Systematic ReviewEffect of Resistance Exercise on Body Structure and Function, Activity, and Participation in Individuals With Parkinson Disease: A Systematic Review
Section snippets
Protocol
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines25 and recommendations of the Cochrane Collaboration26 were followed. We appraised the level of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.27
Type of studies
Randomized controlled clinical trials (RCTs) comparing one group undergoing treatment with RE and a control group were considered eligible for the present study.
Participants
Studies involving individuals with a diagnosis of PD in
Description of studies
The electronic search of the databases led to the retrieval of 2833 studies. After the selection defined by consensus, 10 studies were included in the present review,33, 34, 35, 36, 37, 38, 39, 40, 41, 42 involving a total of 270 individuals with PD (137 in the intervention groups, 133 in the control groups). All 10 studies were submitted to the GRADE analysis for the determination of the level of evidence. Details on the selection process with the main reasons for exclusion are displayed in
Discussion
The purpose of the present systematic review was to investigate the effects of RE on body structure and function, activity, and participation in individuals with PD in the mild to moderate stages. The main finding was that RE was shown to improve body structure and function (upper limb muscle strength, cardiorespiratory fitness and postural balance) and activity (gait) in this population. Based on the GRADE approach, the level of synthesized evidence was low to very low. The GRADE approach
Implications for clinical practice
Although the level of evidence was low to very low, RE was shown to promote improvements in body structure and function (upper limb muscle strength, cardiorespiratory fitness, postural balance) and activity (gait). Therefore, the practice of RE can be recommended for individuals with PD in the mild to moderate stages. RE for the lower limbs, upper limbs, and trunk using resistance-training machines, free weights, or therabands from 30-70 minutes (2-4 sets with 4-20 repetitions) 2 times a week
Supplier
- a.
State of the Art through Systematic Review; Laboratory of Research on Software Engineering (LaPES).
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2021, Archives of Gerontology and GeriatricsCitation Excerpt :The level of scientific evidence was analyzed and synthesized using the GRADE approach, which analyzes the following domains: limitations, inconsistency, indirectness, imprecision, and publication bias (Guyatt et al., 2008). This data analysis and synthesis model has been used in previous systematic reviews (Buto et al., 2020; Oliveira, Reis & Pereira, 2021). The electronic search of the databases led to the retrieval of 2788 studies involving a total of 411 individuals with PD: 255 in the intervention groups and 156 in the control groups.
EFFECTS OF PHYSICAL EXERCISE INTERVENTIONS ON BALANCE, POSTURAL STABILITY AND GENERAL MOBILITY IN PARKINSON’S DISEASE: A NETWORK META-ANALYSIS
2024, Journal of Rehabilitation Medicine
Supported by the Coordination for the Improvement of Higher Education Personnel (CAPES), Brazil (finance code 001).
Disclosures: none.