scholarly journals Disease‐inclusive exercise classes improve physical fitness and reduce depressive symptoms in individuals with and without Parkinson's disease—A feasibility study

2021 ◽  
Author(s):  
Tim Stuckenschneider ◽  
Vera Abeln ◽  
Tina Foitschik ◽  
Thomas Abel ◽  
Maria Cristina Polidori ◽  
...  
2021 ◽  
pp. 026921552199517
Author(s):  
Runze Li ◽  
Yanran Zhang ◽  
Yunxia Jiang ◽  
Mengyao Wang ◽  
Wei How Darryl Ang ◽  
...  

Objective: To examine the effectiveness of rehabilitation training based on virtual reality in improving balance, quality of life, activities of daily living, and depressive symptoms of patients with Parkinson’s disease. Data sources: PubMed, EMBASE, CINAHL, Scopus, Cochrane Library, PsycINFO, ProQuest, Physiotherapy Evidence Database, IEEE Xplore, China National Knowledge Infrastructure, Wanfang, and VIP Information databases were searched from their inception to October 15, 2020. Trial registries, gray literature, and target journals were also searched. Methods: Eligible randomized controlled trials included studies with patients with Parkinson’s disease in rehabilitation training based on virtual reality. Comprehensive Meta-Analysis 3.0 software was used. Physiotherapy Evidence Database Scale and the Grading of Recommendation, Assessment, Development, and Evaluation system were used to assess the methodological quality of individual trials and the overall quality of the evidence, respectively. Results: A total of 22 randomized controlled trials with 836 patients were included. Meta-analysis revealed that training significantly improved balance ( g = 0.66, P < 0.001), quality of life ( g = 0.28, P = 0.015), activities of daily living ( g = 0.62, P < 0.001), and depressive symptoms ( g = 0.67, P = 0.021) compared to the control group. Subgroup analysis indicated that training should utilize video game consoles. Meta-regression analyses showed that age, sessions, and frequency of training had statistically significant impacts on balance scores. Quality of individual trials was high and overall evidence ranged from very low to low. Conclusion: Virtual rehabilitation training could be adopted in healthcare institutions as supplementary training for patients with Parkinson’s disease.


1990 ◽  
Vol 53 (4) ◽  
pp. 275-278 ◽  
Author(s):  
S J Huber ◽  
D L Freidenberg ◽  
G W Paulson ◽  
E C Shuttleworth ◽  
J A Christy

2016 ◽  
Vol 22 ◽  
pp. e57
Author(s):  
Maria Stella Pisciotta ◽  
Davide Liborio Vetrano ◽  
Vincenzo Brandi ◽  
Maria Rita Lo Monaco ◽  
Alice Laudisio ◽  
...  

2017 ◽  
Vol 268 ◽  
pp. 45-49 ◽  
Author(s):  
Toomas Toomsoo ◽  
René Randver ◽  
Inga Liepelt-Scarfone ◽  
Liis Kadastik-Eerme ◽  
Toomas Asser ◽  
...  

2007 ◽  
Vol 13 ◽  
pp. S51
Author(s):  
P. Barone ◽  
C.G. Goetz ◽  
J.J. Houben ◽  
J. Köster ◽  
A.F.G. Leentjens ◽  
...  

2021 ◽  
Author(s):  
Aoji Xie ◽  
Elizabeth Ensink ◽  
Peipei Li ◽  
Juozas Gordevicius ◽  
Lee L. Marshall ◽  
...  

Background The gut microbiome and its metabolites can impact brain health and are altered in Parkinson's disease (PD) patients. It has been recently demonstrated that PD patients have reduced fecal levels of the potent epigenetic modulator butyrate and its bacterial producers. Here, we investigate whether the changes in the gut microbiome and associated metabolites are linked to PD symptoms and epigenetic markers in leucocytes and neurons. Methods Stool, whole blood samples, and clinical data were collected from 55 PD patients and 55 controls. We performed DNA methylation analysis on whole blood samples and analyzed the results in relation to fecal short-chain fatty acid concentrations and microbiota composition. In another cohort, prefrontal cortex neurons were isolated from control and PD brains. We identified the genome-wide DNA methylation by targeted bisulfite sequencing. Results We show that lower fecal butyrate and reduced Roseburia, Romboutsia, and Prevotella counts are linked to depressive symptoms in PD patients. Genes containing butyrate-associated methylation sites include PD risk genes and significantly overlap with sites epigenetically altered in PD blood leucocytes, predominantly neutrophils, and in brain neurons, relative to controls. Moreover, butyrate-associated methylated-DNA (mDNA) regions in PD overlap with those altered in gastrointestinal, autoimmune, and psychiatric diseases.


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