Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis
Objective: To assess which type of physical exercise intervention has the most beneficial effects on balance, postural stability and general mobility in patients with Parkinson’s disease. These parameters were assessed using the Activities-specific Balance Confidence (ABC) scale, Berg Balance Scale...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2024-02-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/10329 |
| _version_ | 1827366549002911744 |
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| author | Patricia Lorenzo-García Iván Cavero-Redondo Sergio Núñez de Arenas-Arroyo María José Guzmán-Pavón Susana Priego-Jiménez Celia Álvarez-Bueno |
| author_facet | Patricia Lorenzo-García Iván Cavero-Redondo Sergio Núñez de Arenas-Arroyo María José Guzmán-Pavón Susana Priego-Jiménez Celia Álvarez-Bueno |
| author_sort | Patricia Lorenzo-García |
| collection | DOAJ |
| description | Objective: To assess which type of physical exercise intervention has the most beneficial effects on balance, postural stability and general mobility in patients with Parkinson’s disease. These parameters were assessed using the Activities-specific Balance Confidence (ABC) scale, Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (MiniBESTest) and Timed Up and Go Test (TUG).
Design: Network meta-analysis.
Methods: The PubMed, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched up to August 2022 to identify randomized controlled trials on the effects of physical exercise interventions on balance, postural stability, and general mobility. The network meta-analysis included pairwise and indirect comparisons of results on the ABC scale, BBS, MiniBESTest, and TUG across 8 categories of physical exercise.
Results: Eighty-six studies with a total of 4,693 patients were included. For the ABC scale, the indirect comparison showed that the highest effect size was observed for balance vs sensorimotor training without including endurance interventions (0.62; 95% confidence interval (95% CI) 0.06, 1.17). The highest effect sizes for BBS were observed for alternative exercises (1.21; 95% CI 0.62, 1.81), body-weight supported (BWS) interventions (1.31; 95% CI 0.57, 2.05), dance (1.18; 95% CI 0.33, 2.03) and sensorimotor training, including endurance interventions (1.10; 95% CI 0.46, 1.75) vs control groups. Indirect comparisons showed that the highest effect size for the MiniBESTest were observed for balance (0.75; 95% CI 0.46, 1.04) and resistance (0.58; 95% CI 0.10, 1.07) vs control groups. For the TUG, comparisons showed a significant effect size for alternative exercises (–0.54; 95% CI –0.82, –0.26), balance (–0.42; 95% CI –0.75, –0.08), resistance (–0.60; 95% CI –0.89, –0.31), and sensorimotor training including endurance interventions (–0.61; 95% CI –0.95, –0.27) vs control comparisons.
Conclusion: Balance interventions improve balance, postural stability, and general mobility in people with Parkinson’s disease. Moreover, alternative exercises, dance, BWS interventions, resistance, and sensorimotor training, including and not including endurance interventions, are also effective.
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| first_indexed | 2024-03-08T08:51:01Z |
| format | Article |
| id | doaj.art-1bc16e000d234ab9baea50e71fe7a286 |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-03-08T08:51:01Z |
| publishDate | 2024-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-1bc16e000d234ab9baea50e71fe7a2862024-02-01T08:35:06ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812024-02-015610.2340/jrm.v56.10329Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysisPatricia Lorenzo-García0Iván Cavero-Redondo1Sergio Núñez de Arenas-Arroyo2María José Guzmán-Pavón3Susana Priego-Jiménez4Celia Álvarez-Bueno5Universidad de Castilla La Mancha, Health and Social Research Center, Cuenca, SpainUniversidad de Castilla La Mancha, Health and Social Research Center, Cuenca, Spain; Facultad de Ciencias de La Salud, Universidad Autónoma de Chile, Talca, ChileUniversidad de Castilla La Mancha, Health and Social Research Center, Cuenca, SpainUniversidad de Castilla-La Mancha, Faculty of Physiotherapy and Nursing, Toledo, SpainHospital Virgen de la Luz, Hermandad de Donantes de Sangre, Cuenca, SpainUniversidad de Castilla La Mancha, Health and Social Research Center, Cuenca, Spain; Universidad Politécnica y Artística del Paraguay, Asunción, ParaguayObjective: To assess which type of physical exercise intervention has the most beneficial effects on balance, postural stability and general mobility in patients with Parkinson’s disease. These parameters were assessed using the Activities-specific Balance Confidence (ABC) scale, Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (MiniBESTest) and Timed Up and Go Test (TUG). Design: Network meta-analysis. Methods: The PubMed, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched up to August 2022 to identify randomized controlled trials on the effects of physical exercise interventions on balance, postural stability, and general mobility. The network meta-analysis included pairwise and indirect comparisons of results on the ABC scale, BBS, MiniBESTest, and TUG across 8 categories of physical exercise. Results: Eighty-six studies with a total of 4,693 patients were included. For the ABC scale, the indirect comparison showed that the highest effect size was observed for balance vs sensorimotor training without including endurance interventions (0.62; 95% confidence interval (95% CI) 0.06, 1.17). The highest effect sizes for BBS were observed for alternative exercises (1.21; 95% CI 0.62, 1.81), body-weight supported (BWS) interventions (1.31; 95% CI 0.57, 2.05), dance (1.18; 95% CI 0.33, 2.03) and sensorimotor training, including endurance interventions (1.10; 95% CI 0.46, 1.75) vs control groups. Indirect comparisons showed that the highest effect size for the MiniBESTest were observed for balance (0.75; 95% CI 0.46, 1.04) and resistance (0.58; 95% CI 0.10, 1.07) vs control groups. For the TUG, comparisons showed a significant effect size for alternative exercises (–0.54; 95% CI –0.82, –0.26), balance (–0.42; 95% CI –0.75, –0.08), resistance (–0.60; 95% CI –0.89, –0.31), and sensorimotor training including endurance interventions (–0.61; 95% CI –0.95, –0.27) vs control comparisons. Conclusion: Balance interventions improve balance, postural stability, and general mobility in people with Parkinson’s disease. Moreover, alternative exercises, dance, BWS interventions, resistance, and sensorimotor training, including and not including endurance interventions, are also effective. https://medicaljournalssweden.se/jrm/article/view/10329Parkinson diseaseexercisephysical activity modalitiespostural balancemobility limitation |
| spellingShingle | Patricia Lorenzo-García Iván Cavero-Redondo Sergio Núñez de Arenas-Arroyo María José Guzmán-Pavón Susana Priego-Jiménez Celia Álvarez-Bueno Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis Journal of Rehabilitation Medicine Parkinson disease exercise physical activity modalities postural balance mobility limitation |
| title | Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis |
| title_full | Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis |
| title_fullStr | Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis |
| title_full_unstemmed | Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis |
| title_short | Effects of physical exercise interventions on balance, postural stability and general mobility in Parkinson’s disease: a network meta-analysis |
| title_sort | effects of physical exercise interventions on balance postural stability and general mobility in parkinson s disease a network meta analysis |
| topic | Parkinson disease exercise physical activity modalities postural balance mobility limitation |
| url | https://medicaljournalssweden.se/jrm/article/view/10329 |
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