Article

OBJECTIVES: To review and quantify the effect of exercise on depression in adults
with neurologic disorders. DATA SOURCES: CINAHL, Cochrane Register of Controlled
Clinical Trials, EMBASE, ERIC, MEDLINE, PsycINFO, PubMed, and SPORTDiscus were
searched, with the last search performed in May 2014.
STUDY SELECTION: Included
were randomized controlled trials conducted in adults with a diagnosed neurologic
disorder that compared an exercise intervention group with a control group and
used depression as an outcome measure. DATA EXTRACTION: Depression data were
extracted independently by 2 authors. Methodological quality was assessed
independently by 2 authors. DATA SYNTHESIS: Forty-three full-length articles were
reviewed, and 26 trials met our inclusion criteria. These trials represented 1324
participants with 7 different neurologic disorders: Alzheimer disease (n=4
trials), migraine (n=1), multiple sclerosis (n=13), Parkinson disease (n=2),
spinal cord injury (n=1), stroke (n=2), and traumatic brain injury (n=3). Data
measuring depression were extracted and effect sizes were computed for 23 trials.
Results from a meta-analysis yielded an overall effect size of .28 (SE=.07; 95%
confidence interval, .15-.41; P=.00) favoring a reduction in depression outcomes
after an exercise intervention compared with the control condition. Of note,
interventions that met physical activity guidelines yielded an overall effect of
.38 compared with .19 for studies that did not meet physical activity guidelines.
CONCLUSIONS: This review provides evidence that exercise, particularly when
meeting physical activity guidelines, can improve depressive symptoms in adults
with neurologic disorders.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS