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Progressive resistance training in Parkinson's disease: a systematic review and meta-analysis.

BMJ open
January 1, 1970
Mikhail Saltychev et al. (5 authors)
Journal ArticleMeta-AnalysisReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine if progressive resistance training is effective for rehabilitation in Parkinson's disease compared to other treatments or no treatment.

Results Summary

The study found no evidence supporting the superiority of progressive resistance training over other physical training methods for Parkinson's disease rehabilitation, with pooled effect sizes below minimal clinical significance for outcomes like walking speed and endurance tests.

Population

Adults with primary/idiopathic Parkinson's disease of any severity, excluding other concurrent neurological conditions.

Effective Dosage

Not specified

Duration

None or 1 month follow-up after intervention

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Progressive resistance training
no change
fast walking speed
Adults with primary/idiopathic Parkinson's disease
below the level of minimal clinical significance
Pooled effect sizes of meta-analyses were below the level of minimal clinical significance
#1
Progressive resistance training
no change
comfortable walking speed
Adults with primary/idiopathic Parkinson's disease
below the level of minimal clinical significance
Pooled effect sizes of meta-analyses were below the level of minimal clinical significance
#2
Progressive resistance training
no change
6 min walking test
Adults with primary/idiopathic Parkinson's disease
below the level of minimal clinical significance
Pooled effect sizes of meta-analyses were below the level of minimal clinical significance
#3
Progressive resistance training
no change
Timed Up and Go test
Adults with primary/idiopathic Parkinson's disease
below the level of minimal clinical significance
Pooled effect sizes of meta-analyses were below the level of minimal clinical significance
#4
Progressive resistance training
no change
maximal oxygen consumption
Adults with primary/idiopathic Parkinson's disease
below the level of minimal clinical significance
Pooled effect sizes of meta-analyses were below the level of minimal clinical significance
#5
Progressive resistance training
no change
rehabilitation of Parkinson's disease
Adults with primary/idiopathic Parkinson's disease
-
no evidence on the superiority
#6
Abstract

OBJECTIVES: To investigate if there is evidence on effectiveness of progressive resistance training in rehabilitation of Parkinson disease. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Central, Medline, Embase, Cinahl, Web of Science, Pedro until May 2014. Randomised controlled or controlled clinical trials. The methodological quality of studies was assessed according to the Cochrane Collaboration's domain-based evaluation framework. DATA SYNTHESIS: random effects meta-analysis with test for heterogeneity using the I² and pooled estimate as the raw mean difference. PARTICIPANTS: Adults with primary/idiopathic Parkinson's disease of any severity, excluding other concurrent neurological condition. INTERVENTIONS: Progressive resistance training defined as training consisting of a small number of repetitions until fatigue, allowing sufficient rest between exercises for recovery, and increasing the resistance as the ability to generate force improves. COMPARISON: Progressive resistance training versus no treatment, placebo or other treatment in randomised controlled or controlled clinical trials. PRIMARY AND SECONDARY OUTCOME MEASURES: Any outcome. RESULTS: Of 516 records, 12 were considered relevant. Nine of them had low risk of bias. All studies were randomised controlled trials conducted on small samples with none or 1 month follow-up after the end of intervention. Of them, six were included in quantitative analysis. Pooled effect sizes of meta-analyses on fast and comfortable walking speed, the 6 min walking test, Timed Up and Go test and maximal oxygen consumption were below the level of minimal clinical significance. CONCLUSIONS: There is so far no evidence on the superiority of progressive resistance training compared with other physical training to support the use of this technique in rehabilitation of Parkinson's disease. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO 2014:CRD42014009844.

Medical Subject Headings (MeSH)
AgedFemaleHumansMaleMiddle AgedOxygen ConsumptionParkinson DiseaseResistance TrainingTreatment OutcomeWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations29
Citations/Year3.2
Relative Citation Ratio1.60
NIH Percentile67.3%
Research Impact Scores
APT Score0.75
Weight Score1.72
Normalized Score0.47
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