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Parkinson's Disease: Treatment

Parkinson's Disease: Treatment

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.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...

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Exercise and Progressive Supranuclear Palsy: the need for explicit exercise reporting.

Susan C Slade¹, Martin Underwood², Jennifer L McGinley³

¹La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, Human Services and Sport, College Science, Health & Engineering, La Trobe University, Kingsbury Drive, Bundoora, 3086, Australia. s.slade2@latrobe.edu.au.

|December 1, 2019

Summary

This summary is machine-generated.

Reporting of exercise interventions for Progressive Supranuclear Palsy (PSP) is inconsistent. Future studies must comprehensively detail exercise elements for better replication and understanding of physical therapy benefits in PSP.

Keywords:

Atypical parkinsonism Exercise Progressive Supranuclear palsy Rehabilitation

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Area of Science:

Neurology
Physical Therapy
Rehabilitation Medicine

Background:

Progressive Supranuclear Palsy (PSP) is a leading cause of atypical Parkinsonism.
Existing evidence suggests gait rehabilitation, balance training, and oculomotor exercises may benefit individuals with PSP.
However, the reporting quality of these exercise interventions in the literature is variable.

Purpose of the Study:

To evaluate the comprehensiveness of reporting for exercise and physical activity interventions in studies concerning Progressive Supranuclear Palsy.
To identify specific areas where reporting of exercise interventions needs improvement in the PSP literature.

Main Methods:

A systematic review included 11 studies on exercise interventions for PSP.
Two independent reviewers utilized the Consensus on Exercise Reporting Template (CERT) to extract data.
CERT items assessed the 'what,' 'who,' 'how,' 'where,' 'when,' 'how much,' 'tailoring,' and 'how well' of exercise delivery, scoring each item as adequately reported or not.

Main Results:

Consensus on Exercise Reporting Template (CERT) scores ranged from 3 to 12 out of 19 possible points.
No studies adequately described all exercise elements for precise replication of interventions.
While exercise equipment, settings, scheduling, frequency, and duration were relatively well-reported, instructor qualifications, progression rules, adherence, motivation, and safety details were poorly described.

Conclusions:

Significant variability exists in the reporting of physical therapies for individuals with Progressive Supranuclear Palsy.
Future exercise trials must provide comprehensive details on exercise type, dosage, setting, tailoring, supervision, adherence, motivation, progression, and safety.
Utilizing evidence-based reporting templates is recommended to ensure thorough documentation of therapeutic exercise design, delivery, and evaluation.