Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature

Parkinson’s disease (PD) is a neurodegenerative disorder for which there is currently only symptomatic treatment. During the last decade, there has been an increased interest in investigating physical exercise as a neuroprotective mechanism in PD. Animal studies have suggested that exercise may in f...

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Main Authors: Hanna Johansson, Maria Hagströmer, Wilhelmus J. A. Grooten, Erika Franzén
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2020/8961493
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author Hanna Johansson
Maria Hagströmer
Wilhelmus J. A. Grooten
Erika Franzén
author_facet Hanna Johansson
Maria Hagströmer
Wilhelmus J. A. Grooten
Erika Franzén
author_sort Hanna Johansson
collection DOAJ
description Parkinson’s disease (PD) is a neurodegenerative disorder for which there is currently only symptomatic treatment. During the last decade, there has been an increased interest in investigating physical exercise as a neuroprotective mechanism in PD. Animal studies have suggested that exercise may in fact induce neuroplastic changes, but evidence in humans is still scarce. A handful of reviews have previously reported on exercise-induced neuroplasticity in humans with PD, but few have been systematic, or have mixed studies on both animals and humans, or focused on one neuroplastic outcome only. Here, we provide a systematic review and metasynthesis of the published studies on humans in this research field where we have also included different methods of evaluating neuroplasticity. Our results indicate that various forms of physical exercise may lead to changes in various markers of neuroplasticity. A narrative synthesis suggests that brain function and structure can be altered in a positive direction after an exercise period, whereas a meta-analysis on neurochemical adaptations after exercise points in disparate directions. Finally, a GRADE analysis showed that the current overall level of evidence for exercise-induced neuroplasticity in people with PD is very low. Our results demonstrate that even though the results in this area point in a positive direction, researchers need to provide studies of higher quality using more rigorous methodology.
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spelling doaj-art-d6614c3f2a1944a09c60a0f3d06b73b42025-02-03T05:54:26ZengWileyNeural Plasticity2090-59041687-54432020-01-01202010.1155/2020/89614938961493Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the LiteratureHanna Johansson0Maria Hagströmer1Wilhelmus J. A. Grooten2Erika Franzén3Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, SwedenDepartment of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, SwedenDepartment of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, SwedenDepartment of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, SwedenParkinson’s disease (PD) is a neurodegenerative disorder for which there is currently only symptomatic treatment. During the last decade, there has been an increased interest in investigating physical exercise as a neuroprotective mechanism in PD. Animal studies have suggested that exercise may in fact induce neuroplastic changes, but evidence in humans is still scarce. A handful of reviews have previously reported on exercise-induced neuroplasticity in humans with PD, but few have been systematic, or have mixed studies on both animals and humans, or focused on one neuroplastic outcome only. Here, we provide a systematic review and metasynthesis of the published studies on humans in this research field where we have also included different methods of evaluating neuroplasticity. Our results indicate that various forms of physical exercise may lead to changes in various markers of neuroplasticity. A narrative synthesis suggests that brain function and structure can be altered in a positive direction after an exercise period, whereas a meta-analysis on neurochemical adaptations after exercise points in disparate directions. Finally, a GRADE analysis showed that the current overall level of evidence for exercise-induced neuroplasticity in people with PD is very low. Our results demonstrate that even though the results in this area point in a positive direction, researchers need to provide studies of higher quality using more rigorous methodology.http://dx.doi.org/10.1155/2020/8961493
spellingShingle Hanna Johansson
Maria Hagströmer
Wilhelmus J. A. Grooten
Erika Franzén
Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature
Neural Plasticity
title Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature
title_full Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature
title_fullStr Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature
title_full_unstemmed Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature
title_short Exercise-Induced Neuroplasticity in Parkinson’s Disease: A Metasynthesis of the Literature
title_sort exercise induced neuroplasticity in parkinson s disease a metasynthesis of the literature
url http://dx.doi.org/10.1155/2020/8961493
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