Article

OBJECTIVES: To systematically review the evidence investigating the effectiveness
of resistance training on strength and physical function in people with
Parkinson's disease. DATA SOURCES: Seven electronic databases (COCHRANE, CINAHL,
Medline ISI, Psycinfo, Scopus, Web of Science ISI and Embase) were systematically
searched for full-text articles published in English between 1946 and November
2014 using relevant search terms. METHODS:
Only randomized controlled
trials investigating the effects of resistance training on muscle strength and
physical function in people with Parkinson's disease were considered. The PEDro
scale was used to assess study quality. Studies with similar outcomes were pooled
by calculating standardized mean differences (SMD) using fixed or random effects
model, depending on study heterogeneity. RESULTS: Seven studies, comprising of
401 participants with early to advanced disease (Hoehn & Yahr stage 1 to 4), were
included. The median quality score was 6/10. The meta-analyses demonstrated
significant SMD in favour of resistance training compared to non-resistance
training or no intervention controls for muscle strength (0.61; 95% CI, 0.35 to
0.87; P <0.001), balance (0.36; 95% CI, 0.08 to 0.64; P = 0.01) and parkinsonian
motor symptoms (0.48; 95% CI, 0.21 to 0.75; P < 0.001) but not for gait, balance
confidence and quality of life. CONCLUSION: This review demonstrates that
moderate intensity progressive resistance training, 2-3 times per week over 8-10
weeks can result in significant strength, balance and motor symptoms gains in
people with early to moderate Parkinson's disease.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS