Acute Effects of Cycling Dual-task in Parkinson´s Disease.

Study Overview
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Brief Summary
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Taking into account the process of functional and cognitive evolution that patients with Parkinson's disease experience throughout the pathology, the objective of this study is to evaluate the acute effects of aerobic exercise in forced cycling performed with lower limbs and freecycling of upper limbs combined with cognitive stimuli on attention, exploration skills, and short-term motor skills in people with Parkinson's disease.

Official Title
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Acute Effects of Cycling Dual-task on Cognitive and Physical Function in Parkinson´s Disease: a Cross-sectional Study.

Conditions
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Parkinson Disease

Intervention / Treatment
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* Other: Cycling combined with cognitive tasks
* Other: Cycling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Idiopathic Parkinson's disease Present stage between I and III on the Hoenh and Yarh scale Being able to move autonomously Exclusion Criteria: Moderate-severe cognitive impairment (Mini-mental test > 24) Comorbidity that discourages the practice of physical exercise and that allows performing all scheduled assessments Severe visual alterations that prevent the development of the session
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cycling combined with cognitive tasks<br> | Other: Cycling combined with cognitive tasks<br>* A 30-minute session of Forced Cycling aerobic exercise performed with lower limbs and free active cycling performed with upper limbs combined with cognitive stimuli. An intelligent cycle ergometer (Motomed Viva 2 Parkinson) will be used, at a reserve heart rate of 55-70% (Borg scale 12-14) during the active part. The forced cycling program will consist of a 6-minute passive warm-up part (40-60 RPM), a 20-minute active part (90 RPM), and a 4-minute passive cool down (40 RPM). The cognitive task will be a PowerPoint presentation structured in a way that is consistent with the phases of the cycling program. The passive phases (6 minutes of warm-up and 4 minutes of passive cycling back to cool down), images of the nearby environment will be played. For the active phase (20 minutes of assisted active cycling) the PowerPoint presentation will be structured with tasks related to: orientation, memory, calculation, language, similarities.<br>* Other names: Cycling dual task;|
| Active Comparator: Cycling<br> | Other: Cycling<br>* A 30-minute session of Forced Cycling aerobic exercise performed with lower limbs and free active cycling performed with upper limbs combined with cognitive stimuli. An intelligent cycle ergometer (Motomed Viva 2 Parkinson) will be used, at a reserve heart rate of 55-70% (Borg scale 12-14) during the active part. The forced cycling program will consist of a 6-minute passive warm-up part (40-60 RPM), a 20-minute active part (90 RPM), and a 4-minute passive cool down (40 RPM).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline Heart Rate at 30 minutes | Heart rate | Pre and up to 30 minutes. | 
| Change from baseline Symbol Digit Modalities Test at 30 minutes | Detection of cognitive dysfuntions. | Pre and up to 30 minutes. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Borg Rated Perceived Exertion Scale | Perceived exertion. These include a rating of 6 perceiving no exertion at all to 20 perceiving a maximal exertion of effort. | Up to 30 minutes. |