Effectiveness of Progressive Resistance Training in Parkinson's Disease: A Systematic Review and Meta-Analysis.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY European Neurology Pub Date : 2023-01-01 DOI:10.1159/000527029

Xiaoxia Yang, Zhiyun Wang

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引用次数: 1

Abstract

Introduction: The aim of this study was to systematically explore progressive resistance training (PRT) effects in Parkinson's disease (PD).

Methods: Eligible literature was systematically searched from five electronic databases (PubMed, Web of Science, Ovid, Wanfang, and China National Knowledge Infrastructure) from their inception to February 2022. Included studies were selected based on strict eligibility criteria. RevMan 5.3 software was used for statistical analysis.

Results: A total of 14 studies with 761 PD patients were selected for eligibility in this systematic review and meta-analysis. A total of 383 performed trunk or upper or lower extremity PRT and 378 underwent balance training, modified fitness counts, or did not change their lifestyle. The results demonstrated positive PRT effect on freezing of gait (standardized mean difference [SMD] = -0.55, 95% CI = -0.95 to -0.16, p = 0.006), muscular strength (SMD = 1.9, 95% CI = 0.55-3.24, p = 0.006), and quality of life (SMD = -0.86, 95% CI = -1.66 to -0.06, p = 0.04) in adults with PD compared with other training programmes but not for gait velocity, stride length, timed up and go test, and Berg Balance Scale.

Conclusions: This meta-analysis revealed that PRT had positive effects on freezing of gait, muscle strength, and improved quality of life during rehabilitation in PD patients.

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进行性阻力训练治疗帕金森病的有效性:一项系统综述和荟萃分析

本研究的目的是系统地探讨进行性阻力训练(PRT)在帕金森病(PD)中的作用。方法:系统检索5个电子数据库(PubMed、Web of Science、Ovid、万方、中国国家知识基础设施)自建库至2022年2月的符合条件的文献。纳入的研究是根据严格的资格标准选择的。采用RevMan 5.3软件进行统计分析。结果:本次系统评价和荟萃分析共纳入14项研究，共纳入761例PD患者。总共有383人进行了躯干或上肢或下肢PRT, 378人进行了平衡训练，修改了健康计数，或者没有改变他们的生活方式。结果显示，与其他训练方案相比，PRT对成年PD患者的步态静止(标准化平均差[SMD] = -0.55, 95% CI = -0.95至-0.16,p = 0.006)、肌肉力量(SMD = 1.9, 95% CI = 0.55至3.24,p = 0.006)和生活质量(SMD = -0.86, 95% CI = -1.66至-0.06,p = 0.04)有积极影响，但对步态速度、步幅、计时和行走测试和Berg平衡量表没有影响。结论:本荟萃分析显示，PRT对PD患者康复期间的步态冻结、肌肉力量和改善生活质量具有积极作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Neurology 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

审稿时长

4-8 weeks

期刊介绍： ''European Neurology'' publishes original papers, reviews and letters to the editor. Papers presented in this journal cover clinical aspects of diseases of the nervous system and muscles, as well as their neuropathological, biochemical, and electrophysiological basis. New diagnostic probes, pharmacological and surgical treatments are evaluated from clinical evidence and basic investigative studies. The journal also features original works and reviews on the history of neurology.