Article

Motor and nonmotor symptoms associated with Parkinson disease place individuals
at greater risk of sedentary behaviors and comorbidities. Physical activity is
one modifiable means of improving health and reducing the risk of morbidity. We
applied a behavioral framework to classify existing research on physical activity
and Parkinson disease to describe the current evolution and inform knowledge gaps
in this area. Research placed in phase 1 establishes links between physical
activity and health-related outcomes; phase 2 develops approaches to quantify
physical activity behavior; phase 3 identifies factors associated with
implementation of physical activity behaviors; phase 4 assesses the effectiveness
of interventions to promote activity; and phase 5 disseminates evidence-based
recommendations. Peer-reviewed literature was identified by searching PubMed,
Google Scholar, and EBSCO-host. We initially identified 287 potential articles.
After further review, we excluded 109 articles, leaving 178 included articles. Of
these, 75.84% were categorized into phase 1 (n = 135), 10.11% in phase 2 (n =
18), 9.55% into phase 3 (n = 17), 3.37% into phase 4 (n = 6),
and 1.12% into
phase 5 (n = 2). By applying the behavioral framework to the physical activity
literature for people with Parkinson disease, we suggest this area of research is
nascent with more than 75% of the literature in phase 1.
LEVEL OF EVIDENCE: III.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS