Strength training improves the respiratory muscle strength and quality of life of elderly with Parkinson disease

Alves, Wilson; Alves, Thiago; Ferreira, Renilson Moraes; Lima, Tiago Alencar de; Pimentel, Clebson Pantoja; Sousa, Eduinetty Ceci Pereira Moreira de; Abrahin, Odilon; Alves, Erik Artur Cortinhas

doi:10.23736/s0022-4707.19.09509-4

Cited by 20 publications

(27 citation statements)

References 30 publications

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“…Table 2 summarises the risk of bias in included studies, with six RCTs identified at low risk [1,42,47,61,64,65 and three identified at high risk of bias [44,47,63. The three nonrandomised control trials were rated as having moderate quality [43,45,62.…”

Section: Resultsmentioning

confidence: 99%

“…In total, studies included 371 participants with PD, 210 were male and 161 were female. Each study used the Hoehn and Yahr classification to measure disease severity, reporting number of participants in each stage ( n = 230) [43–47,61–63 or providing an average score ( n = 141) [1,42,64,65. The minimum number of participants with PD in any study was 13 [43 and maximum was 75 [62.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies targeted respiratory muscles, two evaluating the effects of inspiratory muscle strength training [44,63, three evaluating expiratory muscle strength training [43,44,65 and one evaluating both inspiratory muscle strength training and expiratory muscle strength training combined with air stacking [45. Five studies addressed more general exercise‐based interventions: aerobic exercise and qigong [47, iyengar yoga [46, exergaming and functional training [64, cycling and functional training [1 and general strength training [61. Functional training was defined as an exercise‐based intervention incorporating functional activities including walking, range of movement exercises, balance, stepping and gait training.…”

Section: Resultsmentioning

confidence: 99%

“…The studies contributing to this finding in the systematic review evaluated strength training [61, aerobic training in the form of exergaming [64 and mixed aerobic and strength training by means of functional training [64. Although general strength training interventions have been shown to increase inspiratory muscle strength through abdominal strengthening and concurrent activation of respiratory muscles with increased effort [61, the study included in this review reported a nonsignificant finding [61. Aerobic exercise at a moderate to vigorous intensity has also been shown to improve inspiratory muscle strength in other conditions [80,83, where the higher oxygen demand placed on the body during aerobic exercise corresponds with an increased rate and depth of breathing through thoracic expansion and diaphragmatic excursion.…”

Section: Discussionmentioning

confidence: 99%

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Nonpharmacological interventions for respiratory health in Parkinson’s disease: A systematic review and meta‐analysis

McMahon

Blake

Lennon

2020

Euro J of Neurology

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Background and purpose Respiratory dysfunction in Parkinson’s disease (PD) is often an underdiagnosed and untreated impairment associated with the disease. Clinically, a reactive approach to respiratory morbidity is taken, rather than preventative approaches that address underlying impairment/s. This systematic review identifies the current evidence to support nonpharmacological interventions to improve respiratory impairments in individuals with PD. Methods The relevant literature was searched using a customised and systematic strategy. Randomised and nonrandomised control trials of nonpharmacological interventions targeting respiratory outcome measures in PD were included. Outcomes of interest were respiratory morbidity and mortality, respiratory muscle strength, spirometry measures, lung volumes, peak cough flow, and perception of dyspnoea. Results Nonpharmacological interventions included: functional training, generalised strength training, respiratory muscle strength training, aerobic exercise, qigong, yoga, breath stacking, incentive spirometry and singing. Methodological quality of included studies varied. Meta‐analyses of nonpharmacological interventions demonstrated significant effects for inspiratory muscle strength (mean difference [MD] 19.68; confidence interval [CI] 8.49, 30.87; z = 3.45; p = 0.0006; I2 = 2%), expiratory muscle strength (MD 18.97; CI 7.79, 30.14; z = 3.33; p = 0.0009; I2 = 23%) and peak expiratory flow (MD 72.21; CI 31.19, 113.24; z = 3.45; p = 0.0006; I2 = 0%). Best‐evidence synthesis identified level 1 evidence supporting nonpharmacological interventions for improving peak cough flow and perceived dyspnoea. No studies were identified reporting outcomes of respiratory rate, inspiration:expiration ratio or respiratory morbidity or mortality in PD. Conclusions Nonpharmacological interventions improved respiratory muscle strength and peak expiratory flow in PD. Additional trials targeting respiratory dysfunction and longitudinal studies examining the relationship between respiratory dysfunction and morbidity and mortality rates in PD are required.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Nonpharmacological interventions for respiratory health in Parkinson’s disease: A systematic review and meta‐analysis

McMahon

Blake

Lennon

2020

Euro J of Neurology

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“…In fact, elderly people with Parkinson's underwent strength training for 4 months and were compared with a control group (passive) in terms of respiratory muscle strength and quality of life. The result was that the older people who underwent active neurorehabilitation looked significantly better [26]. For this reason, the development of this type of protocol could be of interest, since previous studies with different degenerative pathologies and, in turn with effective results, have been shown.…”

Section: Medium-term Effectsmentioning

confidence: 99%

The Effectiveness of Therapeutic Physical Exercise in Patients with Amyotrophic Lateral Sclerosis in Relation to the Alsfrs-R Functionality Scale: A Systematic Review

Ortega-Hombrados¹,

Torres²,

Galán-Mercant³

et al. 2020

Preprint

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Background: to analyze the changes that a therapeutic physical exercise program is capable of causing in the functionality of patients suffering from ALS and in addition, to analyze the respiratory capacity. Methods: a systematic review of the PubMed, SCOPUS, Cochrane, SciELO, PEDro, CINAHL and MEDline databases is carried out. The information was filtered using the following MeSH terms: "Amyotrophic lateral sclerosis", "Physical Therapy", "Physical and Rehabilitation Medicine". Clinical trials published in the last 5 years were included in which one of the interventions was therapeutic physical exercise in patients with ALS, which included the ALSFRS-R as a result variable. Results: 10 clinical trials with a total of 421 patients were analyzed, of which 183 underwent rehabilitation with physical exercise and were part of the case group; the rest belong to the control group and their treatment was mostly passive. The observed trend is of a decrease of approximately 6 points in the ALSFRS-R scale at 6 months in the case groups; however, no behavior pattern was met in the controls. Conclusions: Therapeutic physical exercise could contribute to slow down the deterioration of the musculature of people with ALS, thus facilitating the performance of their daily activities.What do you want to do ?New mailCopy

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Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis

Ernst

Folkerts

Gollan

et al. 2023

Cochrane Database of Systematic Reviews

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Strength training improves the respiratory muscle strength and quality of life of elderly with Parkinson disease

Cited by 20 publications

References 30 publications

Nonpharmacological interventions for respiratory health in Parkinson’s disease: A systematic review and meta‐analysis

Nonpharmacological interventions for respiratory health in Parkinson’s disease: A systematic review and meta‐analysis

The Effectiveness of Therapeutic Physical Exercise in Patients with Amyotrophic Lateral Sclerosis in Relation to the Alsfrs-R Functionality Scale: A Systematic Review

Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis

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