Recumbent stepping aerobic exercise in amyotrophic lateral sclerosis: a pilot study

Anjali Sivaramakrishnan, Sangeetha Madhavan

Producción científica: Articlerevisión exhaustiva

9 Citas (Scopus)


Objectives: Aerobic exercise can promote neuroplastic responses in the healthy and injured brain. Although the role of exercise in amyotrophic lateral sclerosis (ALS) is debated, new evidence suggests that exercise may reduce disease progression. While common exercise modalities such as the treadmill and cycle ergometer have been explored in ALS, the safety and feasibility of a total body recumbent stepper have not been investigated. Additionally, the functional and neurophysiological effects of recumbent stepping in ALS are still unknown. Here, we investigated the safety and feasibility of a 4-week recumbent stepping program to slow disease progression in ALS and possibly facilitate neuroplasticity. Method: Nine individuals with ALS performed moderate intensity recumbent stepping for four weeks. Outcomes included participation satisfaction questionnaire, ALS Functional Rating Scale Revised (ALSFRS-R), clinical tests of walking and endurance, fatigue severity scale, Beck depression inventory, SF-12, and transcranial magnetic stimulation-induced motor evoked potentials (MEPs). All measurements were collected at baseline, post-intervention, and at the 1-month follow-up. Results: Eight participants completed the study without any adverse events. The ALSFRS-R scores were similar at the end of the study and at follow-up. No significant differences were noted for any of the clinical outcomes. MEPs were present only in two participants and changes in corticomotor excitability after exercise were minimal. Conclusions: Results from this preliminary study support the safety and feasibility of 12 sessions of total body recumbent stepping in individuals with ALS.

Idioma originalEnglish (US)
Páginas (desde-hasta)971-978
Número de páginas8
PublicaciónNeurological Sciences
EstadoPublished - may 1 2019
Publicado de forma externa

ASJC Scopus subject areas

  • Dermatology
  • Clinical Neurology
  • Psychiatry and Mental health


Profundice en los temas de investigación de 'Recumbent stepping aerobic exercise in amyotrophic lateral sclerosis: a pilot study'. En conjunto forman una huella única.

Citar esto