Guidelines on exercise testing and prescription for patients at different stages of Parkinson's disease.

Aging Clinical and Experimental Research
Camilla MartignonMassimo Venturelli

Abstract

Exercise is highly recommended in patients with Parkinson's disease (PD). Exercise-induced amelioration of motor, non-motor, and drug-induced symptoms are widely known. However, specific guidelines on exercise testing and prescription in PD are lacking. This study reviews the literature on exercise-based approaches to the management of symptoms at each stage of the disease and evaluate: (1) the most suitable clinical exercise testing; (2) training programs based on testing outcomes and PD stage; (3) the effects of exercise on antiparkinsonian drugs and to suggest the most effective exercise-medication combination. A systematic search was conducted using the databases MEDLINE, Google Scholar and, Cochrane Library using "Parkinson's Disease AND Physical therapy", "Training AND Parkinson", "Exercise", "Exercise AND Drug" as key words. In addition, references list from the included articles were searched and cross-checked to identify any further potentially eligible studies. Of a total of 115 records retrieved, 50 (43%) were included. From these, 23 were included under the rubric "exercise testing"; 20 focused on the effectiveness of different types of exercise in PD motor-functional symptoms and neuroprotective effects, throughout...Continue Reading

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Citations

Nov 10, 2020·Aging Clinical and Experimental Research·Fabio Augusto BarbieriCamila Torriani-Pasin
Jan 4, 2021·Aging Clinical and Experimental Research·Camilla MartignonMassimo Venturelli
May 6, 2021·European Journal of Physical and Rehabilitation Medicine·Cira FundaròRoberto Casale
Sep 25, 2021·Medicine and Science in Sports and Exercise·Camilla MartignonMassimo Venturelli

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