Effects of the agility boot camp with cognitive challenge (ABC-C) exercise program for Parkinson’s disease

Jung, Se Hee, Hasegawa, Naoya, Mancini, Martina, King, Laurie A., Carlson-Kuhta, Patricia, Smulders, Katrijn, Peterson, Daniel S., Barlow, Nancy, Harker, Graham, Morris, Rosie, Lapidus, Jodi, Nutt, John G. and Horak, Fay B. (2020) Effects of the agility boot camp with cognitive challenge (ABC-C) exercise program for Parkinson’s disease. npj Parkinson's Disease, 6 (1). p. 31. ISSN 2373-8057

s41531-020-00132-z.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (1MB) | Preview
Official URL: https://doi.org/10.1038/s41531-020-00132-z


Few exercise interventions practice both gait and balance tasks with cognitive tasks to improve functional mobility in people with PD. We aimed to investigate whether the Agility Boot Camp with Cognitive Challenge (ABC-C), that simultaneously targets both mobility and cognitive function, improves dynamic balance and dual-task gait in individuals with Parkinson's disease (PD). We used a cross-over, single-blind, randomized controlled trial to determine efficacy of the exercise intervention. Eighty-six people with idiopathic PD were randomized into either an exercise (ABC-C)-first or an active, placebo, education-first intervention and then crossed over to the other intervention. Both interventions were carried out in small groups led by a certified exercise trainer (90-min sessions, 3 times a week, for 6 weeks). Outcome measures were assessed Off levodopa at baseline and after the first and second interventions. A linear mixed-effects model tested the treatment effects on the Mini-BESTest for balance, dual-task cost on gait speed, SCOPA-COG, the UPDRS Parts II and III and the PDQ-39. Although no significant treatment effects were observed for the Mini-BESTest, SCOPA-COG or MDS-UPDRS Part III, the ABC-C intervention significantly improved the following outcomes: anticipatory postural adjustment sub-score of the Mini-BESTest (p = 0.004), dual-task cost on gait speed (p = 0.001), MDS-UPDRS Part II score (p = 0.01), PIGD sub-score of MDS-UPDRS Part III (p = 0.02), and the activities of daily living domain of the PDQ-39 (p = 0.003). Participants with more severe motor impairment or more severe cognitive dysfunction improved their total Mini-BESTest scores after exercise. The ABC-C exercise intervention can improve specific balance deficits, cognitive-gait interference, and perceived functional independence and quality of life, especially in participants with more severe PD, but a longer period of intervention may be required to improve global cognitive and motor function.

Item Type: Article
Uncontrolled Keywords: Parkinson's disease, rehabilitation
Subjects: B900 Others in Subjects allied to Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: John Coen
Date Deposited: 08 Jan 2021 13:54
Last Modified: 31 Jul 2021 14:21
URI: http://nrl.northumbria.ac.uk/id/eprint/45174

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics