Parkinson disease (PD) is a chronic neurodegenerative condition that leads to progressive disability. PD-related reductions in muscle strength have been reported to be associated with lower functional performance and balance confidence with an increased risk of falls. Progressive resistance training (PRT) improves strength, balance, and functional abilities. This umbrella review examines the efficacy of PRT regarding muscular strength in PD patients. The PubMed, PEDro, Scopus, and Cochrane Library databases were searched from January 2009 to August 2019 for systematic reviews and meta-analyses conducted in English. The populations included had diagnoses of PD and consisted of males and females aged >18 years old. Outcomes measured were muscle strength and enhanced physical function. Eight papers (six systematic reviews and meta-analyses and two systematic reviews) were considered relevant for qualitative analysis. In six of the eight studies, the reported severity of PD was mild to moderate. Each study analyzed how PRT elicited positive effects on muscle strength in PD patients, suggesting 10 weeks on average of progressive resistance exercises for the upper and lower limbs two to three times per week. However, none of the studies considered the postworkout follow-up, and there was no detailed evidence about the value of PRT in preventing falls. The possibility of PRT exercises being effective for increasing muscle strength in patients with PD, but without comorbidities or severe disability, is discussed. Overall, this review suggests that PRT should be included in rehabilitation programs for PD patients, in combination with balance training for postural control and other types of exercise, in order to preserve cardiorespiratory fitness and improve endurance in daily life activities.

中文翻译：

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进行性抵抗训练（PRT）计划对帕金森病的康复影响的证据：《雨伞评论》。

帕金森病（PD）是导致进行性残疾的慢性神经退行性疾病。据报道，PD相关的肌肉力量下降与功能表现降低，平衡信心和跌倒风险增加有关。渐进式阻力训练（PRT）可提高力量，平衡能力和功能能力。这篇综述对PRT在PD患者肌肉力量方面的功效进行了检查。从2009年1月至2019年8月，检索PubMed，PEDro，Scopus和Cochrane图书馆数据库，以英语进行系统评价和荟萃分析。所包括的人群被诊断出患有PD，由年龄大于18岁的男性和女性组成。测量的结果是肌肉力量和增强的身体机能。八篇论文（六篇系统评价和荟萃分析以及两篇系统评价）被认为与定性分析相关。在八项研究中的六项中，报告的PD严重程度为轻度至中度。每项研究均分析了PRT如何对PD患者的肌肉力量产生积极影响，建议平均每周进行10次，每周两次或三到两次进行上肢和下肢的渐进式抵抗运动。但是，这些研究都没有考虑锻炼后的随访，也没有关于PRT在预防跌倒方面的价值的详细证据。讨论了进行PRT锻炼可有效提高PD患者但没有合并症或严重残疾的肌肉力量的可能性。总体而言，这项审查表明PRT应该纳入PD患者的康复计划中，