Učinki kolesarjenja na izboljšanje hoje pri bolnikih s Parkinsonovo boleznijo - pregled literature : diplomsko delo

Fileš, Živa (author), Tomc Žargi, Tina (mentor), Mlakar, Nataša (comentor), Vauhnik, Renata (reviewer)

Uvod: Parkinsonova bolezen je progresivna nevrodegenerativna bolezen osrednjega živčevja, za katero so značilni motorični in nemotorični simptomi. Vzrok bolezni v večini primerov ostaja nepojasnjen, največji dejavnik tveganja za njen razvoj pa je starost. Med pomembnejšimi motoričnimi težavami so motnje hoje, ki pomembno vplivajo na samostojnost bolnikov in povečujejo tveganje za padce. Zaradi omejenih učinkov farmakološkega zdravljenja se vse več pozornosti namenja nefarmakološkim pristopom, med katere sodi tudi kolesarjenje. Kolesarjenje je oblika ritmične, ciklične in simetrične vadbe, ki lahko ugodno vpliva na motorično funkcijo in premičnost bolnikov s Parkinsonovo boleznijo. Namen: Namen diplomskega dela je s pregledom znanstvene in strokovne literature ugotoviti učinke kolesarjenja na izboljšanje hoje pri bolnikih s Parkinsonovo boleznijo. Metode dela: Literaturo smo iskali v podatkovnih zbirkah PubMed in PEDro. Uporabili smo naslednje kombinacije ključnih besed v angleškem jeziku: »Parkinson’s disease« AND »cycling«, »Parkinson’s disease« AND »bike«. Rezultati: V pregled literature smo na podlagi vključitvenih in izključitvenih kriterijev vključili šest raziskav, objavljenih leta 2015 ali pozneje. Vadbeni programi so trajali od treh posameznih vadbenih enot do 12 tednov, posamezna vadbena enota pa od 20 do 60 minut, pri čemer so preiskovanci v vseh raziskavah vadili trikrat tedensko. Rezultati so pokazali, da kolesarjenje lahko ugodno vpliva na posamezne parametre hoje, saj je v štirih raziskavah prišlo do statistično pomembnega izboljšanja znotraj eksperimentalne skupine. Razprava in zaključek: Ugotovili smo, da je kolesarjenje perspektivna in učinkovita dopolnilna terapevtska metoda za izboljšanje hoje pri bolnikih s Parkinsonovo boleznijo. Ugotovitve kažejo, da lahko kolesarjenje pozitivno vpliva na hitrost hoje, dolžino koraka, kadenco in premičnost. Za natančnejšo opredelitev učinkov kolesarjenja so potrebne nadaljnje raziskave, v katerih bi bilo smiselno standardizirati vadbene programe.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, Parkinsonova bolezen, kolesarjenje, hoja
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [Ž. Fileš]
• Year: 2026
• Number of pages: VIII, 29 str.
• PID: 20.500.12556/RUL-185719
• UDC: 615.8
• COBISS.SI-ID: 288163331
• Publication date in RUL: 19.08.2026

Secondary language

• Language: English
• Title: Effects of cycling on improving gait in patients with Parkinson’s disease - a literature review : diploma work

Abstract

Introduction: Parkinson’s disease is a progressive neurodegenerative disorder of the central nervous system characterized by motor and non-motor symptoms. In most cases, the cause of the disease remains unknown, while age is considered the greatest risk factor for its development. Among the more significant motor difficulties are gait disturbances, which significantly impact patients’ independence and increase the risk of falls. Due to the limited effects of pharmacological treatment, increasing attention is being directed toward non-pharmacological approaches, which include cycling. Cycling is a form of rhythmic, cyclic, and symmetrical exercise that can have a beneficial effect on motor function and mobility in patients with Parkinson’s disease. Purpose: The purpose of this thesis is to determine, through a review of scientific and professional literature, the effects of cycling in improving gait in patients with Parkinson’s disease. Methods: We searched for literature in the PubMed and PEDro databases. We used the following keyword combinations in English: »Parkinson’s disease« AND »cycling«, »Parkinson’s disease« AND »bike«. Results: Based on the inclusion and exclusion criteria, we included six studies published in 2015 or later in the literature review. The exercise programs lasted from three individual training sessions to 12 weeks, with each session lasting 20 to 60 minutes, and participants in all studies exercised three times a week. The results showed that cycling can have a beneficial effect on specific gait parameters, as four studies demonstrated a statistically significant improvement within the experimental group. Discussion and conclusion: We found that cycling is a promising and effective complementary therapeutic method for improving gait in patients with Parkinson’s disease. The findings indicate that cycling can positively influence walking speed, step length, cadence, and mobility. Further research is needed to more precisely define the effects of cycling, in which it would be appropriate to standardize exercise programs.

• Keywords: diploma theses, physiotherapy, Parkinson's disease, cycling, gait