Application of a physical exercise coordinating program by MOTOmed® system in older adults diagnosed with moderate-severe Parkinson´s disease. Case Reports

Abstract

Background: Parkinson´s disease causes motor disorders that lead to patients’ functional dependence. Physical exercise is an alternative treatment that generates positive effects on patients’ physical condition. Objective: To determine the effects of a physical exercise program developed through MOTOmed Viva 2 Parkinson system on lower limb strength and balance in people diagnosed with moderate to severe degree of Parkinson´s disease. Method: A case study was conducted on four subjects diagnosed whit Parkinson´s disease. They were treated with a 21-minute session of coordination exercises twice a week for seven weeks. Strength of lower limbs (30 Seconds Chair Stand Test) and balance (Timed Up and Go Test, 8 Foot Up and Go Test) were evaluated. Results: Dynamic balance showed improvements for three of the four patients. Strength of lower limbs showed mixed behavior, with observed improvements in one patient, worsening in another, and maintained levels in the remaining two. Conclusion: The coordinated physical exercise program (MOTOmed Viva 2 Parkinson) is presented as a useful treatment tool for people with moderate to severe Parkinson´s disease.