THE EFFECTS OF PHYSICAL EXERCISE ON THE PREVENTION OF FALLS IN PATIENTS WITH PARKINSON'S DISEASE: AN INTEGRATIVE REVIEW OF THE SCIENTIFIC LITERATURE

Main Article Content

Vanessa Vicente-Cabedo
https://orcid.org/0009-0007-9516-5009
Víctor Ortíz-Mallasén
https://orcid.org/0000-0002-3038-9411

Abstract

Introduction: Parkinson's disease is the second most common neurodegenerative disorder in the Hispanic population. This pathology generates motor and non-motor symptoms that cause multiple complications, the most important of which are falls, given their frequency and consequences. The present review aims to identify the effects of physical exercise on the prevention of falls in patients diagnosed with Parkinson's disease. Objective: The present review aims to identify the effects of practicing physical exercise on the prevention of falls in patients diagnosed with Parkinson's Disease. Methods: An advanced search was carried out in the Medline, Cochrane Library Plus and CINAHL databases using DeCS and MeSH descriptors combined with the Boolean operators "AND" and "OR" to answer the clinical research question PICO. Language (English, Spanish and Catalan), time (last five years), species (humans) and availability (free full-text articles) filters were applied. Results: A total of 2,084 articles were obtained, however, after application of the filters this was reduced to 972 articles, of which only 31 articles were included in the integrative literature review. Conclusions: Physical exercise for the prevention of falls is beneficial as it improves risk factors, mainly lack of balance, freezing of gait and decreased muscle strength, thus decreasing the rate of falls in a cost-effective way in the long term.

Downloads

Download data is not yet available.

Article Details

How to Cite
Vicente-Cabedo, V., & Ortíz-Mallasén, V. (2023). THE EFFECTS OF PHYSICAL EXERCISE ON THE PREVENTION OF FALLS IN PATIENTS WITH PARKINSON’S DISEASE: AN INTEGRATIVE REVIEW OF THE SCIENTIFIC LITERATURE. Enfermería Investiga, 8(4), 54–62. https://doi.org/10.31243/ei.uta.v8i4.2272.2023
Section
Articulo de revisión

References

Martínez-Fernández. R, Gasca-Salas C. C, Sánchez-Ferro Á, Ángel Obeso J. Actualización en la Enfermedad de Parkinson. Revista Médica Clínica Las Condes. 2016;27(3):363-79. Disponible en: https://www.elsevier.es/es-revista-revista-medica-clinica-las-condes-202-articulo-actualizacion-en-la-enfermedad-de-S0716864016300372

Alonso Cánovas A, Arbizu Lostao J, Ares Pensado B, Avilés Olmos I, Bayés Rusiñol À, Bellosta Diago E, et al. Guías diagnósticas y terapéuticas de la Sociedad Española de Neurología. 2016. 258 p. Disponible en:https://www.sen.es/pdf/guias

/Guia_oficial_de_practica_clinica_en_la_enfermedad_de_Parkinson_2016.pdf

Blasco Amaro JA, Díaz del Campo Fontecha P, González Vélez AE. Protocolo de manejo y derivación de pacientes con enfermedad de parkinson. 2012. 62 p. Disponible en: https://www.amn-web.com/documentos/protocolo-parkinson-madrid.pdf

Prieto Matos J, Alcalde Ibánez MT, López Manazanares L, Pérez Librero P, Martín Gutiérrez L, Fernández Moriano C. Guía de actuación sobre la enfermedad de Parkinson para profesionales de Medicina de Atención Primaria y Farmacia Comunitaria. 2019. 60 p. Disponible en: https://www.esparkinson.es/wp-content/uploads/2019/07/FEP.CGCOF_.SEN_.SEMERGEN.-Guia-parkinson-profesionales.pdf

Loftus SL. Viviendo con el Parkinson. Prevención de Caídas. 2019;3. Disponible en: https://www.parkinson.org/library/fact-sheets/prevencion-caidas

Balero DM. Protocolos de evaluación de riesgo de caídas en Enfermedad de Parkinson. 2018. p. 45. Disponible en: https://imgbiblio.vaneduc.edu.ar/fulltext/files/TC131470.pdf

Abizanda Soler P, Espinosa Almendro JM, Juárez Vela R, López Rocha A, Martín Lesende I, Megido Badía MJ, et al. Documento de consenso sobre prevención de fragilidad y caídas en la persona mayor. 2014;57. Disponible en http://envejecimiento.csic.es/documentos/documentos/MinisterioSanidad-FragilidadCaidas-personamayor-12-2014.pdf

Aranda Gallardo M, Alcalá Gutiérrez P, Carrión Camacho MR, Guerrero Moyano N, Sánchez Acha Y, Vázquez Blanco MJ. Guía fase para la prevención y actuación ante una caída. Andalucia; 2017. 28 p. Disponible en: https://www.picuida.es/wp-content/uploads/2015/07/Guia-FASE-Caidas.pdf

Ortiz Díaz V, Delicado Soria A, Carvajal Mencias R, Hernández García R, Sáez Roldán ME, González Sánchez P, et al. Protocolo de prevención de caídas y disminución de lesiones derivadas de las caídas. 2020;58. Disponible en: https://www.chospab.es/publicaciones/protocolosEnfermeria/documentos/206c2da7bc070ab5efcbda14998a5c91.pdf

Rafael Santamaría Olmo. Programa de Habilidades en Lectura Crítica Español (CASPe). NefroPlus. 2017;9(1):1-103 Disponible en: https://www.revistanefrologia.com/es-programa-habilidades-lectura-critica-espanol-articulo-X1888970017612483

Quan Nha Honga, Pierre Pluyea,, Sergi Fabreguesb, Gillian Bartletta, Felicity Boardmanc, Margaret Cargod, Pierre Dagenaise, Marie‐Pierre Gagnonf, Frances Griffithsc, Belinda Nicolaua, Alicia O’Cathaing, Marie‐Claude Rousseauh, & Isabelle Vedel. Mixed Methods Appraisal Tool. Disponible en: http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf

Servicio de Evaluación de Tecnologías Sanitarias. Fichas de Lectura Crítica. País Vasco: Osteba. Disponible en: http://www.lecturacritica.com/es/

O’Malley N, Clifford AM, Conneely M, Casey B, Coote S. Effectiveness of interventions to prevent falls for people with multiple sclerosis, Parkinson’s disease and stroke: an umbrella review. BMC Neurol. 2021;21(1):1-31. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34587933/

Youm C, Kim Y, Noh B, Lee M, Kim J, Cheon SM. Impact of Trunk Resistance and Stretching Exercise on Fall-Related Factors in Patients with Parkinson’s Disease: A Randomized Controlled Pilot Study. Sensors (Basel). 2020;20(15):1-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32717956/

Penko AL, Barkley JE, Rosenfeldt AB, Alberts JL. Multimodal Training Reduces Fall Frequency as Physical Activity Increases in Individuals With Parkinson’s Disease. J Phys Act Health. 2019;16(12):1085-1091. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31648204/

Ashburn A, Pickering R, McIntosh E, Hulbert S, Rochester L, Roberts HC, et al. Exercise- and strategy-based physiotherapy-delivered intervention for preventing repeat falls in people with Parkinson’s: the PDSAFE RCT. Health Technol Assess. 2019;23(36):1-147. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31339100/

Li KP, Zhou ZL, Zhou RZ, Zhu Y, Zhang ZQ. Improvement of freezing of gait in patients with Parkinson’s disease by music exercise therapy: a study protocol for a randomized controlled trial. Trials. 2021;22(1):1-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33971928/

Hulbert S, Chivers-Seymour K, Summers R, Lamb S, Goodwin V, Rochester L, et al. «PDSAFE» - a multi-dimensional model of falls-rehabilitation for people with Parkinson’s. A mixed methods analysis of therapists’ delivery and experience. Physiotherapy. 2021;110:77-84. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33153764/

Chivers Seymour K, Pickering R, Rochester L, Roberts HC, Ballinger C, Hulbert S, et al. Multicentre, randomised controlled trial of PDSAFE, a physiotherapist-delivered fall prevention programme for people with Parkinson’s. J Neurol Neurosurg Psychiatry. 2019; 90(7):774-782. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30944149/

Yang Y, Wang G, Zhang S, Wang H, Zhou W, Ren F, et al. Efficacy and evaluation of therapeutic exercises on adults with Parkinson’s disease: a systematic review and network meta-analysis. BMC Geriatr. 2022;22(1):1-14. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36271367/

Santos PCR dos, Barbieri FA, Orcioli-Silva D, Beretta VS, Hortobágyi T, Gobbi LTB. Being physically active minimizes the effects of leg muscle fatigue on obstacle negotiation in people with Parkinson’s disease. J Biomech. 2021;124. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34171679/

