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dc.contributor.authorKarpodini, Claire Chrysanthipt_BR
dc.contributor.authorDinas, Petros Cpt_BR
dc.contributor.authorAngelopoulou, Efthaliapt_BR
dc.contributor.authorWyon, Matthewpt_BR
dc.contributor.authorHaas, Aline Nogueirapt_BR
dc.contributor.authorBougiesi, Mariapt_BR
dc.contributor.authorPapageorgiou, Sokratis G.pt_BR
dc.contributor.authorKoutedakis, Yiannispt_BR
dc.date.accessioned2023-08-30T03:59:28Zpt_BR
dc.date.issued2022pt_BR
dc.identifier.issn1664-2295pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/264078pt_BR
dc.description.abstractObjectives: The aim of the present systematic review and meta-analysis was to synthesize evidence associated with the functional and clinical effectiveness of rhythmic cueing, dance, or resistance training (RT) on motor and non-motor parameters in Parkinson's Disease patients, and to provide a comparative perspective not offered by existing systematic reviews. Methodology: Eligibility criteria for selecting studies retained no restrictions in methodological design and included interventions of rhythmic cueing, dance, RT, and measurements of motor and non-motor parameters. Animal studies, reviews, editorials, conferences, magazines, and gray literature articles were excluded. Two independent investigators searched Cochrane Library, Medline, PubMed, and SPORTDiscus from the date of their inception until 1 June 2021. The ROBINS-I tool was employed for the non-randomized controlled trials, and the updated for Risk of Bias 2 tool of Cochrane Library used for randomized controlled trials. For meta-analyses, the RevMan 5.4.13 software was used. For incompatible meta-analysis studies, a narrative data synthesis was conducted. Results: A total of 49 studies included in the systematic review involving 3767 PD participants. Meta-analyses revealed that rhythmic cueing training assists gait velocity (p = 0.01), stride length (p = 0.01), and motor symptoms (p = 0.03). Similarly, dance training benefits stride length (p = 0.05), lower extremity function-TUG (p = 0.01), and motor symptoms (p = 0.01), whilst RT improves lower extremity function-TUG (p = 0.01), quality of life (p = 0.01), knee flexion (p = 0.02), and leg press (p = 0.01). Subgroup analyses have shown non-significant differences in gait velocity (p = 0.26), stride length (p = 0.80), functional mobility-TUG (p = 0.74), motor symptoms-UPDRS-III (p = 0.46), and quality of life-PDQ39 (p = 0.44). Conclusion: Rhythmic cueing, dance, or RT positively affect the examined outcomes, with rhythmic cueing to be associated with three outcomes (Gait, Stride, and UPDRS-III), dance with three outcomes (TUG, Stride, and UPDRS-III), and RT with two outcomes (TUG and PDQ-39). Subgroup analyses confirmed the beneficial effects of these forms of exercise. Clinicians should entertain the idea of more holistic exercise protocols aiming at improving PD manifestations.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofFrontiers in neurology. [Lausanne]. Vol. 13 (Jan. 2022), 875178, 14 p.pt_BR
dc.rightsOpen Accessen
dc.subjectParkinson’s diseaseen
dc.subjectDoença de Parkinsonpt_BR
dc.subjectRhythmen
dc.subjectDançapt_BR
dc.subjectDanceen
dc.subjectForça muscularpt_BR
dc.subjectStrengthen
dc.subjectRitmopt_BR
dc.subjectRevisão sistemáticapt_BR
dc.subjectSystematic reviewen
dc.subjectMeta análisept_BR
dc.subjectMeta-analysen
dc.titleRhythmic cueing, dance, resistance training, and Parkinson's disease : a systematic review and meta-analysispt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001168371pt_BR
dc.type.originEstrangeiropt_BR


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