Aerobic Exercise for Parkinson's Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Identifieur interne : 000076 ( Main/Exploration ); précédent : 000075; suivant : 000077Aerobic Exercise for Parkinson's Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Auteurs : Hai-Feng Shu ; Tao Yang ; Si-Xun Yu ; Hai-Dong Huang ; Ling-Li Jiang ; Jian-Wen Gu ; Yong-Qin KuangSource :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Although some trials assessed the effectiveness of aerobic exercise for Parkinson's disease (PD), the role of aerobic exercise in the management of PD remained controversial.
The purpose of this systematic review is to evaluate the evidence about whether aerobic exercise is effective for PD.
Seven electronic databases, up to December 2013, were searched to identify relevant studies. Two reviewers independently extracted data and assessed methodological quality based on PEDro scale. Standardised mean difference (SMD) and 95% confidence intervals (CI) of random-effects model were calculated. And heterogeneity was assessed based on the
18 randomized controlled trials (RCTs) with 901 patients were eligible. The aggregated results suggested that aerobic exercise should show superior effects in improving motor actions (SMD, −0.57; 95% CI −0.94 to −0.19; p = 0.003), balance (SMD, 2.02; 95% CI 0.45 to 3.59; p = 0.01), and gait (SMD, 0.33; 95% CI 0.17 to 0.49; p<0.0001) in patients with PD, but not in quality of life (SMD, 0.11; 95% CI −0.23 to 0.46; p = 0.52). And there was no valid evidence on follow-up effects of aerobic exercise for PD.
Aerobic exercise showed immediate beneficial effects in improving motor action, balance, and gait in patients with PD. However, given no evidence on follow-up effects, large-scale RCTs with long follow-up are warrant to confirm the current findings.
Url:
DOI: 10.1371/journal.pone.0100503
PubMed: 24983753
PubMed Central: 4077570
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Aerobic Exercise for Parkinson's Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><author><name sortKey="Shu, Hai Feng" sort="Shu, Hai Feng" uniqKey="Shu H" first="Hai-Feng" last="Shu">Hai-Feng Shu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Yang, Tao" sort="Yang, Tao" uniqKey="Yang T" first="Tao" last="Yang">Tao Yang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Yu, Si Xun" sort="Yu, Si Xun" uniqKey="Yu S" first="Si-Xun" last="Yu">Si-Xun Yu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Huang, Hai Dong" sort="Huang, Hai Dong" uniqKey="Huang H" first="Hai-Dong" last="Huang">Hai-Dong Huang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Jiang, Ling Li" sort="Jiang, Ling Li" uniqKey="Jiang L" first="Ling-Li" last="Jiang">Ling-Li Jiang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Gu, Jian Wen" sort="Gu, Jian Wen" uniqKey="Gu J" first="Jian-Wen" last="Gu">Jian-Wen Gu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kuang, Yong Qin" sort="Kuang, Yong Qin" uniqKey="Kuang Y" first="Yong-Qin" last="Kuang">Yong-Qin Kuang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24983753</idno><idno type="pmc">4077570</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4077570</idno><idno type="RBID">PMC:4077570</idno><idno type="doi">10.1371/journal.pone.0100503</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000304</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000304</idno><idno type="wicri:Area/Pmc/Curation">000192</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000192</idno><idno type="wicri:Area/Pmc/Checkpoint">000062</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000062</idno><idno type="wicri:Area/Ncbi/Merge">000174</idno><idno type="wicri:Area/Ncbi/Curation">000174</idno><idno type="wicri:Area/Ncbi/Checkpoint">000174</idno><idno type="wicri:Area/Main/Merge">000076</idno><idno type="wicri:Area/Main/Curation">000076</idno><idno