Wong-Yu ISK, Mak MKY. Multisystem Balance Training Reduces Injurious Fall Risk in Parkinson Disease: A Randomized Trial. Am J Phys Med Rehabil. 2019;98(3):239-244. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30211719/

Van Puymbroeck M, Walter A, Hawkins BL, Sharp JL, Woschkolup K, Urrea-Mendoza E, et al. Functional Improvements in Parkinson’s Disease Following a Randomized Trial of Yoga. Hindawi. 2018;2018:8. Disponible en: https://com-mendeley-prod-publicsharing-pdfstore.s3.eu-west-1.amazonaws.com/e1ba-CC-BY-2/10.1155/2018/8516351.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEGsaCWV1LXdlc3QtMSJIMEYCIQC4LoLr210IMJ%2Fxe0A0hNPK%2B7H%2BRVjZxm%2BY%2BMu7wLc7FgIhAKNGS7m6JHPnzNULvrgyJc

Van der Kolk NM, de Vries NM, Kessels RPC, Joosten H, Zwinderman AH, Post B, et al. Effectiveness of home-based and remotely supervised aerobic exercise in Parkinson’s disease: a double-blind, randomised controlled trial. Lancet Neurol. 2019;18(11):998-1008. DOI: 10.1016/S1474-4422(19)30285-6.

Thaut MH, Rice RR, Braun Janzen T, Hurt-Thaut CP, McIntosh GC. Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study. Clin Rehabil. 2019;33(1):34-43. Disponible en: https://doi.org/10.1177/0269215518788615

Silva-Batista C, Corcos DM, Kanegusuku H, Piemonte MEP, Gobbi LTB, de Lima-Pardini AC, et al. Balance and fear of falling in subjects with Parkinson’s disease is improved after exercises with motor complexity. Gait Posture. 2018;61:90-97. DOI: 10.1016/j.gaitpost.2017.12.027.

Pelosin E, Cerulli C, Ogliastro C, Lagravinese G, Mori L, Bonassi G, et al. A Multimodal Training Modulates Short Afferent Inhibition and Improves Complex Walking in a Cohort of Faller Older Adults With an Increased Prevalence of Parkinson’s Disease. J Gerontol A Biol Sci Med Sci. 2020;75(4):722-728. Disponible en: https://academic.oup.com/biomedgerontology/article/75/4/722/5381534

Klamroth S, Gaßner H, Winkler J, Eskofier B, Klucken J, Pfeifer K, et al. Interindividual Balance Adaptations in Response to Perturbation Treadmill Training in Persons With Parkinson Disease. J Neurol Phys Ther. 2019;43(4):224-232. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31517749/

Gandolfi M, Tinazzi M, Magrinelli F, Busselli G, Dimitrova E, Polo N, et al. Four-week trunk-specific exercise program decreases forward trunk flexion in Parkinson’s disease: A single-blinded, randomized controlled trial. Parkinsonism Relat Disord. 2019;64:268-274. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31097299/

Allen NE, Canning CG, Almeida LRS, Bloem BR, Keus SHJ, Löfgren N, et al. Interventions for preventing falls in Parkinson’s disease. Cochrane Database of Systematic Reviews. 2022;2022(6). DOI: 10.1002/14651858.CD011574.

Paolucci T, Sbardella S, La Russa C, Agostini F, Mangone M, Tramontana L, et al. Evidence of Rehabilitative Impact of Progressive Resistance Training (PRT) Programs in Parkinson Disease: An Umbrella Review. Parkinsons Dis. 2020;2020. DOI: 10.1155/2020/9748091.

Lai CH, Chen HC, Liou TH, Li W, Chen SC. Exercise Interventions for Individuals with Neurological Disorders: A Systematic Review of Systematic Reviews. Am J Phys Med Rehabil. 2019;98(10):921-930. DOI: 10.1097/PHM.0000000000001247.

Hubble RP, Silburn PA, Naughton GA, Cole MH. Trunk exercises improve balance in Parkinson disease: A phase II randomized controlled trial. Journal of Neurologic Physical Therapy. 2019;43(2):96-105. DOI: 10.1097/NPT.0000000000000258.

