以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (9): 37-42.doi: 10.16460/j.issn1008-9969.2023.09.037

Previous Articles     Next Articles

Best evidence summary for exercise management for patients in early and middle stage of Parkinson's disease

YANG Yan1a, DONG Si-qin1a, ZHAO Bao-sheng2, LI Zhen-xiang1b   

  1. 1a. Dept. of Geriatric Neurology; b. Dept. of Outpatient, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China;
    2. School of Nursing and Rehabilitation, Shandong University, Jinan 250012, China
  • Received:2022-11-12 Online:2023-05-10 Published:2023-06-08

PDF (PC)

626

Like

Abstract: Objective To retrieve and summarize the best evidence for exercise management for patients in the early and middle stage of Parkinson's disease and to provide exercise guidance for patients with Parkinson's disease. Methods Evidence-based problems were identified and we searched UpToDate, JBI, BMJ, NGC, NICE, RNAO, GIN, Cochrane Library, PubMed, Web of Science, Embase, PEDro, CNKI, Wanfang Data, VIP, CBM, APDA and APTA for eligible literature. Two researchers independently appraised articles and extracted data. Results A total of 18 articles were eligible, including 4 guidelines, 2 expert consensuses, 11 systematic reviews and 1 systematic review, and 29 pieces of evidence were summarized into 6 aspects: exercise timing, assessment and testing, exercise implementation, safety, health education and effect evaluation. Conclusion Exercise can alleviate symptoms of Parkinson's disease. Personalized exercise programs for patients in accordance with the assessment and the situation of patients are conducive to slowing down the disease progression and improving the quality of life.

Key words: Parkinson's disease, exercise, evidence summary, evidence-based nursing

CLC Number: 

