Research Article

Long-Term Multimodal Exercise Program Enhances Mobility of Patients with Parkinson’s Disease

Table 1

Phases of the proposed long-lasting multimodal program (adapted from Vitório et al. [19]).

PhasesCapacities
CoordinationMuscular resistanceBalance

Phase 1Movements of upper, and lower limbs.Exercises without weights.Recreational activities stimulating vestibular system
Phase 2Movements of trunk, upper, and lower limbs.Exercises with hoops, ropes, and batons.Recreational activities stimulating vestibular system
Phase 3Head movements instead of trunk.Exercises with barbells, ankle weights, and medicine balls.Stimulation of visual and somatosensory system
Phase 4Head, trunk, upper, and lower limb movements.Increase of intensity or repetitions (increased volume).Integration of vestibular, visual, and somatosensory systems.
Phase 5Four different movement sequences: two with same movements for upper and lower limbs and two alternating movements.Gym exercises: leg press, pulley, seated cable rows, peck deck, and bench press. Two series with 15 repetitions.Activities including static balance, dynamic balance, and half-turn and complete turn (all with visual clues).
Phase 6Four different movement sequences: two alternate movements for upper and lower limbs and two with different movements.Increase of load and volume: series of 15 repetitions were added.Added tactile cues.