Systematic review and meta-analysis of randomised controlled trials on the effects of yoga in people with Parkinson’s disease

Suárez-Iglesias, David; Santos, Luís; Sánchez-Lastra, Miguel Adriano; Ayán, Carlos

doi:10.1080/09638288.2021.1966522

Cited by 17 publications

(5 citation statements)

References 72 publications

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“…Our study supports the benefits of both physiotherapy treatments in terms of motor symptom severity, but this effect does not achieve clinical improvement. The effectiveness of mind-body exercise on motor symptoms in PD has been recognized in many studies (Lai et al, 2022; Simpkins & Yang, 2023; Suárez-Iglesias et al, 2022), as it enhances awareness and improves mind-body coordination through concentration and a sequence of various controlled movement exercises (Kwok et al, 2016). NiBS is an emerging and safe form of physical therapy that is thought to modulate brain plasticity and be effective in improving motor symptoms (Madrid & Benninger, 2021; Zhang et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Yang

Wang

Gao

et al. 2023

Biological Research For Nursing

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Objective To evaluate the effectiveness of different types of physiotherapy interventions in people with Parkinson’s disease (PD). Design Systematic review and meta-analysis of randomized controlled trials (RCTs). Methods Five databases (PubMed, Embase, Cochrane Library, CINAHL and Web of Science Core Collection) were searched for relevant RCTs published from database inception to July 14, 2022. Reviewers independently screened the literature, extracted data, and assessed the literature quality according to the Cochrane Collaboration Risk of Bias Tool and PEDro Scale. This meta-analysis was conducted using RevMan 5.4.1 and reported in compliance with the PRISMA statement. Results Forty-two RCTs with 2,530 participants were included. Across all types of physiotherapy, strength training, mind-body exercise, aerobic exercise, and non-invasive brain stimulation (NiBS) were effective in improving motor symptoms as measured by the (Movement Disorders Society-) Unified PD Scale, whereas balance and gait training (BGT) and acupuncture were not. The pooled results showed that the change in mind-body exercise (MD = −5.36, 95% CI [−7.97 to −2.74], p < .01, I2 = 68%) and NiBS (MD = −4.59, 95% CI [−8.59 to −0.59], p = .02, I2 = 78%) reached clinical threshold, indicating clinically meaningful improvements. Considering the effectiveness of the interventions on motor symptoms, balance, gait and functional mobility, mind-body exercise was recommended the most. Conclusions Exercise appears to be a better form of physiotherapy than NiBS and acupuncture for improving motor function. Mind-body exercise showed beneficial effects on motor symptoms, balance, gait and functional mobility in people with PD, and is worthy of being promoted.

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Section: Discussionmentioning

confidence: 99%

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Yang

Wang

Gao

et al. 2023

Biological Research For Nursing

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“…Nordic walking demonstrated improvement in anxiety, but it was not superior to free walking 169. Meta-analyses demonstrate the benefits of yoga in improving motor status, balance, functional mobility, anxiety, depression, and quality of life, although only a few studies included anxiety and depression measures 171173. Regarding anxiety, meta-analysis of four yoga studies in PD measuring anxiety demonstrated benefit compared with controls (SMD=−0.72, 95% CI −1.01 to −0.43, P<0.001, I 2 =17%) 171.…”

Section: Managementmentioning

confidence: 99%

Management of psychiatric and cognitive complications in Parkinson’s disease

Weintraub

Aarsland

Biundo

et al. 2022

BMJ

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Neuropsychiatric symptoms (NPSs) such as affective disorders, psychosis, behavioral changes, and cognitive impairment are common in Parkinson’s disease (PD). However, NPSs remain under-recognized and under-treated, often leading to adverse outcomes. Their epidemiology, presentation, risk factors, neural substrate, and management strategies are incompletely understood. While psychological and psychosocial factors may contribute, hallmark PD neuropathophysiological changes, plus the associations between exposure to dopaminergic medications and occurrence of some symptoms, suggest a neurobiological basis for many NPSs. A range of psychotropic medications, psychotherapeutic techniques, stimulation therapies, and other non-pharmacological treatments have been studied, are used clinically, and are beneficial for managing NPSs in PD. Appropriate management of NPSs is critical for comprehensive PD care, from recognizing their presentations and timing throughout the disease course, to the incorporation of different therapeutic strategies (ie, pharmacological and non-pharmacological) that utilize a multidisciplinary approach.

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“…children [38], and patients with Parkinson's disease [20]. However, only the Berg Balance Scale was used as an evaluation tool in most of these studies.…”

Section: Evaluation Of Postural Stabilitymentioning

confidence: 99%

“…Yoga training is also effective in reducing balance impairment, as assessed by the Berg Balance Scale in patients with chronic stroke [17]. In addition, several studies have reported a significant positive effect of yoga on functional mobility outcomes, gait speed, balance function (measured by balance scores and dynamic posturography), and lower limb muscle strength in patients with Parkinson's disease [18,20]. A recent study further showed that participation in conventional exercises along with the "Tree Pose," one of the yoga standing poses, was beneficial for improving balance, measured by the Berg Balance Scale, static and dynamic balance tests, and the tandem walk test, in patients with postmenopausal osteoporosis compared with conventional exercises [19].…”

Section: Introductionmentioning

confidence: 99%

Superior Gait Performance and Postural Stability among Yoga Instructors – Inertial Measurement Unit-Based Evaluation

Lin

Tan

et al. 2022

Preprint

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Background Yoga movements involve a series of motions of the core and lower limb muscles that require constant body adjustments to maintain balance and proper body alignment. Inertial measurement unit, a wearable device that is consisted of 3-axis accelerometers, 3-axis gyroscopes and 3-axis magnetometers, can provide objective data for motion analysis. This study aimed to investigate gait symmetry and single-leg stance balance of professional yoga instructors versus age-matched normal controls using inertial measurement unit (IMU) - based evaluation. Methods Twenty-five yoga instructors and twenty-five healthy control subjects were recruited to conduct the walking experiments and single-leg stance tests. Kinematic data were measured by attaching IMUs to the lower limbs and trunk. The asymmetry of swing phases during gait cycles was assessed using the normal walk and tandem walk tests with eyes open and closed, respectively. The subjects subsequently conducted four single-leg stance tests, including a single-leg stance on both legs with eyes open and closed. Two balance indexes regarding the angular velocities of the waist and chest were defined to assess postural stability. Results The gait asymmetry indexes of yoga instructors were significantly lower than those of the normal controls on normal walk and open-eye tandem walk tests. The asymmetry indexes also showed a smaller value in the yoga instructors on close-eye tandem gait; however, it did not reach statistical significance. Similarly, the yoga instructors had better body balance, that is, smaller angular velocities on both the waist and chest, in all four single-leg stance tests. This indicates superior postural stability over both the waist and chest levels of yoga instructors during the single-leg stance. Conclusion The findings of this study suggest that yoga practice improves gait asymmetry and balance ability in healthy adults. However, further intervention studies are needed to confirm the effect of yoga training. Trial Registration: This study was registered with an ClinicalTrials.gov Identifier: NCT05449730.

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Systematic review and meta-analysis of randomised controlled trials on the effects of yoga in people with Parkinson’s disease

Cited by 17 publications

References 72 publications

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Management of psychiatric and cognitive complications in Parkinson’s disease

Superior Gait Performance and Postural Stability among Yoga Instructors – Inertial Measurement Unit-Based Evaluation

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