Work

Critically appraised paper: Exercise interventions improve some walking-related outcomes in people with Parkinson's disease [synopsis]

Year: 2019

Type: article

Abstract: Objective: To review the evidence of whether exercise improves walkingrelated outcomes in people with Parkinson's disease.Data sources: MEDLINE, CINAHL Plus, PubMed, and SPORTDiscus were searched up to June 2017.Study selection: Randomised controlled trials involving people with Parkinson's disease, and in which exercise interventions were compared to non-exercise control interventions or another form of exercise.Outcome measures were: gait speed (comfortable and fast), stride/ step length, cadence, double-leg support time (percentage of the gait cycle duration), Timed Up and Go test, 6-minute walk test, Freezing of Gait questionnaire, and the Dynamic Gait Index.Data extraction: Two reviewers extracted data.Methodological quality was assessed using the PEDro Scale, with differences in ratings resolved through discussion.Data synthesis: Of 669 trials initially identified, 40 were included in the metaanalysis, with a total of 1656 participants ranging in Hoehn and Yahr stages I to IV. PEDro scores ranged from 3 to 8 points, indicating low to high methodological quality.The studies evaluated a vast array of exercise interventions, including balance training, physiotherapy, resistance training, treadmill and overground gait training, Tai Chi, yoga, boxing, cycling, and aquatic therapy.When compared to non-exercise control groups, exercise Provenance: Invited.

Source: Journal of physiotherapy

DOI: 10.1016/j.jphys.2019.01.004

Author: Prudence Plummer

Institution: University of North Carolina at Chapel Hill

Language: English

Topic: Balance, Gait, and Falls Prevention

Subfield: Physical Therapy, Sports Therapy and Rehabilitation

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,450