Benefits of physiotherapy treatment in patients diagnosed with Parkinson's disease
Keywords:
quality of life, Parkinson's disease, rehabilitationAbstract
Introduction: One of the therapeutic pillars for Parkinson's disease is physical rehabilitation; its application is aimed at improving motor and non-motor symptoms; however, its widespread use in patients with this disease is still limited.
Objective: To identify the benefits of physical therapy in patients diagnosed with Parkinson's disease.
Methods: A literature review was conducted in regional and high-impact databases, such as Scielo, Latindex, Redalyc, Scopus, ICE, Web of Science, and PubMed, the most representative. Google Scholar was used as a search engine, identifying 77 documents, of which 38 were incorporated into the study. Health descriptors in English, Spanish, and Portuguese (quality of life; Parkinson's disease; physical therapy regimen and rehabilitation) and Boolean operators (AND, NOT, and OR) were used. The combination of these elements allowed for increasing and optimizing the information search results.
Development: The main results focus on the benefits of exercise-based training programs, technology, and other therapies to improve motor and non-motor manifestations in patients diagnosed with Parkinson's disease.
Conclusions: The benefits of physical therapy for patients diagnosed with Parkinson's disease lie in improvements in balance and gait, with an emphasis on speed and stride length. This includes improved postural stability, greater functional capacity, and a decreased risk of falls, as well as improvements in mood and cognitive function.
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References
1. Maggio MG, Bonanno M, Manuli A. Advances in the Neuro-Rehabilitation of Parkinson's Disease: Insights from a Personalized Multidisciplinary Innovative Pathway [Internet]. Biomedicines. 2024 [acceso: 22/11/2024]; 12(11): [aprox. 14 pant.]. Disponible en: https://www.mdpi.com/2227-9059/12/11/2426
2. Meulenberg CJW, Rehfeld K, Jovanovic S, Marusic U. Unleashing the potential of dance: a neuroplasticity-based approach bridging from older adults to Parkinson's disease patients [Internet]. Front Aging Neurosci. 2023 [acceso: 23/11/2024]; 15: [aprox. 9 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37429545/
3. Burtscher J, Moraud EM, Malatesta D, Millet GP, Bally JF, Patoz A. Exercise and gait/movement analyses in treatment and diagnosis of Parkinson's Disease [Internet]. Ageing Res Rev. 2024 [acceso: 24/11/2024]; 93(3): [aprox. 9 pant.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S1568163723-003069
4. Lu Y, Ge Y, Chen W, Xing W, Wei L, Zhang C, et al. The effectiveness of virtual reality for rehabilitation of Parkinson disease: an overview of systematic reviews with meta-analyses [Internet]. Syst Rev. 2022 [acceso: 24/11/2024]; 11(1): [aprox. 14 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8934460/
5. Zheng Y, Shen Y, Feng R, Hu W, Huang P. Research progress on the application of anti-gravity treadmill in the rehabilitation of Parkinson's disease patients: a mini review [Internet]. Front Neurol. 2024 [acceso: 25/11/2024]; 15: [aprox. 6 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176542/
6. Miller KJ, Suárez-Iglesias D, Seijo Martínez M, Ayán C. Fisioterapia para la congelación de la marcha en la enfermedad de Parkinson: revisión sistemática y metaanálisis [Internet]. Rev Neurol. 2020 [acceso: 25/11/2024]; 70:161-70. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7292351
7. Church FC. Opciones de tratamiento para los síntomas motores y no motores de la enfermedad de Parkinson [Internet]. Biomolecules. 2021 [acceso: 25/11/2024]; 11(4): [aprox. 17 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8074325/
8. YoonSY. Update on Parkinson's Disease Rehabilitation [Internet]. Brain Neurorehabil. 2022 [acceso: 26/11/2024]; 15(2):e15. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833476/
9. Feng YS, Yang SD, Tan ZX, Wang MM, Xing Y, Dong F, et al. The benefits and mechanisms of exercise training for Parkinson's disease [Internet]. Life Sci. 2020 [acceso: 24/11/2024]; 245: [aprox. 11 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31981631/
10. Xiao Y, Yang T, Shang H. The Impact of Motor-Cognitive Dual-Task Training on Physical and Cognitive Functions in Parkinson's Disease [Internet]. Brain Sci. 2023 [acceso: 26/11/2024]; 13(3): [aprox. 11 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10046387/
11. Cancela Carral JM, Campo Prieto P, Rodríguez Fuentes G. The IntegraPark Study: An Opportunity to Facilitate High-Intensity Exercise with Immersive Virtual Reality in Parkinson's Disease Patients [Internet]. J Funct Morphol Kinesiol. 2024 [acceso: 27/11/2024]; 9(3): [aprox. 14 pant.]. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11417750/
12. Nuic D, van de Weijer S, Cherif S, Anna Skrzatek A, Zeeboer E, Olivier C, et al. Home-based exergaming to treat gait and balance disorders in patients with Parkinson's disease: A phase II randomized controlled trial [Internet]. Eur J Neurol. 2024 [acceso: 27/11/2024]; 31(1):e16055. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37691341/
13. Rodríguez MansillaJ, Bedmar Vargas C, Garrido Ardila EM, et al. Effects of Virtual Reality in the Rehabilitation of Parkinson's Disease: A Systematic Review [Internet]. J Clin Med. 2023 [acceso: 28/11/2024]; 12(15): [aprox. 23 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419374/
14. SchootemeijerS, van der Kolk NM, Bloem BR, de Vries NM. Current Perspectives on Aerobic Exercise in People with Parkinson's Disease [Internet]. Neurotherapeutics. 2020 [acceso: 28/11/2024]; 17(4):1418-33. Disponible en: https://www.sciencedirect.com/science/article/pii/S1878747923-012503
15. O'Malley N, Clifford AM, Conneely M, Casey B, Coote S. Effectiveness of interventions to prevent falls for people with multiple sclerosis, Parkinson's disease and stroke: an umbrella review [Internet]. BMC Neurol. 2021 [acceso: 30/11/2024]; 21(1): [aprox. 31 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8480085/
16. Shah VV, Jagodinsky A, McNames J, Kuhta PC, Nutt JG, Gohary M, et al. Gait and turning characteristics from daily life increase ability to predict future falls in people with Parkinson's disease [Internet]. Front Neurol. 2023 [acceso: 30/11/2024]; 14(4): [aprox. 7 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015637/
17. Lorenzo García P, Cavero Redondo I, Núñez de Arenas Arroyo S, Guzmán Pavón MJ, Priego Jiménez S, Álvarez Bueno C. Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson's disease: a network meta-analysis [Internet]. J Rehabil Med. 2024 [acceso: 01/12/2024]; 56(2): [aprox. 19 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10847976/
18. Ellis TD, Colón Semenza C, De Angelis TR, Thomas CA, Saint Hilaire MH, Earhart GM, et al . Evidence for Early and Regular Physical Therapy and Exercise in Parkinson's Disease [Internet]. Semin Neurol. 2021 [acceso: 01/12/2024]; 41(2):189-205. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678920/
19. Kanegusuku H, Peçanha T, Silva Batista C, Sánchez Miyasato R, da Silva Júnior ND, Túlio de Mello M, et al. Effects of resistance training on metabolic and cardiovascular responses to a maximal cardiopulmonary exercise test in Parkinson`s disease [Internet]. Einstein (Sao Paulo). 2021 [acceso: 02/12/2024]; 19(3):eAO5940. Disponible en: https://www.scielo.br/j/eins/a/ZS5MyqWsMBKzdn8Xz5jsfhz/
20. Chen J, Chien HF, Francato DV, Barbosa AF, Souza CO, Voos MC, et al (2021). Effects of resistance training on postural control in Parkinson's disease: a randomized controlled trial [Internet]. Arquivos de neuro-psiquiatria. 2021 [acceso: 02/12/2024]; 79(6):511-20. Disponible en: https://www.scielo.br/j/anp/a/hxyRzxsCwC3ntdHfKmM6sPb/
21. Vieira de Moraes FA, Chaves SN, Martins WR, Pinho Tolentino G, Pereira Pinto RC, Landim de Farias G, et al. Progressive Resistance Training Improves Bradykinesia, Motor Symptoms and Functional Performance in Patients with Parkinson's Disease [Internet]. Clin Interv Aging. 2020 [acceso: 03/12/2024]; 15(2):87-95. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986410/
22. Wu C, Xu Y, Guo H, Tang C, Chen D, Zhu M. Effects of Aerobic Exercise and Mind-Body Exercise in Parkinson's Disease: A Mixed-Treatment Comparison Analysis [Internet]. Front Aging Neurosci. 2021 [acceso: 04/12/2024]; 13(3): [aprox. 10 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34867273/
23. Dai S, Yuan H, Wang J, Yang Y, Wen S. Effects of aquatic exercise on the improvement of lower-extremity motor function and quality of life in patients with Parkinson's disease: A meta-analysis [Internet]. Front Physiol. 2023 [acceso: 04/12/2024]; 14(2): [aprox. 10 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935607/
24. Falcoski Doliny AE, Zanardi da Silva A, Karine Mocelin T, Vera Lúcia I. Efeitos da fisioterapia aquática sobre variáveis cardiorrespiratórias na doença de Parkinson [Internet]. Fisioter Mov. 2023 [acceso: 05/12/2024]; 36(10):e36126. Disponible en: https://www.scielo.br/j/fm/a/xgWNdTq9mWPghHbdQF8WszB/abst-ract/?lang=pt