  • R473.74
[1] Li G, Ma J, Cui S, et al.Parkinson's disease in China: a forty-year growing track of bedside work[J]. Transl Neurodegener, 2019,8(1):22.DOI:10.1186/s40035-019-0162-z.
[2] 张世西,何月月,尹安春,等.帕金森病患者照顾者照护体验质性研究的Meta整合[J].护理学报,2020,27(22):45-51.DOI:10.16460/j.issn1008-9969.2020.22.045.
[3] Mak MK, Wong-Yu IS, Shen X, et al.Long-term effects of exercise and physical therapy in people with Parkinson disease[J].Nat Rev Neurol, 2017,13(11):689-703.DOI:10.1038/nrneurol.2017.128.
[4] Reynolds GO, Otto MW, Ellis TD, et al.The therapeutic potential of exercise to improve mood, cognition, and sleep in Parkinson's disease[J]. Mov Disord, 2016,31(1):23-38.DOI:10.1002/mds.26484.
[5] 赵青, 龚英, 王志琼, 等. 帕金森健康操对帕金森病患者运动功能的干预研究[J]. 护理学报, 2020,27(4):52-56.DOI:10.16460/j.issn1008-9969.2020.04.052.
[6] Canning CG, Sherrington C, Lord SR, et al.Exercise for falls prevention in Parkinson disease: a randomized controlled trial[J]. Neurology, 2015,84(3):304-312.DOI:10.1212/WNL.0000000000001155.
[7] 杨晓梅, 徐岩, 孙圣刚, 等. 帕金森病实施个体化运动处方的建议[J]. 临床内科杂志, 2021,38(3):208-210.DOI:10.3969/j.issn.1001-9057.2021.03.021.
[8] 王翔宇, 董青, 董双双, 等. 八段锦联合平衡训练改善帕金森病运动和非运动症状的效果[J]. 中国康复理论与实践, 2021,27(1):111-116.DOI:10.3969/j.issn.1006-9771.2021.01.017.
[9] 朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成[J]. 护士进修杂志, 2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[10] Brouwers MC, Kho ME, Browman GP, et al.AGREE II: advancing guideline development, reporting and evaluation in health care[J]. CMAJ, 2010,182(18):E839-E842.DOI:10.1503/cmaj.090449.
[11] 郝玉芳,胡雁. 循证护理学[M]. 北京:人民卫生出版社, 2018.
[12] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志, 2015,30(11):964-967.
[13] Martignon C, Pedrinolla A, Ruzzante F, et al.Guidelines on exercise testing and prescription for patients at different stages of Parkinson's disease[J].Aging Clin Exp Res, 2021,33(2):221-246.DOI:10.1007/s40520-020-01612-1.
[14] Ellis T, DeAngelis TR, Dalton D, et al. A guide to exercise and wellness for people with Parkinson's disease[S]. Boston: American Parkinson Disease Association, 2018.
[15] Keus SHJ, Munneke M, Graziano M, et al.European Physiotherapy Guideline for Parkinson's Disease[S]. Netherlands:KNGF/ParkinsonNet, 2014.
[16] National Institute for Health and Care Excellence.National institute for health and care excellence: clinical guidelines.Parkinson's disease in adults[S]. London: National Institute for Health and Care Excellence, 2017.
[17] Gallo PM, Mendola NM.Exercise prescription recommendations for Parkinson's disease[J]. Strength and Conditioning Journal, 2018, 5(40):126-133.DOI:10.1519/SSC.0000000000000415.
[18] 中华医学会神经病学分会神经康复学组,中国微循环学会神经变性病专业委员会康复学组,中国康复医学会帕金森病与运动障碍康复专业委员会.帕金森病康复中国专家共识[J].中国康复理论与实践,2018,24(7):745-752.DOI:10.3969/j.issn.1006-9771.2018.00.002.
[19] Ban M, Yue X, Dou P, et al.The effects of yoga on patients with Parkinson's disease: a Meta-analysis of randomized controlled trials[J]. Behavioural Neurology,2021(1):1-11.DOI:10.1155/2021/5582488.
[20] Cristini J, Weiss M, De Las Heras B, et al. The effects of exercise on sleep quality in persons with Parkinson's disease:a systematic review with Meta-analysis[J]. Sleep Medicine Reviews,2021, 55(1):101384.DOI:10.1016/j.smrv.2020.101384.
[21] Cugusi L, Manca A, Bergamin M, et al.Aquatic exercise improves motor impairments in people with Parkinson's disease, with similar or greater benefits than land-based exercise: a systematic review[J]. J Physiother, 2019,65(2):65-74.DOI:10.1016/j.jphys.2019.02.003.
[22] De Oliveira MPB, Lobato DFM, Smaili SM, et al.Effect of aerobic exercise on functional capacity and quality of life in individuals with Parkinson's disease: a systematic review of randomized controlled trials[J]. Archives of Gerontology and Geriatrics, 2021, 95(1):104422. DOI:10.1016/j.archger.2021.104422.
[23] Elena P, Demetris S, Christina M, et al.Differences between exergaming rehabilitation and conventional physiotherapy on quality of life in Parkinson's disease: a systematic review and Meta-analysis[J]. Frontiers in Neurology, 2021,12(1):683385.DOI:10.3389/fneur.2021.683385.
[24] Forte R, Tocci N, De Vito G.The impact of exercise intervention with rhythmic auditory stimulation to improve gait and mobility in Parkinson disease: an umbrella review[J]. Brain sciences, 2021,11(6):685.DOI:10.3390/brainsci11060685.
[25] Hasan SM, Alshafie S, Hasabo EA, et al.Efficacy of dance for Parkinson's disease: apooled analysis of 372 patients[J]. J Neurol,2021,3(269):1195-1208.DOI:10.1007/s00415-021-10589-4.
[26] Mehrholz J, Kugler J, Storch A, et al.Treadmill training for patients with Parkinson's disease[J]. Cochrane Database Syst Rev, 2015, 2015(8):D7830. DOI:10.1002/14651858.CD007830.pub3.
