Effect of Long-term Exercise Therapy on Motor Symptoms in Parkinson Disease Patients A Systematic Review and Meta-analysis of Randomized Controlled Trials

被引:5
|
作者
Li, Xuening [1 ]
Gao, Zixuan [2 ]
Yu, Huasen [3 ]
Gu, Yan [4 ]
Yang, Guang [5 ]
机构
[1] Univ Toulouse 3, Brain & Cognit Res Ctr CerCo, CNRS, Pavillon Baudot, F-31059 Toulouse 9, France
[2] Jilin Sport Univ, Grad Off, Baicheng, Jilin, Peoples R China
[3] East China Normal Univ, Dept Phys Educ & Hlth, Shanghai, Peoples R China
[4] Changchun Polytech, Dept Phys Educ, Changchun, Jilin, Peoples R China
[5] Northeast Normal Univ, Dept Phys Educ, 5268 Renmin St, Changchun, Jilin, Peoples R China
关键词
Physical Exercise; Parkinson Disease; Motor Symptoms; Meta-analysis; TAI CHI; PHYSICAL FUNCTION; BALANCE; PEOPLE; DANCE; REHABILITATION; PERFORMANCE; PROGRAM; UTILITY; SCALE;
D O I
10.1097/PHM.0000000000002052
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objectives The aims of the study were to assess the effectiveness of long-term exercise therapy (>= 12 wks) for patients with Parkinson disease and to derive specific suggestions on how the motor symptom improvements can be optimized by exercise type and exercise dose. Design The PubMed, Web of Science, Cochrane Central Register, Embase, Scopus, and CNKI databases were searched up to January 2021 for randomized controlled trials focusing on the effects of long-term exercise for Parkinson disease. Two researchers independently evaluated the quality of papers using the PEDro scale. Twenty-six studies with a total of 1243 participants were included. Results Tai Chi, resistance training, and dance provide significant improvements in physical function and functional mobility. Furthermore, Tai Chi and dance result in balance benefits. However, walking capacity outcomes did not improve after Tai Chi and resistance training but did improve after dance. With an increase in the intervention duration or length of each session, the effect sizes of exercise on these outcomes increased; higher benefits of exercise on these outcomes were observed at a frequency of 2 times/wk. Conclusions Long-term exercise therapy is an effective treatment for improving motor symptoms, with dance being an ideal exercise choice. To Claim CME Credits Complete the self-assessment activity and evaluation online at CME Objectives Upon completion of this article, the reader should be able to: (1) Recognize that long-term exercise slows clinical progression of motor symptoms in patients with Parkinson disease; (2) Acquire knowledge regarding the effectiveness of long-term exercise therapy on motor symptoms in Parkinson disease; and (3) Incorporate specific suggestions on dose-response relationships of different exercise therapy on motor symptoms in Parkinson disease. Level Advanced Accreditation The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should only claim credit commensurate with the extent of their participation in the activity.
引用
收藏
页码:905 / 912
页数:8
相关论文
共 50 条
  • [41] Long-term lithium therapy for bipolar disorder: Systematic review and meta-analysis of randomized controlled trialls
    Geddes, JR
    Burgess, S
    Hawton, K
    Jamison, K
    Goodwin, GM
    AMERICAN JOURNAL OF PSYCHIATRY, 2004, 161 (02): : 217 - 222
  • [42] Effect of Placental Transfusion on Long-Term Neurodevelopmental Outcomes in Premature Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Wang, Zi-Ming
    Zhou, Jia-Yu
    Tang, Wan
    Jiang, Ying-Ying
    Wang, Rui
    Wang, Lai-Shuan
    PEDIATRIC NEUROLOGY, 2024, 154 : 20 - 25
  • [43] Bright Light Therapy for Parkinson Disease: A Literature Review and Meta-Analysis of Randomized Controlled Trials
    Huang, Hsu-Tung
    Huang, Tsai-Wei
    Hong, Chien-Tai
    BIOLOGY-BASEL, 2021, 10 (11):
  • [44] Moderators of Aerobic Exercise Effects on Motor Symptoms in Patients with Parkinson's disease (PD): A Systematic Review and Meta-Analysis
    Kim, R.
    Kang, N.
    MOVEMENT DISORDERS, 2024, 39 : S384 - S384
  • [45] Long-term efficacy and safety of varenicline for smoking cessation: A Systematic review and meta-analysis of randomized controlled trials
    Huang Y.
    Li W.
    Yang L.
    Jiang Y.
    Wu Y.
    Journal of Public Health, 2012, 20 (4) : 355 - 365
  • [46] Idraparinux or Idrabiotaparinux for Long-Term Venous Thromboembolism Treatment: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Song, Yanzhi
    Li, Xiaodong
    Pavithra, Settipalli
    Li, Dong
    PLOS ONE, 2013, 8 (11):
  • [47] Long-term Effectiveness of mHealth Physical Activity Interventions: Systematic Review and Meta-analysis of Randomized Controlled Trials
    Moenninghoff, Annette
    Kramer, Jan Niklas
    Hess, Alexander Jan
    Ismailova, Kamila
    Teepe, Gisbert W.
    Car, Lorainne Tudor
    Mueller-Riemenschneider, Falk
    Kowatsch, Tobias
    JOURNAL OF MEDICAL INTERNET RESEARCH, 2021, 23 (04)
  • [48] Effect of curcumin supplementation on symptoms of anxiety: A systematic review and meta-analysis of randomized controlled trials
    Fathi, Soroor
    Agharloo, Soheil
    Falahatzadeh, Maryam
    Bahraminavid, Sara
    Homayooni, Ali
    Faghfouri, Amir Hossein
    Shafiel, Daniel
    Shafagh, Seyyed-Ghavam
    CLINICAL NUTRITION ESPEN, 2024, 62 : 253 - 259
  • [49] Effect of isoflavone supplementation on menopausal symptoms: a systematic review and meta-analysis of randomized controlled trials
    Kang, Inhae
    Rim, Chai Hong
    Yang, Hee Sun
    Choe, Jeong-Sook
    Kim, Ji Yeon
    Lee, Myoungsook
    NUTRITION RESEARCH AND PRACTICE, 2022, 16 : S147 - S159
  • [50] The Effect of Qigong on Depressive and Anxiety Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Wang, Chong-Wen
    Chan, Cecilia Lai Wan
    Ho, Rainbow T. H.
    Tsang, Hector W. H.
    Chan, Celia Hoi Yan
    Ng, Siu-Man
    EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE, 2013, 2013