Hubble RP, Naughton G, Silburn PA, Cole MH. Trunk Exercises Improve Gait Symmetry in Parkinson Disease: A Blind Phase II Randomized Controlled Trial. Am J Phys Med Rehabil. 2018;97(3):151-159. DOI: 10.1097/PHM.0000000000000858.

de Souza de Oliveira BA, dos Santos WR, Ferreira da Silva IA, dos Santos WR. Exercise may improve balance on parkinson patients. Ciencias de la Actividad Física UCM. 2022;23(1):1-7. Disponible en: https://revistacaf.ucm.cl/article/view/726/849

Chamberlain-Carter J, Jackson J. Does resistance training reduce falls and improve quality of life in people with Parkinson’s disease using strength training exercise programmes? Physical Therapy Reviews. 2021;26(1):1-9. DOI: 10.1080/10833196.2020.1814123.

Abou L, Alluri A, Fliflet A, Du Y, Rice LA. Effectiveness of Physical Therapy Interventions in Reducing Fear of Falling Among Individuals With Neurologic Diseases: A Systematic Review and Meta-analysis. Arch Phys Med Rehabil. 2021;102(1):132-154. DOI: 10.1016/j.apmr.2020.06.025.

Xin Y, Ashburn A, Pickering RM, Chivers Seymour K, Hulbert S, Fitton C, et al. Cost-effectiveness of the PDSAFE personalised physiotherapy intervention for fall prevention in Parkinson’s: an economic evaluation alongside a randomised controlled trial. BMC Neurol. 2020;20:295:1-9. DOI: https://doi.org/10.1186/s12883-020-01852-8

Winser SJ, Paul LF, Magnus LKL, Yan S, Shenug TP, Sing YM, et al. Economic evaluation of exercise-based fall prevention programs for people with Parkinson’s disease: A systematic review. Journal of Alternative and Complementary Medicine. 2019;25(12):1225-37. DOI: 10.1089/acm.2019.0148.

Cwiekala-Lewis K, Slusarz R. Theoretical Concept of Impact of Tai Chi on Falls in Clients with Parkinson’s Disease. The Journal of Neurological and Neurosurgical Nursing. 2018;7(3):130-3. Disponible en: https://web.s.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=38&sid=3bc6f608-8c4d-4f2c-9904-48975af70aea%40redis

Akre M, Dave J, Deo M. The Effect of Rhythmic Auditory Cueing on Functional Gait Performance in Parkinson’s Disease Patients. Indian J Physiother Occup Ther. 2019;13(2). Disponible en: https://web.s.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=50&sid=3bc6f608-8c4d-4f2c-9904-48975af70aea%40redis

Toygar I, Yildirim Y, Ozer S. Dance Therapy in the Rehabilitation of the Parkinson’s Disease. Int J Caring Sci. 2018;11(3):2005. Disponible en: https://web.s.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=47&sid=3bc6f608-8c4d-4f2c-9904-48975af70aea%40redis

Li Q, Liu J, Dai F, Dai F. Tai Chi versus routine exercise in patients with early-or mild-stage Parkinson’s disease: a retrospective cohort analysis. Brazilian Journal of Medical and Biological Research. 2020;53(2). Disponible en: https://www.scielo.br/j/bjmbr/a/dSzWfkpsjkhXw7F4K8Zfywg/?format=pdf&lang=en

Youm C, Kim Y, Noh B, Lee M, Kim J, Cheon SM. Impact of Trunk Resistance and Stretching Exercise on Fall-Related Factors in Patients with Parkinson’s Disease: A Randomized Controlled Pilot Study. Sensors. 2020;20(15):1-10. Disponible en: www.mdpi.com/journal/sensors

Wong-Yu ISK, Mak MKY. Multisystem Balance Training Reduces Injurious Fall Risk in Parkinson Disease. Am J Phys Med Rehabil. 2019;98(3):239-44. DOI: 10.1097/PHM.0000000000001035.

O’Malley N, Clifford AM, Conneely M, Casey B, Coote S. Effectiveness of interventions to prevent falls for people with multiple sclerosis, Parkinson’s disease and stroke: an umbrella review. BMC Neurol. 1 de diciembre de 2021;21(1):378. DOI: 10.1186/s12883-021-02402-6.

Penko AL, Barkley JE, Rosenfeldt AB, Alberts JL. Multimodal Training Reduces Fall Frequency as Physical Activity Increases in Individuals With Parkinson’s Disease. J Phys Act Health. 2019;16(12):1085-1091. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31648204/

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.