[27] Saltychev M, Bärlund E, Paltamaa J, et al.Progressive resistance training in Parkinson's disease: a systematic review and Meta-analysis[J]. BMJ Open, 2016,6(1):e8756.DOI:10.1136/bmjopen-2015-008756.
[28] Shen X, Wong-Yu ISK, Mak MKY.Effects of Exercise on falls, balance, and gait ability in Parkinson's disease[J]. Neurorehabilitation and Neural Repair, 2016, 30(6):512-527.DOI:10.1177/1545968315613447.
[29] Tomlinson CL, Herd CP, Clarke CE, et al.Physiotherapy for Parkinson's disease: a comparison of techniques[J]. Cochrane Database Syst Rev, 2014,2014(6):D2815.DOI:10.1002/14651858.CD002815.pub2.
[30] Hunter H, Lovegrove C, Haas B, et al.Experiences of people with Parkinson's disease and their views on physical activity interventions[J]. JBI Database of Systematic Reviews and Implementation Reports, 2019, 17(4):548-613.DOI:10.11124/JBISRIR-2017-003901.
[31] Mak MK, Wong-Yu IS, Shen X, et al.Long-term effects of exercise and physical therapy in people with parkinson disease[J]. Nat Rev Neurol, 2017,13(11):689-703.DOI:10.1038/nr-neurol.2017.128.
[32] McDonnell, Michelle N. Lee silverman voice treatment (LSVT)-BIG to improve motor function in people with Parkinson's disease: a systematic review and Meta-analysis[J]. Clin Rehabil, 2018, 32(5):607-618. DOI:10.1177/0269215517734385
[33] Dockx K, Bekkers EM, Van den Bergh V, et al. Virtual reality for rehabilitation in Parkinson's disease[J]. Cochrane Database Syst Rev,2016, 12(12):D10760.DOI:10.1002/14651858.C-D010760.pub2.
[34] 彭雨燕. 帕金森患者功能锻炼依从性问卷编制及现状调查[D].南昌:南昌大学,2017.
[35] Picha KJ, Jochimsen KN, Heebner NR, et al.Measurements of self-efficacy in musculos-keletal rehabilitation: a systematic rreview[J]. Musculoskeletal Care, 2018,16(4):471-488.DOI:10.1002/msc.1362.
[36] 裴丽,王燕,张清.中老年运动现状及与焦虑抑郁、运动自我效能的关系[J].中国老年学杂志,2018,38(1):215-217.DOI:10.3969/j.issn.1005-9202.2018.01.091.
[37] 刘雪冰,王艳静. 自我效能护理在提升慢性心力衰竭患者依从性及生活质量中的应用效果[J].慢性病学杂志,2021,22(6):908-909;912. DOI:10.16440/j.cnki.1674-8166.2021.06.027.
[38] 安秀丽,张莉,梁丽娜.个性化健康教育联合同伴支持对老年糖尿病患者自我管理的影响[J].中国老年学杂志,2017,37(12):3054-3056.DOI:10.3969/j.issn.1005-9202.2017.12.089.
[39] Wu PL, Lee M, Huang TT.Effectiveness of physical activity on patients with depression and Parkinson's disease: a systematic review[J]. PLoS One,2017,12(7):e0181515. DOI:10.1371/journal.pone.0181515.
[40] 胡运新,孙永奇,李璇,等.帕金森病睡眠障碍与认知障碍关联性研[J].中国神经精神疾病杂志, 2022, 48(1):14-20.DOI:10.3969/j.issn.1002-0152.2022.01.003.
[1] WANG Li-min, FANG Ji-hong, WU Feng-Qin, ZHU Jing, CHEN Wan-xuan. Mediating effect of kinesiophobia between self-efficacy and early functional exercise compliance in school-age children with limb fractures [J]. Journal of Nursing, 2025, 32(3): 1-5.
[2] LI Ruo-Yu, LIU Xin, LIN Ping, CHEN Dan, LIN Hua. Best evidence summary for medication safety management for discharged patients [J]. Journal of Nursing, 2025, 32(3): 50-55.
[3] YANG Xiao-juan, MAO Xiao-rong, WANG Jing, JIANG Hua, LI Rong, FAN Yu, WEN Qing, LI Lin-zhang, CHEN Xiao-rong. Best evidence summary for early enteral nutrition management in adults with severe burns [J]. Journal of Nursing, 2025, 32(3): 56-61.
[4] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[5] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[6] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[7] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[8] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[9] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[10] WANG Ling, QIN Fang, GAO Yu-lin, ZHEN Li, FENG Ri-xuan, LIU Bing, MA Zheng-wen, XU Xiao-yu, LI Guo-xin. Best evidence summary of transcutaneous electrical acupoint stimulation for postoperative pain [J]. Journal of Nursing, 2024, 31(6): 51-55.
[11] WU Lin-mei, LIANG Zhi-jin, LIU Rui-jie, ZHONG Jing-jing, QIU Yu-hua. Barriers to and facilitators of exercise rehabilitation in patients with COPD: a CFIR-based systematic review [J]. Journal of Nursing, 2024, 31(5): 44-49.
[12] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[13] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
[14] YANG Li-na, HUANG Rong, YAO Mei-qi, WANG Zhu-qing, XU Yi-Ting, XIE Pei-min. Risk prediction models for postpartum breastfeeding behavior interruption: a systematic review [J]. Journal of Nursing, 2024, 31(23): 59-65.
[15] ZHANG Xing-xing, LI Rui-hua, ZHU Mu-lan, LIN Mei-yan, LI Ya-nan, GONG Li-hong, ZENG Hai-ting, ZHEN Li. Best evidence summary for prevention and management of high-output stoma in adult patients with enterostomy [J]. Journal of Nursing, 2024, 31(23): 73-78.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!