。
方法：单组，pre-postdesignwithassessmentsbefore,在中间（13周），在25周的干预之后。
方法：社区健身设施。
方法：包括14名pwPD（10名HoehnYahr≤2期，4名女性）和10名CPs（5名女性）（平均年龄=71.5（6.1））。
方法：一项为期25周的HIFT计划（≤49次锻炼，≤75分钟长)。
方法：招聘，保留,出席,除了心血管耐力外，还评估了安全性和运动强度（通过会话-感知运动（RPE）等级测量），下肢力量,步行速度,balance,锻炼自我效能感,平衡信心，运动和健康相关生活质量的社会支持。
方法：使用描述性数据来描述可行性措施。Wilcoxon符号秩检验用于比较程序前和程序后的数据。效果大小,r,已计算。
结果：pwPD和CPs的招募率≥40％，pwPD和CPs的保留率分别为80％和62.5％。平均会议出勤率为71.2%，报告了15起不良事件，包括7次非伤害性跌倒。中位会话-RPE为10个中的5个(IQR=1)。PwPD在心血管耐力方面表现出显着改善，自选和快速步行速度，锻炼的平衡和社会支持。CP在心血管耐力和下肢力量方面表现出显着改善。锻炼自我效能感，pwPD或CPs的平衡信心和健康相关生活质量没有显著变化.
结论：高强度功能训练对于pwPD及其CP似乎是可行的，并可能带来健康益处。医疗保健提供者应将HIFT视为将pwPD参与基于社区的锻炼的另一种选择。
