Tandem Cycling Enhances Well-Being for Parkinson’s Patients and Care Partners

Tandem Cycling Enhances Well-Being for Parkinson's Patients and Care Partners

Tandem cycling holds the promise of enhancing the health and overall well-being of both individuals afflicted with Parkinson’s disease and their devoted caregivers. This revelation stems from a preliminary investigation unveiled today, on February 29, 2024, and is slated for presentation at the esteemed 76th Annual Meeting of the American Academy of Neurology, set to convene from April 13–18, 2024, both in Denver and virtually.

“Our study found that a unique cycling program that pairs people with Parkinson’s disease with their care partners can improve the physical, emotional and mental well-being of both cyclists to improve their quality of life. It is just as important that care partners also receive care, so that is why we included them as the cycling partner. The goal of our small study was to determine if tandem cycling was beneficial. The next step will be to confirm the results with subsequent studies that would include more participants.” Jennifer Trilk, PhD, University of South Carolina School of Medicine in Greenville

The study encompassed 18 participants, comprising nine individuals diagnosed with Parkinson’s disease alongside their corresponding nine devoted caregivers.

Within the framework of the tandem cycling regimen, pairs of Parkinson’s patients and their caregivers engaged in sessions twice weekly for a duration of eight weeks. These sessions took place on indoor, stationary tandem bicycles, augmented by a virtual reality platform. Throughout each session, participants immersed themselves in the experience of traversing picturesque outdoor landscapes, facilitated by large television screens synchronized to the cycling intensity. Moreover, the tandem cycling configuration permitted caregivers to assist in adjusting the cycling pace, thereby fostering a heightened pedaling rate conducive to enhanced health outcomes.

Prior to commencement of the cycling program, all participants underwent a battery of assessments. Subsequently, the same assessments were repeated two days following the conclusion of the eight-week cycling intervention.

As part of the assessment of resilience, participants were tasked with rating a series of six statements pertaining to their perceived capacity to rebound from adversity. Ratings were assigned on a scale of one to five, with higher ratings indicating greater concurrence. Statements encompassed sentiments such as “I demonstrate resilience in the face of adversity” and “I exhibit resilience during challenging circumstances.”

Whilst individuals grappling with Parkinson’s disease did not exhibit enhancements in resilience, researchers discerned that caregivers manifested personal advancements in resilience, a factor Dr. Trilk highlighted as potentially alleviating caregiver burdens. Moreover, caregivers evinced statistically significant ameliorations in depressive symptomatology subsequent to engaging in the cycling intervention.

Subjects afflicted with Parkinson’s disease underwent supplementary assessments pertinent to their condition. These evaluations encompassed inquiries into the frequency of impediments encountered in daily life, encompassing challenges within interpersonal relationships, social contexts, and communicative endeavors. Additionally, physical examinations were conducted, incorporating assessments aimed at appraising disease severity and progression, alongside a evaluation of gait velocity.

Individuals diagnosed with Parkinson’s disease exhibited improvements across various domains assessed. Notably, in the evaluation measuring overall perception of daily life challenges, characterized by higher scores denoting diminished quality of life, participants registered a reduction in their aggregate scores by nearly five units, indicative of ameliorated overall well-being. Furthermore, participants demonstrated significant enhancements in mobility, as evidenced by a decline of nearly 14 points in this domain, signifying improved physical functionality.

Researchers also observed a reduction of eight points in the assessment gauging overall motor severity and disease progression among individuals with Parkinson’s disease, with higher scores indicative of heightened disease burden. Total scores in this evaluation range from zero to 132.

Additionally, participants exhibited augmented walking velocity, marked by an increase of 0.27 meters per second.

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