Effect of manipulating thevariables that shape thestrength training stimulus onmotor symptoms in peoplewith Parkinson’s disease: asystematic review
DOI:
https://doi.org/10.15359/mhs.22-1.19391Keywords:
Neurodegenerative disease, rehabilitation, strength training, Motor symptomsAbstract
Introduction: Parkinson’s disease (PD) is a multisystem
neurodegenerative disease that affects the central
nervous system. People with Parkinson’s disease
(PPD) have both motor and non-motor symptoms.
Physical exercise is one of the most promising nonpharmacological
interventions to complement medical
treatment in PEP. Objective: A systematic review of the
literature was to analyze the effect of muscular strength
training (ST) on motor symptoms and describe how the
variables that shape EF were manipulated in studies
conducted with PEP. Methods: A systematic review of
the literature was conducted according to the guidelines
of the Cochrane Handbook for Systematic Reviews.
Studies were identified by searching four electronic
databases: Web of Science, Scopus, PubMed, and
EBSCOhost. The methodological quality of the selected
articles was evaluated using the PEDro scale checklist.
The included studies obtained a score ≥ 6. Results: The preliminary search yielded 2830 studies. Twenty articles
were considered after reviewing the abstract and full text.
Seven studies were rejected for not recording some of
the required strength training variables and three were
rejected for using supplementary training to strength
training. A total of ten studies met the inclusion criteria.
ST programs were implemented 2 - 3 times per week with
intensities between 30 % - 90 % 1RM, a training volume of
1 - 3 sets and 4 - 20 repetitions, sessions between 35 - 90
minutes with significant improvements in resting tremor,
gait measures, bradykinesia and balance. Conclusions:
Regardless of how the ST stimulus was configured, there
are significant improvements in motor symptoms in PEP.
These results promote the implementation of strength
training in PEP, but due to the low number of studies (10)
and the high variability in the manipulation of the variables
that configure the strength training stimulus, they prevent
us from knowing which the optimal prescription is to
improve the motor symptoms of PEP.
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