Progressive resistance training in Parkinson's disease: a systematic review and meta-analysis

被引:31
|
作者
Saltychev, Mikhail [1 ,2 ]
Barlund, Esa [3 ]
Paltamaa, Jaana [4 ]
Katajapuu, Niina [5 ]
Laimi, Katri [1 ,2 ]
机构
[1] Turku Univ Hosp, Dept Phys & Rehabilitat Med, FIN-20520 Turku, Finland
[2] Univ Turku, Turku, Finland
[3] Satakunta Univ Appl Sci, Pori, Finland
[4] JAMK Univ Appl Sci, Sch Hlth & Social Studies, Jyvaskyla, Finland
[5] Turku Univ Appl Sci, Turku, Finland
来源
BMJ OPEN | 2016年 / 6卷 / 01期
关键词
MINIMAL DETECTABLE CHANGE; EXERCISE PROGRAM; PHYSICAL-THERAPY; PEOPLE; EFFICACY; BALANCE; TRIAL;
D O I
10.1136/bmjopen-2015-008756
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To investigate if there is evidence on effectiveness of progressive resistance training in rehabilitation of Parkinson disease. Design: Systematic review and meta-analysis. Data sources: Central, Medline, Embase, Cinahl, Web of Science, Pedro until May 2014. Randomised controlled or controlled clinical trials. The methodological quality of studies was assessed according to the Cochrane Collaboration's domain-based evaluation framework. Data synthesis: random effects meta-analysis with test for heterogeneity using the I-2 and pooled estimate as the raw mean difference. Participants: Adults with primary/idiopathic Parkinson's disease of any severity, excluding other concurrent neurological condition. Interventions: Progressive resistance training defined as training consisting of a small number of repetitions until fatigue, allowing sufficient rest between exercises for recovery, and increasing the resistance as the ability to generate force improves. Comparison: Progressive resistance training versus no treatment, placebo or other treatment in randomised controlled or controlled clinical trials. Primary and secondary outcome measures: Any outcome. Results: Of 516 records, 12 were considered relevant. Nine of them had low risk of bias. All studies were randomised controlled trials conducted on small samples with none or 1 month follow-up after the end of intervention. Of them, six were included in quantitative analysis. Pooled effect sizes of meta-analyses on fast and comfortable walking speed, the 6 min walking test, Timed Up and Go test and maximal oxygen consumption were below the level of minimal clinical significance. Conclusions: There is so far no evidence on the superiority of progressive resistance training compared with other physical training to support the use of this technique in rehabilitation of Parkinson's disease.
引用
收藏
页数:9
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