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  • Author: Fabio Augusto Barbieri x
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Jean Jose da Silva, Fabio Augusto Barbieri and Lilian Teresa Bucken Gobbi

Crossing moving obstacles requires different space-time adjustments compared with stationary obstacles. Our aim was to investigate gait spatial and temporal parameters in the approach and crossing phases of a moving obstacle. We hypothesized that obstacle speed affects gait parameters, which allow us to distinguish locomotor strategies. Ten young adults walked and stepped over an obstacle that crossed their way perpendicularly, under three obstacle conditions: control—stationary obstacle, slow (1.07m/s) and fast speed (1.71m/s) moving obstacles. Gait parameters were different between obstacle conditions, especially on the slow speed. In the fast condition, the participants adopted predictive strategies during the approach and crossing phases. In the slow condition, they used an anticipatory strategy in both phases. We conclude that obstacle speed affects the locomotor behavior and strategies were distinct in the obstacle avoidance phases.

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Carolina Menezes Fiorelli, Emmanuel Gomes Ciolac, Lucas Simieli, Fabiana Araújo Silva, Bianca Fernandes, Gustavo Christofoletti and Fabio Augusto Barbieri

Background: People with Parkinson’s disease (PD) present cognitive impairments, which deteriorate their quality of life and increase disability. Acute aerobic exercise has demonstrated favorable effects on cognitive function in healthy neurologically individuals, but these effects have a dose–response relationship. Therefore, this study aimed to investigate the acute effects of high-intensity interval training (HIIT) versus continuous moderate-intensity training (MICT) on cognitive functions in people with PD. Methods: A total of 14 individuals with PD performed cognitive tests, before and after 3 sessions—control session (CON), HIIT, and MICT. HIIT and MICT were performed on a stationary bicycle. HIIT consisted of a 25-minute exercise of high-intensity intervals (1 min) alternated with moderate-intensity intervals (2 min). MICT consisted of a 30-minute moderate-intensity exercise. CON was 30 minutes of seated resting. The cognitive parameters were compared by a mixed-model analysis for repeated measures. Results: Acute effects of exercise were according to its type: MICT—improved immediate auditory memory (P < .01); HIIT—improved immediate auditory memory (P < .02), attention (P < .001), and sustained attention (P < .01); and CON—no effects on cognitive function. Conclusions: Acute aerobic exercise was able to promote better cognitive performance in people with PD. The effects on cognition were exercise intensity dependent.

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Bianca Fernandes, Fabio Augusto Barbieri, Fernanda Zane Arthuso, Fabiana Araújo Silva, Gabriel Felipe Moretto, Luis Felipe Itikawa Imaizumi, Awassi Yophiwa Ngomane, Guilherme Veiga Guimarães and Emmanuel Gomes Ciolac

Purpose: To investigate the effect of high-intensity interval training (HIIT) versus moderate-intensity continuous exercise training (MICE) on hemodynamic and functional variables in individuals with Parkinson’s disease. Methods: Twenty participants (13 men) were randomly assigned to a thrice-weekly HIIT (n = 12) or MICE (n = 8) for 12 weeks. Hemodynamic (resting heart rate and blood pressure, carotid femoral pulse wave velocity, endothelial reactivity, and heart rate variability) and functional variables (5-time sit-to-stand, timed up and go, and 6-min walking tests) assessed before and after training. Results: Demographic, hemodynamic and functional variables were similar between groups at baseline. Endothelial reactivity tended to increase after HIIT, but not after MICE, resulting in improved level (∼8%, P < .01) of this variable in HIIT versus MICE during follow-up. Six-minute walking test improved after HIIT (10.4 ± 3.8%, P < .05), but did not change after MICE. Sit to stand improved similarly after HIIT (27.2 ± 6.1%, P < .05) and MICE (21.5 ± 5.4%, P < .05). No significant changes were found after HIIT or MICE in any other variable assessed. Conclusion: These results suggest that exercise intensity may influence training-induced adaptation on endothelial reactivity and aerobic capacity in individuals with Parkinson’s disease.

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Victor Spiandor Beretta, Fabio Augusto Barbieri, Diego Orcioli-Silva, Paulo Cezar Rocha dos Santos, Lucas Simieli, Rodrigo Vitório and Lilian Teresa Bucken Gobbi

This study aimed to determine the relationship between postural asymmetry and falls in Parkinson’s disease (PD). In total, 28 patients with PD were included. Postural control was analyzed in bipedal, tandem, and unipedal standing. Center of pressure (CoP) parameters were calculated for both limbs, and asymmetry was assessed using the asymmetry index. Logistic regression was used to predict/classify fallers through postural asymmetry. The Spearman correlation was performed to relate asymmetry and falls number. Poisson regression models were created to predict the number of falls in each condition. The results demonstrated that asymmetry can classify 75% of fallers and nonfallers. Asymmetry in anteroposterior-mean velocity of CoP in unipedal standing was related to the number of falls. Poisson regression showed that anteroposterior-mean velocity of CoP predicts falls in PD, indicating that increased asymmetry results in a greater number of falls. Anteroposterior-mean velocity of CoP seems to be a sensitive parameter to detect falls in PD, mainly during a postural challenging task.