Lower Limb Progressive Resistance Training Improves Leg Strength but Not Gait Speed or Balance in Parkinson’s Disease: A Systematic Review and Meta-Analysis
Identifieur interne : 001678 ( Ncbi/Merge ); précédent : 001677; suivant : 001679Lower Limb Progressive Resistance Training Improves Leg Strength but Not Gait Speed or Balance in Parkinson’s Disease: A Systematic Review and Meta-Analysis
Auteurs : Alex Tillman [Australie] ; Makii Muthalib [France] ; Ashlee M. Hendy [Australie] ; Liam G. Johnson [Australie] ; Timo Rantalainen [Australie] ; Dawson J. Kidgell [Australie] ; Peter G. Enticott [Australie] ; Wei-Peng Teo [Australie]Source :
- Frontiers in Aging Neuroscience [ 1663-4365 ] ; 2015.
Abstract
The use of progressive resistance training (PRT) to improve gait and balance in people with Parkinson’s disease (PD) is an emerging area of interest. However, the main effects of PRT on lower limb functions such as gait, balance, and leg strength in people with PD remain unclear. Therefore, the aim of the meta-analysis is to evaluate the evidence surrounding the use of PRT to improve gait and balance in people with PD. Five electronic databases, from inception to December 2014, were searched to identify the relevant studies. Data extraction was performed by two independent reviewers and methodological quality was assessed using the PEDro scale. Standardized mean differences (SMD) and 95% confidence intervals (CIs) of fixed and random effects models were used to calculate the effect sizes between experimental and control groups and
Url:
DOI: 10.3389/fnagi.2015.00040
PubMed: 25852550
PubMed Central: 4371754
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<front><div type="abstract" xml:lang="en"><p>The use of progressive resistance training (PRT) to improve gait and balance in people with Parkinson’s disease (PD) is an emerging area of interest. However, the main effects of PRT on lower limb functions such as gait, balance, and leg strength in people with PD remain unclear. Therefore, the aim of the meta-analysis is to evaluate the evidence surrounding the use of PRT to improve gait and balance in people with PD. Five electronic databases, from inception to December 2014, were searched to identify the relevant studies. Data extraction was performed by two independent reviewers and methodological quality was assessed using the PEDro scale. Standardized mean differences (SMD) and 95% confidence intervals (CIs) of fixed and random effects models were used to calculate the effect sizes between experimental and control groups and <italic>I</italic>
<sup>2</sup>
statistics were used to determine levels of heterogeneity. In total, seven studies were identified consisting of 172 participants (experimental <italic>n</italic>
= 84; control <italic>n</italic>
= 88). The pooled results showed a moderate but significant effect of PRT on leg strength (SMD 1.42, 95% CI 0.464–2.376); however, no significant effects were observed for gait speed (SMD 0.418, 95% CI −0.219 to 1.055). No significant effects were observed for balance measures included in this review. In conclusion, our results showed no discernable effect of PRT on gait and balance measures, although this is likely due to the lack of studies available. It may be suggested that PRT be performed in conjunction with balance or task-specific functional training to elicit greater lower limb functional benefits in people with PD.</p>
</div>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Aging Neurosci</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Aging Neurosci</journal-id>
<journal-id journal-id-type="publisher-id">Front. Aging Neurosci.</journal-id>
<journal-title-group><journal-title>Frontiers in Aging Neuroscience</journal-title>
</journal-title-group>
<issn pub-type="epub">1663-4365</issn>
<publisher><publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25852550</article-id>
<article-id pub-id-type="pmc">4371754</article-id>
<article-id pub-id-type="doi">10.3389/fnagi.2015.00040</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Neuroscience</subject>
<subj-group><subject>Review Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Lower Limb Progressive Resistance Training Improves Leg Strength but Not Gait Speed or Balance in Parkinson’s Disease: A Systematic Review and Meta-Analysis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Tillman</surname>
<given-names>Alex</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/219074"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Muthalib</surname>
<given-names>Makii</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/116170"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Hendy</surname>
<given-names>Ashlee M.</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/219127"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Johnson</surname>
<given-names>Liam G.</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/219131"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Rantalainen</surname>
<given-names>Timo</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kidgell</surname>
<given-names>Dawson J.</given-names>
</name>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/77455"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Enticott</surname>
<given-names>Peter G.</given-names>
</name>
<xref ref-type="aff" rid="aff6"><sup>6</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/23826"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Teo</surname>
<given-names>Wei-Peng</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
<uri xlink:type="simple" xlink:href="http://frontiersin.org/people/u/205722"></uri>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup>
<institution>Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University</institution>
,<addr-line>Burwood, VIC</addr-line>
,<country>Australia</country>
</aff>
<aff id="aff2"><sup>2</sup>
<institution>Movement to Health (M2H) Laboratory, Euromov, University of Montpellier</institution>