type="wicri:Area/Main/Exploration">000076</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Aerobic Exercise for Parkinson's Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><author><name sortKey="Shu, Hai Feng" sort="Shu, Hai Feng" uniqKey="Shu H" first="Hai-Feng" last="Shu">Hai-Feng Shu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Yang, Tao" sort="Yang, Tao" uniqKey="Yang T" first="Tao" last="Yang">Tao Yang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Yu, Si Xun" sort="Yu, Si Xun" uniqKey="Yu S" first="Si-Xun" last="Yu">Si-Xun Yu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Huang, Hai Dong" sort="Huang, Hai Dong" uniqKey="Huang H" first="Hai-Dong" last="Huang">Hai-Dong Huang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Jiang, Ling Li" sort="Jiang, Ling Li" uniqKey="Jiang L" first="Ling-Li" last="Jiang">Ling-Li Jiang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Gu, Jian Wen" sort="Gu, Jian Wen" uniqKey="Gu J" first="Jian-Wen" last="Gu">Jian-Wen Gu</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kuang, Yong Qin" sort="Kuang, Yong Qin" uniqKey="Kuang Y" first="Yong-Qin" last="Kuang">Yong-Qin Kuang</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although some trials assessed the effectiveness of aerobic exercise for Parkinson's disease (PD), the role of aerobic exercise in the management of PD remained controversial.</p></sec><sec><title>Objective</title><p>The purpose of this systematic review is to evaluate the evidence about whether aerobic exercise is effective for PD.</p></sec><sec><title>Methods</title><p>Seven electronic databases, up to December 2013, were searched to identify relevant studies. Two reviewers independently extracted data and assessed methodological quality based on PEDro scale. Standardised mean difference (SMD) and 95% confidence intervals (CI) of random-effects model were calculated. And heterogeneity was assessed based on the <italic>I<sup>2</sup></italic> statistic.</p></sec><sec><title>Results</title><p>18 randomized controlled trials (RCTs) with 901 patients were eligible. The aggregated results suggested that aerobic exercise should show superior effects in improving motor actions (SMD, −0.57; 95% CI −0.94 to −0.19; p = 0.003), balance (SMD, 2.02; 95% CI 0.45 to 3.59; p = 0.01), and gait (SMD, 0.33; 95% CI 0.17 to 0.49; p<0.0001) in patients with PD, but not in quality of life (SMD, 0.11; 95% CI −0.23 to 0.46; p = 0.52). And there was no valid evidence on follow-up effects of aerobic exercise for PD.</p></sec><sec><title>Conclusion</title><p>Aerobic exercise showed immediate beneficial effects in improving motor action, balance, and gait in patients with PD. 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uniqKey="Judge J">JO Judge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hall, Ee" uniqKey="Hall E">EE Hall</name></author><author><name sortKey="Ekkekakis, P" uniqKey="Ekkekakis P">P Ekkekakis</name></author><author><name sortKey="Petruzzello, Sj" uniqKey="Petruzzello S">SJ Petruzzello</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Gu, Jian Wen" sort="Gu, Jian Wen" uniqKey="Gu J" first="Jian-Wen" last="Gu">Jian-Wen Gu</name><name sortKey="Huang, Hai Dong" sort="Huang, Hai Dong" uniqKey="Huang H" first="Hai-Dong" last="Huang">Hai-Dong Huang</name><name sortKey="Jiang, Ling Li" sort="Jiang, Ling Li" uniqKey="Jiang L" first="Ling-Li" last="Jiang">Ling-Li Jiang</name><name sortKey="Kuang, Yong Qin" sort="Kuang, Yong Qin" uniqKey="Kuang Y" first="Yong-Qin" last="Kuang">Yong-Qin Kuang</name><name sortKey="Shu, Hai Feng" sort="Shu, Hai Feng" uniqKey="Shu H" first="Hai-Feng" last="Shu">Hai-Feng Shu</name><name sortKey="Yang, Tao" sort="Yang, Tao" uniqKey="Yang T" first="Tao" last="Yang">Tao Yang</name><name sortKey="Yu, Si Xun" sort="Yu, Si Xun" uniqKey="Yu S" first="Si-Xun" last="Yu">Si-Xun Yu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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