Exercise for people with Parkinson’s: a practical approach

Ramaswamy, Bhanu; Jones, Julie; Carroll, Camille

doi:10.1136/practneurol-2018-001930

Cited by 27 publications

(24 citation statements)

References 20 publications

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“…In humans, exercise also increased serum BDNF which is known to cross the blood-brain barrier [ 5 ]. Physical activity is also known to prolong independent mobility and improves sleep, mood, memory, and quality of life, all further enhanced through socialization and multidisciplinary team support [ 6 ]. Optimally prescribed exercise program following diagnosis may alter neurophysiological processes, possibly slowing symptoms [ 4 ].…”

Section: Reviewmentioning

confidence: 99%

The Effect of Physical Activity in Parkinson’s Disease: A Mini-Review

Fayyaz¹,

Jaffery²,

Anwer³

et al. 2018

Cureus

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This article will discuss the effects of physical activity in patients with Parkinson’s disease. Presently, the motor and non-motor symptoms are difficult to treat with the current treatment of Parkinson's; therefore, as an adjuvant to the current treatment physical activity, has been recommended. Physical activity has been known to improve many symptoms in patients with Parkinson's disease. Some of these symptoms include the physical capacities, physical and cognitive functional capacities. Physical activity also slows the disease process, decreases the pain associated with Parkinson`s disease, prolongs the independent mobility (gait, balance, strength) and improves sleep, mood, memory hence improving the overall quality of life. Furthermore, physical activity has the potential to improve the non-motor symptoms (depression, apathy, fatigue, constipation) and the secondary complications of immobility (cardiovascular, osteoporosis) in Parkinson's disease.

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Section: Reviewmentioning

confidence: 99%

The Effect of Physical Activity in Parkinson’s Disease: A Mini-Review

Fayyaz¹,

Jaffery²,

Anwer³

et al. 2018

Cureus

View full text Add to dashboard Cite

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“…Positive evidence for physiotherapy is growing, showing beneficial impact on functional activities that involve gait, transfers, and balance [49]. For the PD patient, exercise has reported benefits for controlling motor and nonmotor symptoms, with the use of pharmacological interventions [50]. is umbrella review also shows that PRT has benefits particularly in the early stages of PD, with lowto-moderate impact training exercises.…”

Section: Resultsmentioning

confidence: 99%

Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review

Paolucci

Sbardella

Russa

et al. 2020

Parkinson's Disease

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Parkinson disease (PD) is a chronic neurodegenerative condition that leads to progressive disability. PD-related reductions in muscle strength have been reported to be associated with lower functional performance and balance confidence with an increased risk of falls. Progressive resistance training (PRT) improves strength, balance, and functional abilities. This umbrella review examines the efficacy of PRT regarding muscular strength in PD patients. The PubMed, PEDro, Scopus, and Cochrane Library databases were searched from January 2009 to August 2019 for systematic reviews and meta-analyses conducted in English. The populations included had diagnoses of PD and consisted of males and females aged >18 years old. Outcomes measured were muscle strength and enhanced physical function. Eight papers (six systematic reviews and meta-analyses and two systematic reviews) were considered relevant for qualitative analysis. In six of the eight studies, the reported severity of PD was mild to moderate. Each study analyzed how PRT elicited positive effects on muscle strength in PD patients, suggesting 10 weeks on average of progressive resistance exercises for the upper and lower limbs two to three times per week. However, none of the studies considered the postworkout follow-up, and there was no detailed evidence about the value of PRT in preventing falls. The possibility of PRT exercises being effective for increasing muscle strength in patients with PD, but without comorbidities or severe disability, is discussed. Overall, this review suggests that PRT should be included in rehabilitation programs for PD patients, in combination with balance training for postural control and other types of exercise, in order to preserve cardiorespiratory fitness and improve endurance in daily life activities.

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“…However, despite the importance of exercise as a rehabilitation strategy, in the current health system, there are no specific rehabilitation programmes in public hospitals, patient groups, or organizations for people with PD. It has been suggested that neurologists should identify the types of exercises optimal for PD patients and ensure that the methods are safely and effectively implemented [7]. In order to do so, however, neurologists must have up-to-date, detailed, and quality information on the effects of physical exercise on PD.…”

Section: Introductionmentioning

confidence: 99%

Benefits of Pilates in Parkinson’s Disease: A Systematic Review and Meta-Analysis

et al. 2019

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Pilates may be a beneficial method of exercise for people with Parkinson’s disease (PD). However, no studies have critically reviewed the scientific evidence in this regard. The purpose of this study was to conduct a systematic review and meta-analysis on the effectiveness of Pilates as a rehabilitation strategy for PD. A systematic search of the electronic databases PubMed, PEDro, Scopus, and SPORTDiscus was conducted to identify studies related to the effect of Pilates on PD. The search timeframe ranged from the inception of each database to March 2019. The search resulted in the identification of four randomized controlled trials (RCTs) and four non-RCT studies. The methodological quality of the investigations ranged from poor to fair. The descriptive analysis of the eight investigations showed that Pilates resulted in beneficial effects on fitness, balance and functional autonomy. A subsequent meta-analysis on the four RCTs indicated that Pilates was more effective than traditional training programmes in improving lower limb function. Pilates can be safely prescribed for people with mild-to-moderate PD. Preliminary evidence indicates that its practice could have a positive impact on fitness, balance and physical function. Its benefits on lower-body function appear to be superior to those of other conventional exercises. Future randomized studies with greater samples are needed to confirm these observations.

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Exercise for people with Parkinson’s: a practical approach

Cited by 27 publications

References 20 publications

The Effect of Physical Activity in Parkinson’s Disease: A Mini-Review

The Effect of Physical Activity in Parkinson’s Disease: A Mini-Review

Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review

Benefits of Pilates in Parkinson’s Disease: A Systematic Review and Meta-Analysis

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