Endurance and Efficiency of Cycling and Manual Wheelchairs in Late-Stage Parkinson's Disease: A Preliminary Study.

IF 4 4区医学 Q2 CLINICAL NEUROLOGY

Journal of Movement Disorders Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI:10.14802/jmd.25317

Mayura Konzo, Masaru Narita, Masaki Naito, Ayumi Ide, Taiyo Kai, Dai Wakabayashi, Wataru Fujita, Tomohiro Shibata, Yohei Okada

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Abstract

Objective: In late-stage Parkinson's disease (PD), wheelchair mobility becomes essential, yet little is known about the endurance and efficiency of wheelchairs. For individuals who struggle with manual wheelchair (MW) propulsion, a cycling wheelchair (CW) may provide an alternative. In this study, endurance and efficiency were compared between MWs and CWs during continuous driving, including turning tasks, in late-stage PD.

Methods: Nine participants with late-stage PD performed the 6-minute push test using both MWs and CWs. Total distance, average speed, and the Physiological Cost Index (PCI) were measured. The PCI was calculated from the pre- and post-driving heart rates.

Results: Compared with the use of MWs, the use of CWs resulted in a significantly greater total distance and a lower PCI, and similar patterns were observed among participants at Hoehn and Yahr stage V (n=6).

Conclusion: Compared with MW use, CW use may enable more enduring and efficient mobility in late-stage PD. Further studies are needed to validate these preliminary findings.

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晚期帕金森病患者骑自行车和手动轮椅的耐力和效率：初步研究。

目的：在晚期帕金森病（PD）中，轮椅的灵活性变得必不可少，但对耐力和效率知之甚少。对于那些与手动轮椅（MW）推进斗争的人来说，自行车轮椅（CW）可能提供了另一种选择。本研究比较了MW和CW在连续驾驶中的耐力和效率，包括后期PD的转弯任务。方法：9名晚期PD患者分别使用MW和CW进行6分钟推压试验。测量总距离、平均速度和生理成本指数（PCI）。PCI是根据驾驶前和驾驶后的心率计算的。结果：与MW相比，CW导致的总距离和PCI明显增加，Hoehn和Yahr阶段V的参与者也观察到类似的模式（n = 6）。结论：在晚期PD患者中，使用CW比使用MW更持久、更有效。需要进一步的研究来验证这些初步发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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