The effects of exercise on non-motor experiences of daily living experienced in Parkinson’s Disease: A systematic review and network meta-analysis

Tonkin, P; Miller, Timothy D.; Hartmann, Tegan; Skein, Melissa

doi:10.1016/j.prdoa.2023.100203

Cited by 3 publications

(3 citation statements)

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“…Exercise and/or PT in PD are supported by a CPG based on a systematic review [26], as well as independent meta-analyses [13,18]. In early PD, studies describe moderate-vigorous intensity aerobic exercise as potentially neuroprotective and thus an important intervention that may slow functional decline [9,[44][45][46].…”

Section: Physical Therapy For Early Parkinson's Diseasementioning

confidence: 99%

“…Strategy-based interventions, which involve teaching people metacognitive, compensatory, or adaptive techniques to circumvent cognitive limitations and accomplish ADL, are emerging as potentially effective for supporting functional cognitive performance (functional cognition) in mildmoderate PwP without dementia [90,91]. Finally, a recent systematic review and meta-analysis [13] highlighted that exercise can improve cognitive performance [24], with growing interest in people with mild deficits or prodromal PD [86,92]. Aerobic exercise, strength training, or general exercise could be facilitated by health psychologists, OT, or PT as part of a transdisciplinary approach (Fig.…”

Section: Cognitive Dysfunctionmentioning

confidence: 99%

“…Multiple therapies have been identified as important in the care of people with PD (PwP) [8]. This review focuses on the roles of physical therapy (PT), occupational therapy (OT), speech and language therapy (ST), and psychological therapies in prodromal and early PD, as they have a robust body of evidence, including strong randomized controlled trials (RCT) [9][10][11][12], meta-analyses [7,[13][14][15][16], and systematic reviews [6,[17][18][19][20][21][22][23][24][25] that guide clinical practice recommendations [26][27][28].…”

Section: Introductionmentioning

confidence: 99%

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Stemming the Tide: The Proactive Role of Allied Health Therapy in Parkinson’s Disease

Rafferty,

Foster,

Roberts

et al. 2024

JPD

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Motor and nonmotor symptoms occur in early Parkinson’s disease (PD), or even in the prodromal stage. Many of these symptoms can be addressed by allied health therapies, including physical therapy, occupational therapy, speech therapy, and psychological therapies. However, referrals to these services early in the disease are low. We provide a review summarizing the efficacy of proactive allied health interventions on motor and nonmotor symptoms and daily function in prodromal and early disease. We also highlight areas for additional research and provide recommendations to improve care for individuals with early PD within each discipline. We recognize the overlapping roles of the allied health disciplines and support integrated or transdisciplinary care beginning soon after diagnosis to help stem the tide in the progression of PD symptoms and disability.

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Section: Physical Therapy For Early Parkinson's Diseasementioning

confidence: 99%

Section: Cognitive Dysfunctionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stemming the Tide: The Proactive Role of Allied Health Therapy in Parkinson’s Disease

Rafferty,

Foster,

Roberts

et al. 2024

JPD

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Relationships between physical activities performed under free-living conditions and non-motor symptoms in people with Parkinson's: A systematic review and meta-analysis

Still,

Hale,

Alam

et al. 2024

Clin Rehabil

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Background Physical activities performed under free-living conditions that are unsupervised in the home or community have the potential to modulate non-motor symptoms in people with Parkinson's disease. Objective This systematic review investigates the relationships between physical activities performed in free-living conditions and non-motor symptoms in people with Parkinson's disease: cognition, anxiety, apathy, depression, sleep disturbances, fatigue, and pain. Data sources A database search was performed on Scopus, Web of Science, Ovid (PsycINFO), CINAHL, PubMed, and ProQuest (Health and Medicine). Review methods Observational studies published from 2000 to 2024 that examined the relationships between physical activity and non-motor symptoms were included. The methodological quality of reports was evaluated using critical appraisal checklists appropriate to the study design. Where appropriate, a meta-analysis was conducted to combine data from the included articles. Results A total of 14 articles met the criteria and used various tools to evaluate non-motor symptoms and physical activity. Meta-analyses showed that people with Parkinson's who are more physically active have better global cognition [ β ranged from 0.12 to 0.28; p = 0.00–0.02] and less affective disorders [ β -0.20, p = 0.00]. Increased physical activity levels were also associated with better sleep quality ( n = 1) and less chronic pain ( n = 1). The overall methodological quality of the included articles was considered high. Conclusion Engagement in increased levels of physical activities performed under free-living conditions is associated with better cognition and less anxiety, apathy, and depression in people with Parkinson's disease.

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Exercise for People with Parkinson’s Disease: Updates and Future Considerations

MCGINLEY,

NAKAYAMA

2024

Phys Ther Res

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Parkinson's disease (PD) is now the world's fastest-growing neurological disorder with rapidly rising prevalence and increasing demand for effective health services. Recent research has focused on the importance of early diagnosis and proactive management of physical function. Accumulating evidence indicates that reduced physical activity levels and mild pre-clinical disability are present in many people prior to a clinical diagnosis, perhaps developing over years. Early referral to a physiotherapist at the time of diagnosis is now recommended in global guidelines. Multiple forms of exercise have been found to have benefits in early and mid-stage disease across a range of motor and non-motor symptoms. Evidence from longitudinal studies confirms that disability is delayed when regular exercise is sustained over long periods. Exercise is now recognized as an essential component of treatment, in combination with medical therapies. Contemporary physiotherapy interventions now combine health behavior change techniques with physical exercise to promote the development of long-term exercise adherence. Advances in technology and digital health have progressed quickly and now offer opportunities for remote assessment and monitoring, remote exercise supervision, and support adherence through feedback and motivational strategies. Recent biomedical discoveries forecast improved earlier and more accurate diagnosis of PD, allowing opportunities for earlier interventions. Current research in progress will provide important insights into the dose and intensity of aerobic exercise in PD. Physiotherapists have important roles in advocacy and education in conjunction with care delivery to support access to evidence-based care for all people with PD.

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The effects of exercise on non-motor experiences of daily living experienced in Parkinson’s Disease: A systematic review and network meta-analysis

Cited by 3 publications

References 54 publications

Stemming the Tide: The Proactive Role of Allied Health Therapy in Parkinson’s Disease

Stemming the Tide: The Proactive Role of Allied Health Therapy in Parkinson’s Disease

Relationships between physical activities performed under free-living conditions and non-motor symptoms in people with Parkinson's: A systematic review and meta-analysis

Exercise for People with Parkinson’s Disease: Updates and Future Considerations

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