Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review
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...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2020/9748091 |
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| author | T. Paolucci S. Sbardella C. La Russa F. Agostini M. Mangone L. Tramontana A. Bernetti M. Paoloni L. Pezzi R. G. Bellomo V. Santilli R. Saggini |
| author_facet | T. Paolucci S. Sbardella C. La Russa F. Agostini M. Mangone L. Tramontana A. Bernetti M. Paoloni L. Pezzi R. G. Bellomo V. Santilli R. Saggini |
| author_sort | T. Paolucci |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-402aea5c6234432fbbbdc328fd8b5629 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-402aea5c6234432fbbbdc328fd8b56292025-02-03T05:54:26ZengWileyParkinson's Disease2090-80832042-00802020-01-01202010.1155/2020/97480919748091Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella ReviewT. Paolucci0S. Sbardella1C. La Russa2F. Agostini3M. Mangone4L. Tramontana5A. Bernetti6M. Paoloni7L. Pezzi8R. G. Bellomo9V. Santilli10R. Saggini11University G. D’Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Rome, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Rome, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Rome, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Rome, ItalyS. Filippo Neri Hospital, Physical Medicine and Rehabilitation, “Sapienza” University, Rome, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Policlinico Umberto I, Rome, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Policlinico Umberto I, Rome, ItalyUniversity G. D’Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, ItalyUniversity of Study of Urbino Carlo Bo, Department of Biomolecular Sciences, Urbino, ItalyDepartment of Anatomy, Histology, Forensic Medicine and Orthopedics, Board of Physical Medicine and Rehabilitation, “Sapienza” University, Policlinico Umberto I, Rome, ItalyUniversity G. D’Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, ItalyParkinson 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.http://dx.doi.org/10.1155/2020/9748091 |
| spellingShingle | T. Paolucci S. Sbardella C. La Russa F. Agostini M. Mangone L. Tramontana A. Bernetti M. Paoloni L. Pezzi R. G. Bellomo V. Santilli R. Saggini Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review Parkinson's Disease |
| title | Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review |
| title_full | Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review |
| title_fullStr | Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review |
| title_full_unstemmed | Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review |
| title_short | Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review |
| title_sort | evidence of rehabilitative impact of progressive resistance training prt programs in parkinson disease an umbrella review |
| url | http://dx.doi.org/10.1155/2020/9748091 |
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