,<addr-line>Montpellier</addr-line>
,<country>France</country>
</aff>
<aff id="aff3"><sup>3</sup>
<institution>The Florey Institute of Neuroscience and Mental Health, University of Melbourne</institution>
,<addr-line>Heidelberg, VIC</addr-line>
,<country>Australia</country>
</aff>
<aff id="aff4"><sup>4</sup>
<institution>Institute of Sport, Exercise, and Active Living (ISEAL), Victoria University</institution>
,<addr-line>Melbourne, VIC</addr-line>
,<country>Australia</country>
</aff>
<aff id="aff5"><sup>5</sup>
<institution>Department of Rehabilitation, Nutrition and Sport, School of Allied Health, La Trobe University</institution>
,<addr-line>Melbourne, VIC</addr-line>
,<country>Australia</country>
</aff>
<aff id="aff6"><sup>6</sup>
<institution>Cognitive Neuroscience Unit, School of Psychology, Deakin University</institution>
,<addr-line>Burwood, VIC</addr-line>
,<country>Australia</country>
</aff>
<author-notes><fn fn-type="edited-by"><p>Edited by: Philip P. Foster, The University of Texas Health Science Center at Houston, USA</p>
</fn>
<fn fn-type="edited-by"><p>Reviewed by: Koteswara Rao Valasani, The University of Kansas, USA; Ramesh Kandimalla, Texas Tech University, USA</p>
</fn>
<corresp content-type="corresp" id="cor1">*Correspondence: Wei-Peng Teo, Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Science, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia e-mail: <email>weipeng.teo@deakin.edu.au</email>
</corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to the journal Frontiers in Aging Neuroscience.</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>24</day>
<month>3</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>7</volume>
<elocation-id>40</elocation-id>
<history><date date-type="received"><day>23</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>10</day>
<month>3</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2015 Tillman, Muthalib, Hendy, Johnson, Rantalainen, Kidgell, Enticott and Teo.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract><p>The use of progressive resistance training (PRT) to improve gait and balance in people with Parkinson’s disease (PD) is an emerging area of interest. However, the main effects of PRT on lower limb functions such as gait, balance, and leg strength in people with PD remain unclear. Therefore, the aim of the meta-analysis is to evaluate the evidence surrounding the use of PRT to improve gait and balance in people with PD. Five electronic databases, from inception to December 2014, were searched to identify the relevant studies. Data extraction was performed by two independent reviewers and methodological quality was assessed using the PEDro scale. Standardized mean differences (SMD) and 95% confidence intervals (CIs) of fixed and random effects models were used to calculate the effect sizes between experimental and control groups and <italic>I</italic>
<sup>2</sup>
statistics were used to determine levels of heterogeneity. In total, seven studies were identified consisting of 172 participants (experimental <italic>n</italic>
= 84; control <italic>n</italic>
= 88). The pooled results showed a moderate but significant effect of PRT on leg strength (SMD 1.42, 95% CI 0.464–2.376); however, no significant effects were observed for gait speed (SMD 0.418, 95% CI −0.219 to 1.055). No significant effects were observed for balance measures included in this review. In conclusion, our results showed no discernable effect of PRT on gait and balance measures, although this is likely due to the lack of studies available. It may be suggested that PRT be performed in conjunction with balance or task-specific functional training to elicit greater lower limb functional benefits in people with PD.</p>
</abstract>
<kwd-group><kwd>Parkinson’s disease</kwd>
<kwd>progressive resistance training</kwd>
<kwd>leg strength</kwd>
<kwd>gait speed</kwd>
<kwd>balance</kwd>
</kwd-group>
<funding-group><award-group><funding-source id="cn001">Central Research Grant Scheme</funding-source>
<award-id rid="cn001">RM29471</award-id>
</award-group>
<award-group><funding-source id="cn002">School of Exercise and Nutrition Sciences, Deakin University</funding-source>
</award-group>
<award-group><funding-source id="cn003">Alfred Deakin Postdoctoral Fellowship</funding-source>
</award-group>
<award-group><funding-source id="cn004">NHMRC Career Development Fellowship</funding-source>
</award-group>
</funding-group>
<counts><fig-count count="3"></fig-count>
<table-count count="3"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="40"></ref-count>
<page-count count="10"></page-count>
<word-count count="5931"></word-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Tillman, Alex" sort="Tillman, Alex" uniqKey="Tillman A" first="Alex" last="Tillman">Alex Tillman</name>
</noRegion>
<name sortKey="Enticott, Peter G" sort="Enticott, Peter G" uniqKey="Enticott P" first="Peter G." last="Enticott">Peter G. Enticott</name>
<name sortKey="Hendy, Ashlee M" sort="Hendy, Ashlee M" uniqKey="Hendy A" first="Ashlee M." last="Hendy">Ashlee M. Hendy</name>
<name sortKey="Johnson, Liam G" sort="Johnson, Liam G" uniqKey="Johnson L" first="Liam G." last="Johnson">Liam G. Johnson</name>
<name sortKey="Johnson, Liam G" sort="Johnson, Liam G" uniqKey="Johnson L" first="Liam G." last="Johnson">Liam G. Johnson</name>
<name sortKey="Kidgell, Dawson J" sort="Kidgell, Dawson J" uniqKey="Kidgell D" first="Dawson J." last="Kidgell">Dawson J. Kidgell</name>
<name sortKey="Rantalainen, Timo" sort="Rantalainen, Timo" uniqKey="Rantalainen T" first="Timo" last="Rantalainen">Timo Rantalainen</name>
<name sortKey="Teo, Wei Peng" sort="Teo, Wei Peng" uniqKey="Teo W" first="Wei-Peng" last="Teo">Wei-Peng Teo</name>
</country>
<country name="France"><noRegion><name sortKey="Muthalib, Makii" sort="Muthalib, Makii" uniqKey="Muthalib M" first="Makii" last="Muthalib">Makii Muthalib</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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