Physical exercise and its effects on people with Parkinson's disease: Umbrella review.

INTRODUCTION: Parkinson's disease is neurodegenerative, complex and progressive, manifesting in a slow and irreversible way. Physical exercise has been proposed as therapeutic alternative to people with Parkinson´s disease. OBJECTIVE: To synthesize knowledge about the effects of physical exercise on people with Parkinson´s Disease as presented by published systematic reviews. METHODS: Nine electronic databases and two grey literature databases were searched for systematic reviews reporting the effects of physical exercises on people with Parkinson´s Disease. Searches involved a two-phase process, by, at least, two independent reviewers. Methodological quality of the included systematic reviews was assessed using AMSTAR-2. RESULTS: From 2,122 systematic reviews, 139 were included. Motor outcomes were assessed in 91% of the studies, with balance being the most studied. Non-motor outcomes were assessed in 68% of the studies, with emphasis on quality of life. Physical exercises were classified into five categories: aerobic exercises, strength, combined, sensorimotor activities and other activity protocols. Findings of the systematic reviews suggest that all exercise categories can be prescribed to improve balance and mobility, while combined exercises, strength, and specific activities improve both motor and non-motor outcomes, and aerobic exercise and sensorimotor activities improve motor outcomes. CONCLUSION: Current evidence from systematic reviews suggests that physical exercises impacts both motor and non-motor outcomes in people with Parkinson´s Disease. Limits in evidence provided by the systematic reviews were related to methodological issues and to the description of the interventions and must be considered to improve decision-making and clinical application.

Physical exercise interventions for people with Parkinson's disease: a bibliometric review of systematic reviews / Intervenções de exercícios físicos para pessoas com doença de Parkinson: uma revisão bibliométrica de revisões sistemáticas

This bibliometric study aimed to characterize published systematic reviews assessing the effects of physical exercise on people with Parkinson's disease. Eligible studies were searched in Web of Science, Scopus, Cochrane Library, and MEDLINE via PubMed databases. No date or language restrictions were applied. Studies were selected based on the inclusion criteria, and the results were uploaded to Bibliometrix 4.0 for R for bibliometric analysis. A total of 146 studies were included in the analysis, with the first one having been published in 2005. The annual growth rate was 14.72%, with an average publication time of 3.72 years. Themes based on indexed keywords represented elements of the PICO question, namely Parkinson's disease, exercise, therapy, rehabilitation, and outcomes such as gait, balance, and quality of life. A considerable number of systematic reviews addressing the effects of physical exercise interventions on people with Parkinson's disease have been published since the mid-2000s. Systematic reviews were first published by countries with long-established older populations. Exercise-based interventions and their effects on gait, balance, and quality of life in people with Parkinson's disease have been the focus of the most recent reviews

Este estudo bibliométrico teve como objetivo caracterizar as revisões sistemáticas que avaliaram os efeitos do exercício físico em pessoas com doença de Parkinson. Estudos elegíveis foram pesquisados nas bases de dados Web of Science, Scopus, Biblioteca Cochrane e United States National Library of Medicine ­ MEDLINE via PubMed. Nenhuma restrição de data ou idioma foi adotada. Os estudos foram selecionados com base nos critérios de inclusão, e os resultados foram carregados no Bibliometrix 4.0 para R para análise bibliométrica. No total, foram incluídos 146 estudos na análise, o primeiro dos quais foi publicado em 2005. Verificou-se taxa de crescimento anual de 14,72%, com tempo médio de publicação de 3,72 anos. Temas baseados em palavras-chave indexadas representam elementos da questão problema, intervenção, controle e outcome ­ PICO, ou seja, doença de Parkinson, exercício, terapia, reabilitação e resultados, como marcha, equilíbrio e qualidade de vida. Um número considerável de revisões sistemáticas que abordam o efeito de intervenções de exercícios físicos em pessoas com doença de Parkinson foi publicado desde meados dos anos 2000. Revisões sistemáticas foram publicadas pela primeira vez por países com uma população idosa estabelecida há muito tempo. Intervenções baseadas em exercícios e seus efeitos na marcha, no equilíbrio e na qualidade de vida de pessoas com doença de Parkinson têm sido o foco das revisões mais recentes