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Related Concept Videos

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Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
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Exercise for Parkinson's disease.

Margaret K Y Mak1, Irene S K Wong-Yu1

  • 1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.

International Review of Neurobiology
|October 15, 2019
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Summary

Physical therapy and exercise interventions can improve motor function and mobility in Parkinson's disease (PD) patients. Sustained training, including balance and gait exercises, offers long-term benefits and may slow disease progression.

Keywords:
BalanceExercisesFallsGaitMuscle strengthParkinson's diseasePhysical therapyRehabilitation

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Area of Science:

  • Neurology
  • Physical Therapy
  • Rehabilitation Medicine

Background:

  • Parkinson's disease (PD) is a prevalent neurodegenerative disorder affecting millions globally.
  • While pharmacological treatments are standard, motor impairments like balance and gait issues persist, impacting quality of life.
  • These persistent motor deficits contribute to disability and reduced functional mobility in individuals with PD.

Purpose of the Study:

  • To review the efficacy of physical therapy and complementary exercises for motor impairments in Parkinson's disease.
  • To present evidence supporting various exercise interventions for improving motor performance and functional mobility.
  • To highlight exercises that offer short-term and long-term benefits for individuals with PD.

Main Methods:

  • Systematic review of evidence on physical therapy and complementary exercises for Parkinson's disease motor symptoms.
  • Analysis of interventions including gait training (with cues and treadmill), Nordic walking, brisk walking, balance training, virtual reality, Tai Chi, and dance.
  • Evaluation of the duration of benefits and potential long-term effects on motor function and disease progression.

Main Results:

  • Physical therapy and exercises demonstrate significant short-term improvements in motor performance and functional mobility.
  • Specific interventions like treadmill gait training show sustained benefits for walking performance (3-6 months).
  • Balance training improves function and reduces falls (up to 12 months), while sustained Tai Chi, dance, and resistance training may slow PD progression.

Conclusions:

  • Physical therapy and complementary exercises are crucial for managing motor impairments in Parkinson's disease.
  • Long-term adherence to exercise programs, such as balance training and Tai Chi, is recommended for sustained benefits and potentially slowing disease progression.
  • Individuals with PD should be encouraged to maintain consistent training to enhance physical ability and combat disease advancement.