Effect of Resistance Exercise on Body Structure and Function,Activity, and Participation in Individuals With Parkinson Disease: A Systematic Review |
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| Institution: | 1. Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta;2. Division of Orthopaedic Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta;3. Sedentary Living Lab, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada;1. Department of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark, NJ;2. Kessler Institute for Rehabilitation, West Orange, NJ;3. Rutgers New Jersey Medical School, Newark, NJ;4. Kessler Foundation, West Orange, NJ;5. Select Medical Corporation, Mechanicsburg, PA;1. Department of Rehabilitation, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland;2. John Walsh Centre for Rehabilitation Research, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia;3. Department of Econometrics and Statistics, Faculty of Economics, University of Warsaw, Warsaw, Poland;4. Division of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa;5. Spinal Cord Injury Unit, Perugia Regional Hospital, Perugia, Italy;6. PRM Department, General Hospital “G. Gennimatas”, Athens, Greece;7. Department of Medical Rehabilitation, Faculty of Health Sciences, Medical University of Lodz, Lodz, Poland;1. Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA;2. Multiple Sclerosis Center of Excellence-West, Veterans Administration Puget Sound Health Care System, Seattle Division, Seattle, WA;3. Department of Neurology, University of Washington School of Medicine, Seattle, WA |
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| Abstract: | ObjectiveTo investigate the effects of resistance exercise (RE) on body structure and function, activity, and participation in individuals with Parkinson Disease (PD) in the mild to moderate stages.Data SourcesMedline, Embase, Web of Science, The Cochrane Library, Lilacs, and PEDro were searched from inception until June 2020 using the terms “Parkinson Disease,” “Exercise,” “Resistance Training,” “Muscle Strength,” “Cardiorespiratory Fitness,” “Postural Balance,” “Gait,” and “Quality of Life.”Study SelectionWe included studies conducted in individuals with PD involving RE compared with a control group. Two independent reviewers performed the selection process based on titles, abstracts, and full-text reading. In total, 270 individuals with PD were included from 10 selected studies.Data extractionTwo reviewers independently extracted characteristics related to participants, intervention and control types, and results. The PEDro scale was used to assess the methodological quality, and the level of evidence was analyzed and synthesized using the Grading of Recommendation, Assessment, Development, and Evaluations approach.Data SynthesisThe level of evidence for body structure and function was low and without effect for lower limb muscle strength; very low and with effect for upper limb muscle strength, cardiorespiratory fitness, and postural balance; and very low and without effect for flexibility after RE training. For activity, the evidence was very low and with effect for gait and very low and without effect for mobility. For participation (ie, quality of life) the evidence was very low and without effect.ConclusionsAlthough the level of evidence was low to very low, RE was shown to promote improvements in body structure and function (upper limb muscle strength, cardiovascular function, postural balance) and activity (gait). In contrast, RE did not significantly improve participation (quality of life). However, based on the present findings, the practice of RE can be recommended for individuals with PD in the mild to moderate stages. |
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| Keywords: | Exercise Neurodegenerative diseases Rehabilitation Systematic review GRADE"} {"#name":"keyword" "$":{"id":"kwrd0035ww"} "$$":[{"#name":"text" "_":"Grading of Recommendations Assessment Development and Evaluation Embase"} {"#name":"keyword" "$":{"id":"kwrd0035"} "$$":[{"#name":"text" "_":"Embase Biomedical Answers ICF"} {"#name":"keyword" "$":{"id":"kwrd0045"} "$$":[{"#name":"text" "_":"International Classification of Functioning Disability and Health Lilacs"} {"#name":"keyword" "$":{"id":"kwrd0055rr"} "$$":[{"#name":"text" "_":"Latin American and Caribbean Health Sciences Literature Medline"} {"#name":"keyword" "$":{"id":"kwrd0055ss"} "$$":[{"#name":"text" "_":"Medical Literature Analysis and Retrieval System Online PD"} {"#name":"keyword" "$":{"id":"kwrd0055"} "$$":[{"#name":"text" "_":"Parkinson Disease PEDro"} {"#name":"keyword" "$":{"id":"kwrd0055xx"} "$$":[{"#name":"text" "_":"Physiotherapy Evidence Database RCT"} {"#name":"keyword" "$":{"id":"kwrd0065"} "$$":[{"#name":"text" "_":"randomized controlled trial RE"} {"#name":"keyword" "$":{"id":"kwrd0075"} "$$":[{"#name":"text" "_":"resistance exercise TUG"} {"#name":"keyword" "$":{"id":"kwrd0085"} "$$":[{"#name":"text" "_":"Timed Up and Go |
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