Effect of Exercise on Parkinson’s Disease Tremor: A Meta-analysis Study

Farashi, Sajjad; Kiani, Leila; Bashirian, Saeid

doi:10.5334/tohm.599

Cited by 10 publications

(10 citation statements)

References 34 publications

(65 reference statements)

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“…Tremor : While there is evidence that exercise can have a positive long-term effect on tremor [ 48 ], for some patients resting tremor may be exacerbated during or immediately after exercise, possibly due to muscle fatigue. This would be considered an acute effect of exercise.…”

Section: Pd Specific Considerations For Exercisementioning

confidence: 99%

Advice to People with Parkinson’s in My Clinic: Exercise

Corcos,

Lamotte,

Luthra

et al. 2024

JPD

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There is compelling evidence that exercise must be part of main line therapy for people with Parkinson’s disease. In this viewpoint, we outline the four key components of exercise: aerobic exercise, resistance exercise, flexibility exercise, and neuromotor exercises (posture, gait, balance, and agility) that can improve both motor and non-motor symptoms of the disease and, in the case of aerobic exercise, may delay the disease. We outline guidelines on how to change and optimize the exercise prescription at different stages of the disease.

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Section: Pd Specific Considerations For Exercisementioning

confidence: 99%

Advice to People with Parkinson’s in My Clinic: Exercise

Corcos,

Lamotte,

Luthra

et al. 2024

JPD

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“…Several studies reported that aerobic and resistance exercises alleviated PD motor symptoms, including tremor. [15][16][17][18][19] Among traditional Chinese Qigong therapies, Tai Chi, Wuqinxi and Baduanjin are believed to enhance balance in patients with PD and correct abnormal gait. However, few studies have focused on PD tremor and aerobic capacity.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…In recent years, PD symptom improvement by exercise therapy has gained considerable research traction. Several studies reported that aerobic and resistance exercises alleviated PD motor symptoms, including tremor 15–19. Among traditional Chinese Qigong therapies, Tai Chi, Wuqinxi and Baduanjin are believed to enhance balance in patients with PD and correct abnormal gait.…”

Section: Introductionmentioning

confidence: 99%

Effect of Zhan Zhuang Qigong on upper limb static tremor and aerobic exercise capacity in patients with mild-to-moderate Parkinson’s disease: study protocol for a randomised controlled trial

Zhang

Liu

et al. 2022

BMJ Open

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IntroductionCurrently, the first choice for the clinical treatment of static tremor in Parkinson’s disease (PD) is drug therapy, however side effects are common. In recent years, the effects of physical therapy on PD has become a serious research focus. Studies have indicated that aerobic and resistance exercises alleviate PD movement disorders and improve aerobic capacity, but the effects of Qigong on PD static tremor and aerobic capacity remain unknown.Methods and analysisObjectiveTo observe the effects of Zhan Zhuang Qigong on upper limb static tremor and aerobic capacity in patients with PD, we established a rigorous randomised, parallel-controlled, assignment hidden, evaluator-blinded protocol.MethodsSeventy-two patients with PD, at the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, were recruited and randomly divided into a control (n=36) and experimental group (n=36). The intervention group received conventional medicine plus Zhan Zhuang Qigong exercises five times a week at 30 min each time, over an 8-week period. The long-term effects of Zhan Zhuang Qigong on PD was investigated after the intervention. Phyphox APP, CRST, CPET, UPDRS(II, III) were used to evaluate tremor, aerobic capacity, and motor function in groups.DiscussionWe are investigating the effects of Zhan Zhuang Qigong on upper limb static tremor and aerobic capacity in patients with PD. If positive are identified, they will add a new research direction and evidence for the clinical exploration of exercise therapy for PD.Ethics and disseminationThis study was approved by the Ethics Committee of Shandong University of Traditional Chinese Medicine (Approval Number: 2021–025-KY). The Committee will be informed of any changes to the trial protocol, such as intervention intensity, outcome indicators and data collection. Study results will be presented as a paper at an international conference or in a journal.Trial registration numberChiCTR2100053529.

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“…Various approaches have been studied, including flexibility and strength training. Sajjad Farashi et al [10] conducted a meta-analysis of a large body of literature and found that exercise significantly reduced tremor in patients with Parkinson's disease, with hand exercises showing promise for reducing distal limb tremors. Strength training involves applying resistance to the limbs of patients with tremors to stimulate neural control of muscles, and studies by G. Sequeira et al [11], J. Kavanagh et al [12], and M. Bilodeau et al [13] have shown that a generalized upper limb strength program has the potential to improve stability and flexibility in patients with PT or ET.…”

Section: Introductionmentioning

confidence: 99%

Supporting Tremor Rehabilitation Using Optical See-Through Augmented Reality Technology

Wang

Tan

et al. 2023

Sensors

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Tremor is a movement disorder that significantly impacts an individual’s physical stability and quality of life, and conventional medication or surgery often falls short in providing a cure. Rehabilitation training is, therefore, used as an auxiliary method to mitigate the exacerbation of individual tremors. Video-based rehabilitation training is a form of therapy that allows patients to exercise at home, reducing pressure on rehabilitation institutions’ resources. However, it has limitations in directly guiding and monitoring patients’ rehabilitation, leading to an ineffective training effect. This study proposes a low-cost rehabilitation training system that utilizes optical see-through augmented reality (AR) technology to enable tremor patients to conduct rehabilitation training at home. The system provides one-on-one demonstration, posture guidance, and training progress monitoring to achieve an optimal training effect. To assess the system’s effectiveness, we conducted experiments comparing the movement magnitudes of individuals with tremors in the proposed AR environment and video environment, while also comparing them with standard demonstrators. Participants wore a tremor simulation device during uncontrollable limb tremors, with tremor frequency and amplitude calibrated to typical tremor standards. The results showed that participants’ limb movement magnitudes in the AR environment were significantly higher than those in the video environment, approaching the movement magnitudes of the standard demonstrators. Hence, it can be inferred that individuals receiving tremor rehabilitation in the AR environment experience better movement quality than those in the video environment. Furthermore, participant experience surveys revealed that the AR environment not only provided a sense of comfort, relaxation, and enjoyment but also effectively guided them throughout the rehabilitation process.

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Effect of Exercise on Parkinson’s Disease Tremor: A Meta-analysis Study

Cited by 10 publications

References 34 publications

Advice to People with Parkinson’s in My Clinic: Exercise

Advice to People with Parkinson’s in My Clinic: Exercise

Effect of Zhan Zhuang Qigong on upper limb static tremor and aerobic exercise capacity in patients with mild-to-moderate Parkinson’s disease: study protocol for a randomised controlled trial

Supporting Tremor Rehabilitation Using Optical See-Through Augmented Reality Technology

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