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Effort training in Parkinson's disease: a systematic review
L Tambosco1, L Percebois-Macadré1, A Rapin1
1Pôle autonomie et santé, service de médecine physique et de réadaptation, hôpital Sébastopol, CHU de Reims, 48, rue de Sébastopol, 51092 Reims cedex, France.
Annals of Physical and Rehabilitation Medicine
|March 4, 2014
Summary
Physical therapy, including aerobic and strength training, significantly improves physical abilities in Parkinson's disease patients. Tailored rehabilitation programs are crucial for managing the condition effectively.
Area of Science:
- Neurology
- Physical Therapy
- Rehabilitation Medicine
Background:
- Parkinson's disease (PD) management increasingly incorporates physical therapy.
- Aerobic and strength training are key components of PD rehabilitation.
Purpose of the Study:
- To evaluate the efficacy and limitations of aerobic and strength training in PD.
- To establish practical guidelines for these training modalities.
Main Methods:
- A systematic literature search was conducted on PubMed and Cochrane databases.
- Included five literature reviews and thirty-one randomized trials.
Main Results:
- Exercise training enhances aerobic capacity, muscle strength, walking, posture, and balance in PD patients.
- Rehabilitation programs should be initiated early, be of several weeks duration, and repeated.
- Programs should integrate both aerobic (e.g., cycling, treadmill) and muscle strengthening components.
Conclusions:
- Aerobic and strength training demonstrably improve physical abilities for Parkinson's disease patients.
- Rehabilitation plans require patient-specific discussion, considering individual capacities and challenges.
- Optimal exercise intensity and timing relative to medication (ON/OFF phases) remain areas for further research.
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