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The benefits and mechanisms of exercise training for Parkinson's disease.
Life Sciences ( IF 5.2 ) Pub Date : 2020-01-22 , DOI: 10.1016/j.lfs.2020.117345
Ya-Shuo Feng 1 , Si-Dong Yang 2 , Zi-Xuan Tan 1 , Man-Man Wang 1 , Ying Xing 1 , Fang Dong 3 , Feng Zhang 4
Affiliation  

Parkinson's disease (PD) is a significantly progressive neurodegenerative disease characterised by both motor and nonmotor disorders. The main pathological characteristics of PD consist of the loss of dopaminergic neurons and the formation of alpha-synuclein-containing Lewy bodies in the substantia nigra. Currently, the main therapeutic method for PD is anti-Parkinson medications, including levodopa, madopar, sirelin, and so on. However, the effect of pharmacological treatment has its own limitations, the most significant of which is that the therapeutic effect of dopaminergic treatments gradually diminishes with time. Exercise training, as an adjunctive treatment and complementary therapy, can improve the plasticity of cortical striatum and increase the release of dopamine. Exercise training has been proven to effectively improve motor disorders (including balance, gait, risk of falls and physical function) and nonmotor disorders (such as sleep impairments, cognitive function and quality of life) in PD patients. In recent years, various types of exercise training have been used to treat PD. In this review, we summarise the exercise therapy mechanisms and the protective effects of different types of exercise training on PD patients.

中文翻译:

运动训练对帕金森氏病的好处和机制。

帕金森氏病(PD)是一种以运动和非运动障碍为特征的明显进行性神经退行性疾病。PD的主要病理特征包括黑质中多巴胺能神经元的丢失和含α-突触核蛋白的路易体的形成。当前,PD的主要治疗方法是抗帕金森氏症药物,包括左旋多巴,马多帕,sirelin等。但是,药理治疗的作用有其自身的局限性,其中最显着的是多巴胺能治疗的治疗作用随时间逐渐消失。运动训练作为辅助治疗和辅助治疗,可以改善皮层纹状体的可塑性并增加多巴胺的释放。运动训练已被证明可以有效改善PD患者的运动障碍(包括平衡,步态,跌倒和身体功能的风险)和非运动障碍(例如睡眠障碍,认知功能和生活质量)。近年来,已经使用各种类型的运动训练来治疗PD。在这篇综述中,我们总结了运动疗法的机制以及不同类型的运动训练对PD患者的保护作用。
更新日期:2020-01-22
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