Effort training in Parkinson's disease: A systematic review

Abstract Objective Physical therapy strategies have recently proved their efficacy in the field of Parkinson's disease management. The purpose of this paper was to access the efficacy and the limits of aerobic training and strength training included in physical rehabilitation programs and to de...

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Bibliographic Details
Published in:Annals of physical and rehabilitation medicine 2014-03, Vol.57 (2), p.79-104
Main Authors: Tambosco, L, Percebois-Macadré, L, Rapin, A, Nicomette-Bardel, J, Boyer, F.-C
Format: Article
Language:English
Subjects:
Animals
Cognition
Entraînement en résistance
Exercice physique
Exercise - physiology
Exercise therapy
Exercise training
Gait
Humans
Internal Medicine
Maladie de Parkinson
Muscle Strength
Parkinson Disease - psychology
Parkinson Disease - rehabilitation
Parkinson's disease
Physical Exertion - physiology
Physical Medicine and Rehabilitation
Physical therapy
Rats
Renforcement des capacités
Resistance Training - methods
Severity of Illness Index
Strength training
Traitement par les exercices physiques
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Summary:Abstract Objective Physical therapy strategies have recently proved their efficacy in the field of Parkinson's disease management. The purpose of this paper was to access the efficacy and the limits of aerobic training and strength training included in physical rehabilitation programs and to define practical modalities. Method A comprehensive search on Pubmed and Cochrane databases was made. Results Five literature revues and thirty one randomised trials have been selected. Exercise training improves aerobic capacities, muscle strength, walking, posture and balance parameters. Rehabilitation programs should begin as soon as possible, last several weeks and be repeated. They should include aerobic training on bicycle or treadmill and a muscle strengthening program. Conclusion There is evidence that aerobic and strength training improve physical habilities of patients suffering from Parkinson's Disease. Rehabilitation programs should be discussed with the patient, taking in account his difficulties and his physical capacities. Two questions are debatable: exercise intensity and phase ON / phase OFF timing.
ISSN:1877-0657
1877-0665
DOI:10.1016/j.rehab.2014.01.003