Effort training in Parkinson's disease: A systematic review

Tambosco, L.; Percebois-Macadré, L.; Rapin, A.; Nicomette-Bardel, J.; Boyer, Françoise

doi:10.1016/j.rehab.2014.01.003

Cited by 49 publications

(36 citation statements)

References 73 publications

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“…33 In the present study, almost half of the patients reported chewing and swallowing problems in the NOT-S. non-pharmacological aids in PD. 35,36 Our results showed that it was possible to reduce the impact of the disease on the oral function and hygiene both evaluated after 2 and 4 months. 35,36 Our results showed that it was possible to reduce the impact of the disease on the oral function and hygiene both evaluated after 2 and 4 months.…”

Section: Discussion and Con Clus I Onmentioning

confidence: 70%

“…2,34 Thus, general stretching and flexibility exercises and rhythmic body activity improve and preserve both range of movement of the joints and gait capacity. 35,36 Our results showed that it was possible to reduce the impact of the disease on the oral function and hygiene both evaluated after 2 and 4 months. This has not been shown before.…”

Section: Discussion and Con Clus I Onmentioning

confidence: 70%

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Improvement of oral function and hygiene in Parkinson's disease: A randomised controlled clinical trial

Baram

Karlsborg

Bakke

2020

J of Oral Rehabilitation

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neurodegenerative disease with loss of dopaminergic neurons in the substantia nigra of the brain. It is a multisystem disorder clinically characterised by motor and non-motor (NM) symptoms. 1 The motor symptoms of PD include four cardinal features: bradykinesia (slowness of movements), rest tremor, rigidity and postural instability or gait impairment. 2 The NM symptoms include autonomic disturbances and neuropsychiatric dysfunctions such as depression, dementia and apathy. Most therapies are oriented towards symptomatic relief and do not have significant effect on the underlying disease process with respect Abstract Background: Parkinson's disease (PD) is a progressive neurodegenerative disorder.It is associated with reduced oral health and impaired oro-facial function, but besides recommendations of dental visits and drooling treatment, there are little documented odontological treatment options. Objectives:To evaluate the effect of standardised home exercise jaw opening and chewing programmes, as well as home oral hygiene measures instructed and controlled by a trained dentist.Methods: Twenty-nine patients (median 65 years) with moderate to advanced PD participated in the project after informed consent. They were followed at a Neurology Department, were able to cooperate, and had stable medical treatment and nine also deep brain stimulation. The interventions were individual dental hygiene instruction, training of jaw opening (JawTrainer), and lip and chewing exercises (Ulmer Oral Screen and Proxident Fluoride Gum). The study was performed as a randomised controlled study. The treatment effect was evaluated after 2 and 4 months. The primary outcome was maximum unassisted jaw opening capacity, chewing time of a standardised apple slice, and the Simplified Debris Index. Results were analysed with Wilcoxon matched pairs test and Mann-Whitney U test (significance level P < .05).Results: Jaw opening, chewing time and hygiene were significantly improved 2 months from the start of the invention, respectively, 6%, 49%, and 25%, and the improvement was still significant after 4 months. No significant changes were found after the 2-month control period without intervention. Conclusion:The simple measures had a substantial and significant clinical effect which is promising despite the progressive nature of the PD.

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Section: Discussion and Con Clus I Onmentioning

confidence: 70%

Section: Discussion and Con Clus I Onmentioning

confidence: 70%

Improvement of oral function and hygiene in Parkinson's disease: A randomised controlled clinical trial

Baram

Karlsborg

Bakke

2020

J of Oral Rehabilitation

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“…Although studies point to the benefits of physical therapy treatment in improving motor dysfunctions in PD (Lima, Scianni, & Rodrigues-de-Paula, 2013;Paillard, Rolland, & de Souto Barreto, 2015;Shu et al, 2014;Tambosco, Percebois-Macadré, Rapin, Nicomette-Bardel, & Boyer, 2014), few are those with an emphasis on muscle and pulmonary dysfunctions and verify the benefits of inspiratory muscle training (IMT) in this population. Inzelberg et al (2005) observed improvement in inspiratory muscle strength and endurance and improvement in the perception of dyspnoea in individuals with PD after IMT.…”

mentioning

confidence: 99%

Effects of inspiratory muscle training on respiratory muscle strength, lung function, functional capacity and cardiac autonomic function in Parkinson's disease: Randomized controlled clinical trial protocol

Ferro

Basso-Vanelli

Mello

et al. 2019

Physiotherapy Res Intl

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Background Individuals with Parkinson's disease (PD), in addition to motor impairment, may evolve with respiratory and autonomic nervous system disorders. Currently, there are few studies with emphasis on muscle and pulmonary dysfunction and that verify the benefits of inspiratory muscle training (IMT) in this population. Aim The aim of this study was to evaluate whether IMT is effective for the improvement of respiratory muscle strength, lung function, thoracic mobility, functional capacity and cardiac autonomic function in PD. Methods A randomized and controlled trial will be conducted with 26 participants with idiopathic PD, with aged between 50 and 65 years, in the Stages I to III by the Modified Hoehn and Yahr Scale. Respiratory muscle strength will be performed by manovacuometry and lung function by spirometry. Functional capacity will be evaluated by the 6‐min walk test and autonomic cardiac function by heart rate variability. In addition, thoracic mobility measurement will also be performed. After the evaluations, these participants will be randomly assigned to two groups: the IMT group with Powerbreathe®, which will perform the eight series of 2 min each, with 1 min of rest between them, totaling 30 min, at 60% of the maximum inspiratory pressure and the control group, who will perform the same training protocol but with the load maintained at 9 cmH2O. All participants will be submitted to the same motor training protocol. Conclusion It is expected that IMT increases the inspiratory muscle strength, contributing to the improved expiratory muscle strength, lung function, thoracic mobility, functional capacity and cardiac autonomic function in individuals with mild to moderate PD.

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“…Houve melhora no processo de reabilitação da DP nos últimos anos, especialmente da terapia motora e da fala (Tambosco et al, 2014). Petzinger et al, 2010 mostraram que o exercício promove melhora na neurotransmissão dopaminérgica e glutaérgica por meio de processos ativo-dependentes e modula a hiperexcitabilidade cortical dos Gânglios da Base.…”

Section: Tratamento Fisioterápicounclassified

“…Os objetivos dos programas de cinesioterapia para pacientes com DP dependem do estágio da doença (Tassorelli et al, 2009 (Tambosco et al, 2014).…”

Section: Tratamento Fisioterápicounclassified

Efeito do treino de marcha em esteira com e sem suporte de peso em pacientes com doença de Parkinson em uso de estimulação cerebral profunda

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Effort training in Parkinson's disease: A systematic review

Cited by 49 publications

References 73 publications

Improvement of oral function and hygiene in Parkinson's disease: A randomised controlled clinical trial

Improvement of oral function and hygiene in Parkinson's disease: A randomised controlled clinical trial

Effects of inspiratory muscle training on respiratory muscle strength, lung function, functional capacity and cardiac autonomic function in Parkinson's disease: Randomized controlled clinical trial protocol

Efeito do treino de marcha em esteira com e sem suporte de peso em pacientes com doença de Parkinson em uso de estimulação cerebral profunda

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