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Year : 2018  |  Volume : 50  |  Issue : 4  |  Page : 119-124

The phenomenon of bicycling ability in Parkinson's disease: A brief review report

Assistant Professor, Occupational Therapy Training School and Center, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Alok Sunil Patil
101, Patil Apartments, Behind Citylight Cinema, Mahim, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijoth.IJOTH_14_18

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Background: People with Parkinson's disease (PD) may suffer from reduced mobility and resulting secondary issues. Participation in therapeutic exercise program may help ameliorate the undesired effects of decreased mobility as well as help augment optimal functional outcomes. The physical as well as cognitive benefits of aerobic exercise such as bicycling have been well documented in healthy population. Limited references to literature suggest preserved ability of bicycling, even in the face of freezing of mobility, namely gait. However, this role or ability of bicycling in PD has yet not been adequately represented in research. Objectives: The objective of the study is to assess and explore the relevance of the phenomenon of bicycling ability in PD through a review of literature. Study Design: This study was a brief review report. Methods: Articles published in indexed journals in PubMed over a period of 10 years from 2007 to 2016 were accessed and collected from their online database and were reviewed for their underlying neurophysiological mechanisms, their content, level of evidence, and study design. Results: Ten articles that included case report, single group cohort, and comparative studies were chosen in the study. The articles included were found pertaining to the phenomenon of bicycling and its relation to the freezing of gait episodes. The phenomenon of imagining cycling to reduce freezing episodes along with the preserved ability to cycle aiding in the diagnosis of typical and atypical parkinsonism was also explored. Conclusion: There is a definitive relevance of the phenomenon of bicycling in the assessment, treatment, and measuring outcome in both typical and atypical parkinsonism. Further research is required to establish a consensus on the exact role of bicycling ability and identify novel avenues for its implementation in the care of people with PD.

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