Effect of aquatic exercise programs according to the International Classification of Functionality, Disability and Health domains in individuals with Parkinson’s disease: a systematic review and meta-analysis with GRADE quality assessment

Oliveira, Marcos Paulo Braz de; Lima, Carla Rigo; Silva, Sílvia Lanziotti Azevedo da; Figueira, Eluy Cristina Firmino Vaz; Truax, Brendon David; Smaili, Suhaila Mahmoud

doi:10.1080/09638288.2022.2164800

Cited by 5 publications

(1 citation statement)

References 54 publications

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“…Despite their beneficial effects on postural balance, aquatic exercise programs could not significantly affect depressive symptoms in PD patients, as shown in another recent meta-analysis [ 93 ].…”

Section: Non-pharmacological Treatments For Depression In Pdmentioning

confidence: 99%

Pharmacological and Non-Pharmacological Treatments for Depression in Parkinson’s Disease: An Updated Review

et al. 2023

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Depression represents one of the most common non-motor disorders in Parkinson’s disease (PD) and it has been related to worse life quality, higher levels of disability, and cognitive impairment, thereby majorly affecting not only the patients but also their caregivers. Available pharmacological therapeutic options for depression in PD mainly include selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, and tricyclic antidepressants; meanwhile, agents acting on dopaminergic pathways used for motor symptoms, such as levodopa, dopaminergic agonists, and monoamine oxidase B (MAO-B) inhibitors, may also provide beneficial antidepressant effects. Recently, there is a growing interest in non-pharmacological interventions, including cognitive behavioral therapy; physical exercise, including dance and mind–body exercises, such as yoga, tai chi, and qigong; acupuncture; therapeutic massage; music therapy; active therapy; repetitive transcranial magnetic stimulation (rTMS); and electroconvulsive therapy (ECT) for refractory cases. However, the optimal treatment approach for PD depression is uncertain, its management may be challenging, and definite guidelines are also lacking. It is still unclear which of these interventions is the most appropriate and for which PD stage under which circumstances. Herein, we aim to provide an updated comprehensive review of both pharmacological and non-pharmacological treatments for depression in PD, focusing on recent clinical trials, systematic reviews, and meta-analyses. Finally, we discuss the pharmacological agents that are currently under investigation at a clinical level, as well as future approaches based on the pathophysiological mechanisms underlying the onset of depression in PD.

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Section: Non-pharmacological Treatments For Depression In Pdmentioning

confidence: 99%

Pharmacological and Non-Pharmacological Treatments for Depression in Parkinson’s Disease: An Updated Review

et al. 2023

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Exercise Habits in People with Parkinson's: A Multinational Survey

Jagota,

Phutrakool,

Kamble

et al. 2024

Movement Disord Clin Pract

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BackgroundExercise has been demonstrated to result in improvements in physical function, cognition, and quality of life in People with Parkinson's (PwP) but its adoption is variable.ObjectivesTo investigate exercise preferences, levels, influencing factors among a diverse Parkinson's disease (PD) population, to understand exercise adoption patterns and plan informed interventions.MethodsA cross‐sectional survey collected data through online platforms and paper‐based methods. The Exercise Index (ExI) calculated exercise level based on frequency and duration.ResultsOf 2976 PwP, 40.6% exercised regularly, 38.3% occasionally, and 21.2% did not exercise. The overall mean ExI was 18.99 ± 12.37. Factors associated with high exercise levels included exercising in groups (ExI 24–26), weightlifting (ExI 27 (highest)), using muscle‐building equipment (ExI 25–26), and exercising at home following an app (ExI 26). A positive trend between ExI and varied exercise groups, locations, types, and equipment was observed. No expected benefit from exercise achieved the lowest ExI (8). Having at least two exercise‐promoting factors, a bachelor's degree or higher, receiving exercise advice at initial visits, and aged ≤40 years at PD onset were strong predictors of exercise (adjust OR = 7.814; 6.981; 4.170; 3.565). Falls and “other” most troublesome PD symptoms were negative predictors (aOR = 0.359; 0.466). Barriers to exercise did not predict the odds of exercise.ConclusionsThe study shows that PwP's exercise behavior is influenced by their exercise belief, age at PD onset, doctor's advice at initial visits, education level, symptoms, and exercise‐promoting factors. High exercise levels were associated with certain types of exercises and exercising in groups.

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Effect of lower limb resistance training on ICF components in chronic stroke: A systematic review and meta-analysis of RCTs

Pereira,

de Oliveira,

Serrão

et al. 2023

Annals of Physical and Rehabilitation Medicine

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Effect of aquatic exercise programs according to the International Classification of Functionality, Disability and Health domains in individuals with Parkinson’s disease: a systematic review and meta-analysis with GRADE quality assessment

Cited by 5 publications

References 54 publications

Pharmacological and Non-Pharmacological Treatments for Depression in Parkinson’s Disease: An Updated Review

Pharmacological and Non-Pharmacological Treatments for Depression in Parkinson’s Disease: An Updated Review

Exercise Habits in People with Parkinson's: A Multinational Survey

Effect of lower limb resistance training on ICF components in chronic stroke: A systematic review and meta-analysis of RCTs

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