Center of Expertise for Parkinson & Movement Disorders, Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.
Curr Neurol Neurosci Rep. 2023 Nov;23(11):695-715. doi: 10.1007/s11910-023-01303-0. Epub 2023 Oct 4.
PURPOSE OF REVIEW: Many studies have identified positive effects of physiotherapy and exercise for persons with Parkinson's disease (PD). Most work has thus far focused on the therapeutic modality of exercise as used within physiotherapy programs. Stimulated by these positive findings, there is now a strong move to take exercise out of the clinical setting and to deliver the interventions in the community. Although the goals and effects of many such community-based exercise programs overlap with those of physiotherapy, it has also become more clear that both exercise modalities also differ in various ways. Here, we aim to comprehensively review the evidence for community-based exercise in PD. RECENT FINDINGS: Many different types of community-based exercise for people with PD are emerging and they are increasingly being studied. There is a great heterogeneity considering the types of exercise, study designs, and outcome measures used in research on this subject. While this review is positive regarding the feasibility and potential effects of community-based exercise, it is also evident that the general quality of these studies needs improvement. By focusing on community-based exercise, we hope to generate more knowledge on the effects of a wide range of different exercise modalities that can be beneficial for people with PD. This knowledge may help people with PD to select the type and setting of exercise activity that matches best with their personal abilities and preferences. As such, these insights will contribute to an improved self-management of PD.
目的综述:许多研究已经确定了物理疗法和运动对帕金森病(PD)患者的积极影响。迄今为止,大多数工作都集中在物理治疗计划中使用的运动治疗模式上。受这些积极发现的启发,现在有一种强烈的趋势是将运动从临床环境中分离出来,并在社区中提供干预措施。尽管许多此类基于社区的运动计划的目标和效果与物理治疗重叠,但也越来越清楚的是,这两种运动模式在各个方面也存在差异。在这里,我们旨在全面回顾 PD 社区运动的证据。
最近的发现:针对 PD 患者的许多不同类型的基于社区的运动正在出现,并且越来越多的研究正在进行。考虑到用于该主题研究的运动类型、研究设计和结果测量,存在很大的异质性。虽然这篇综述对基于社区的运动的可行性和潜在效果是积极的,但也明显看出这些研究的总体质量需要提高。通过关注基于社区的运动,我们希望生成更多关于广泛不同运动模式效果的知识,这些模式对 PD 患者有益。这些知识可以帮助 PD 患者选择最适合他们个人能力和喜好的运动类型和环境。因此,这些观点将有助于改善 PD 的自我管理。
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