Exercise & Training

Range of Motion and Intensity Achieved During a Single Session of Targeted Robot-Assisted Exercise in Individuals with Parkinson's Disease: A Pilot Study.

TL;DR

A novel robot-assisted exercise system led individuals with Parkinson's disease through different joint ranges of motion in a fun and effective manner, achieving acceptable exercise intensity and immediate improvements in standing forward reach.

Key Findings

Participants with Parkinson's disease achieved acceptable levels of exercise intensity during a single session of robot-assisted exercise.

  • Average ending heart rate was 107.0 ± 11.9 bpm, approximately 70% of maximum heart rate
  • Average ending RPE was 6.5 ± 1.8 on a 10-point scale
  • These metrics indicated that the sessions were 'appropriately challenging'
  • Eleven individuals with PD participated in the pilot study

Standing forward reach improved immediately following a single session of robot-assisted exercise.

  • Standing forward reach improved by an average of 1.7 inches
  • The improvement was statistically significant (p < 0.01)
  • Standing forward reach was used to assess static balance and flexibility
  • This demonstrated 'immediate improvements from exercising with the robot'

Range of motion achieved during robot-assisted exercise was dependent upon the specific exercise and joint of interest.

  • ROM was collected using inertial measurement units (APDM wearable sensors)
  • ROM data were extracted using custom code developed in Matlab
  • The robotic system placed targets at different places in space for participants to tap with their hand, foot, or knee
  • Different exercises targeted different joints, resulting in exercise-specific and joint-specific ROM outcomes

A novel robotic exercise system was developed that guides individuals with Parkinson's disease through targeted movements in space.

  • The system placed a target at different places in space for participants to tap with their hand, foot, or knee
  • The system was designed to be used in a 'fun' manner to encourage adherence
  • The system was proposed as a potential home-based supplement to physical therapy
  • The study authors noted that the number of sessions with a PT can be limited by availability, motivating the home-use rationale

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Citation

Wells M, Lamsey M, Wallenstein A, Feldman J, Kemp C, Hackney M. (2026). Range of Motion and Intensity Achieved During a Single Session of Targeted Robot-Assisted Exercise in Individuals with Parkinson's Disease: A Pilot Study.. Sensors (Basel, Switzerland). https://doi.org/10.3390/s26041091