25. Qian Y, Fu X, Zhang H, Yang Y, Wang G. Comparative efficacy of 24 exercise types on postural instability in adults with Parkinson's disease: a systematic review and network meta-analysis [Internet]. BMC Geriatr. 2023 [acceso: 05/12/2024]; 23(1): [aprox. 16 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463698/
26. Youm C, Kim Y, Noh B, Lee M, Kim J, Cheon SM. Impact of Trunk Resistance and Stretching Exercise on Fall-Related Factors in Patients with Parkinson's Disease: A Randomized Controlled Pilot Study [Internet]. Sensors. 2020 [acceso: 06/12/2024]; 20(3): [aprox. 9 pant.]. Disponible en: https://www.mdpi.com/1424-8220/20/15/4106
27. Yun SJ, Hyun SE, Oh BM, Seo HG. Fully immersive virtual reality exergames with dual-task components for patients with Parkinson's disease: a feasibility study [Internet]. J Neuroeng Rehabil. 2023 [acceso: 08/12/2024]; 20(1): [aprox. 13 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355082/
28. Muhammad K, Ahmad A, Muhammad MB, Syed HA, Raza A, Sana V. A randomized controlled trial of motor imagery combined with virtual reality techniques in patients with Parkinson's disease [Internet]. Medicine. 2022 [acceso: 08/12/2024]; 12(3): [aprox. 16 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953975/
29. Rodríguez Fuentes G, Campo Prieto P, Cancela Carral JM. Immersive Virtual Reality High-Intensity Aerobic Training to Slow Parkinson's Disease: The ReViPark Program [Internet]. Applied Sciences. 2024 [acceso: 09/12/2024]; 14(11): [aprox. 16 pant.]. Disponible en: https://www.mdpi.com/2076-3417/14/11/4708
30. Gulcan K, Guclu Gunduz A, Yasar E, Ar U, Sucullu Karadag Y, Saygili F. The effects of augmented and virtual reality gait training on balance and gait in patients with Parkinson's disease [Internet]. Acta Neurol Belg. 2023 [acceso: 10/12/2024]; 123(5):1917-25. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9707084/
31. Kim H, Kim E, Yun SJ, Kang MG, Shin HI, Oh BM, et al. Robot-assisted gait training with auditory and visual cues in Parkinson's disease: A randomized controlled trial [Internet]. Ann Phys Rehabil Med. 2022 [acceso: 10/12/2024]; 65(3): [aprox. 9 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34896605/
32. Yun SJ, Lee HH, Lee WH, Lee SH, Oh BM, Seo HG. Effect of robot-assisted gait training on gait automaticity in Parkinson disease: A prospective, open-label, single-arm, pilot study [Internet]. Medicine (Baltimore). 2021 [acceso: 11/12/2024]; 100(5):e24348. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870221/
33. Fortunati M, Febbi M, Negro M, Gennaro F, D'Antona G, Crisafulli O. Lower-Limb Exoskeletons for Gait Training in Parkinson's Disease: The State of the Art and Future Perspectives [Internet]. Healthcare (Basel). 2024 [acceso: 11/12/2024]; 12(16): [aprox. 17 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39201194/
34. Silva Batista C, Filipe Oliveira de Almeida JL, Wilhelm FB. Horak M M, Laurie AK. 2024. Telerehabilitación por videoconferencia para el equilibrio y la marcha en personas con enfermedad de Parkinson: una revisión exhaustiva [Internet]. Geriatrics. 2024 [acceso: 13/12/2024]; 9(3): [aprox. 18 pant.]. Disponible en: https://www.mdpi.com/2308-3417/9/3/66
35. Chang CL, Lin TK, Pan CY, Wang TC, Tseng YT, Chien CY, et al. Distinct effects of long-term Tai Chi Chuan and aerobic exercise interventions on motor and neurocognitive performance in early-stage Parkinson's disease: a randomized controlled trial [Internet]. Eur J Phys Rehabil Med. 2024 [acceso: 13/12/2024]; 60(4):621-33. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11403633/
36. Rasheeqa Ismail S, Huey Lee SW, Merom D, Sofia P, Megat Kamaruddin N, San Chong M, et al. Evidence of disease severity, cognitive and physical outcomes of dance interventions for persons with Parkinson's Disease: a systematic review and meta-analysis [Internet]. BMC Geriatrics. 2021 [acceso: 14/12/2024]; 21(3): [aprox. 11 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34551722/
37. Cochen De Cock V, Dotov D, Damm L, Lacombe S, Ihalainen P, Picot MC, et al. BeatWalk: Personalized Music-Based Gait Rehabilitation in Parkinson's Disease [Internet]. Front Psychol. 2021 [acceso: 16/12/2024]; 12(2): [aprox. 9 pant.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8109247/
38. Machado Sotomayor MJ, Arufe Giráldez V, Ruíz Rico G, Navarro Patón R. Music Therapy and Parkinson's Disease: A Systematic Review from 2015-2020 [Internet]. Int J Environ Res Public Health. 2021 [acceso: 17/12/2024]; 18(21): [aprox. 16 pant.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34770129/
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