Exercise-enhanced Neuroplasticity Targeting Motor and Cognitive Circuitry in Parkinson’s Disease
Identifieur interne : 000133 ( Ncbi/Curation ); précédent : 000132; suivant : 000134Exercise-enhanced Neuroplasticity Targeting Motor and Cognitive Circuitry in Parkinson’s Disease
Auteurs : G. M. Petzinger [États-Unis] ; B. E. Fisher [États-Unis] ; S. Mcewen ; J. A. Beeler [États-Unis] ; J. P. Walsh [États-Unis] ; M. W. Jakowec [États-Unis]Source :
- Lancet neurology [ 1474-4422 ] ; 2013.
Abstract
The purpose of this review is to highlight the potential role of exercise in promoting neuroplasticity and repair in Parkinson’s disease (PD). Exercise interventions in individuals with PD incorporate goal-based motor skill training in order to engage cognitive circuitry important in motor learning. Using this exercise approach, physical therapy facilitates learning through instruction and feedback (reinforcement), and encouragement to perform beyond self-perceived capability. Individuals with PD become more cognitively engaged with the practice and learning of movements and skills that were previously automatic and unconscious. Studies that have incorporated both goal-based training and aerobic exercise have supported the potential for improving both cognitive and automatic components of motor control. Utilizing animal models, basic research is beginning to reveal exercise-induced effects on neuroplasticity. Since neuroplasticity occurs at the level of circuits and synaptic connections, we examine the effects of exercise from this perspective.
Url:
DOI: 10.1016/S1474-4422(13)70123-6
PubMed: 23769598
PubMed Central: 3690528
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S. Mcewen<affiliation><nlm:aff id="A3">Department of Psychiatry and Biobehavioral Science, University of California, Los Angeles, CA, 90024</nlm:aff>
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<front><div type="abstract" xml:lang="en"><p id="P1">The purpose of this review is to highlight the potential role of exercise in promoting neuroplasticity and repair in Parkinson’s disease (PD). Exercise interventions in individuals with PD incorporate goal-based motor skill training in order to engage cognitive circuitry important in motor learning. Using this exercise approach, physical therapy facilitates learning through instruction and feedback (reinforcement), and encouragement to perform beyond self-perceived capability. Individuals with PD become more cognitively engaged with the practice and learning of movements and skills that were previously automatic and unconscious. Studies that have incorporated both goal-based training and aerobic exercise have supported the potential for improving both cognitive and automatic components of motor control. Utilizing animal models, basic research is beginning to reveal exercise-induced effects on neuroplasticity. Since neuroplasticity occurs at the level of circuits and synaptic connections, we examine the effects of exercise from this perspective.</p>
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