| Peer-Reviewed

Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease

Received: 29 December 2020    Accepted: 14 January 2021    Published: 22 January 2021
Views:       Downloads:
Abstract

Objective: This Meta-analysis was aimed to systematically studying the effects of muscle strength training on the walking ability like balance ability, mobility ability of Parkinson's disease patients and then provide useful theoretical reference to further researches on exercise treatments on Parkinson’s disease by retrieving and collecting articles about muscle strength training. Methods This literature review was finally determined on searching PubMed, Elsevier, Web of science, China Journal Full-text Database (CNKI), WanFang Data and other Chinese and foreign databases and combined with manual search. The limit of the search time was from the date when the literature was recorded to 2019. A comprehensive collection of randomly controlled trials of muscle strength training on the walking ability of Parkinson's patients was done. Researchers used the Cochrance risk assessment tool to evaluate the methodological quality of the selected articles, and the ReMan 5.3.5 software to statistically process the obtained data. Results A total of 13 RCTs and 627 samples were included in this study. Meta-analysis of BBS balance scale show that MD=4.67 (95%CI, I2=97%, P=0.52) between muscle strength training group and non-exercise intervention group; MD=-2.67 between muscle strength training group and exercise intervention control group (95%CI, I2=7%, P<0.00001); TUGT Meta-analysis show that MD=-1.06 (95%CI, I2=75%, P=0.10) between muscle strength training group and non-exercise intervention group; MD=0.09 (95%CI, I2=0%, P=0.31) between the muscle strength training group and the control group with exercise intervention; 10MWT Meta-analysis show MD=-0.28 (95%CI), I2=98%, P<0.29) between the muscle strength training group and the control group with exercise intervention; Stride length Meta-analysis show MD=-1.85 (95%CI, I2=68%, P=0.63) between the muscle strength training group and the control group without exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56) between the muscle strength training group and the control group with exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56). Meta-analysis of stride speed show MD=-0.02 (95%CI, I2=0%, P=0.46) between muscle strength training group and control group without exercise intervention; MD=-0.03 (95%CI, I2=35%, P=0.52) between the muscle strength training group and control group with exercise intervention. Conclusion Muscle strength training can significantly improve the balance ability, mobility, and walking ability of Parkinson's disease patients, but it has no significant benefits on improving stride length and walking speed.

Published in Rehabilitation Science (Volume 6, Issue 1)
DOI 10.11648/j.rs.20210601.11
Page(s) 1-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Strength Training, Parkinson's Disease, Walking Ability

References
[1] Peterson D S, Horak F B. Neural control of walking in people with Parkinsonism [J]. Physiology. 2016, 31 (2): 95.
[2] Wang Xinde. Diagnostic criteria and differential diagnosis of Parkinson’s disease and Parkinson’s syndrome [J]. Clinical Focus, 1986 (05): 21.
[3] Miao Hongshi. Theory and Practice of Rehabilitation Medicine [M]. Shanghai Scientific & Technical Publishers, 2013.
[4] Moreland J D, Richardson J A, Goldsmith C H, et al. Muscle weakness and falls in older adults: a systematic review and meta-analysis [J]. Journal of the American Geriatrics Society. 2010, 52 (7): 1121-1129.
[5] Fuzhong L, Peter H, Kathleen F, et al. Tai chi and postural stability in patients with Parkinson's disease [J]. N Engl J Med. 2012, 366 (6): 511-519.
[6] Hass C J, Buckley T A, Pitsikoulis C, et al. Progressive resistance training improves gait initiation in individuals with Parkinson's disease [J]. Gait & Posture. 2012, 35 (4): 669-673.
[7] Kj Lhede T, Vissing K, Dalgas U. Multiple sclerosis and progressive resistance training: a systematic review [J]. Multiple Sclerosis. 2012, 18 (9): 1215-1228.
[8] Falvo M J, Schilling B K, Earhart G M. Parkinson's disease and resistive exercise: rationale, review, and recommendations [J]. Movement Disorders Official Journal of the Movement Disorder Society. 2010, 23 (1): 1-11.
[9] Lima, Lidiane O, Rodriguesdepaula, et al. Recruitment rate, feasibility and safety of power training in individuals with Parkinson's disease: a proof-of-concept study [J]. Revista Brasileira De Fisioterapia. 2013, 17 (1): 49-56.
[10] Hughes A J, Daniel S E, Kilford L, et al. Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases [J]. Journal of Neurology Neurosurgery & Psychiatry. 1992.
[11] Shen X, Mak M K Y. Balance and Gait Training With Augmented Feedback Improves Balance Confidence in People With Parkinson’s Disease [J]. Neurorehabilitation and Neural Repair. 2014, 28 (6): 524-535.
[12] Alessandro Carvalho A, Barbirato D, Santos T, et al. Comparison of strength training, aerobic training, and additional physical therapy as supplementary treatments for Parkinson&rsquo; s disease: pilot study [J]. Clinical Interventions in Aging. 2015: 183.
[13] Rafferty M R, Prodoehl J, Robichaud J A, et al. Effects of 2 Years of Exercise on Gait Impairment in People with Parkinson Disease [J]. Journal of Neurologic Physical Therapy. 2017, 41 (1): 21-30.
[14] Barbalho M, Monteiro E P, Costa R R, et al. Effects of Low-Volume Resistance Training on Muscle Strength and Functionality of People with Parkinson's Disease [J]. Int J Exerc Sci. 2019, 12 (3): 567-580.
[15] Schilling B K, Pfeiffer R F, Ledoux M S, et al. Effects of Moderate-Volume, High-Load Lower-Body Resistance Training on Strength and Function in Persons with Parkinson's Disease: A Pilot Study [J]. Parkinson's Disease. 2010, 2010: 1-6.
[16] Demonceau M, Maquet D, Jidovtseff B, et al. Effects of twelve weeks of aerobic or strength training in addition to standard care in Parkinson's disease: a controlled study [J]. European journal of physical and rehabilitation medicine. 2017, 53 (2): 184.
[17] Shulman L M, Katzel L I, Ivey F M, et al. Randomized Clinical Trial of 3 Types of Physical Exercise for Patients with Parkinson Disease [J]. JAMA Neurology. 2013, 70 (2): 183.
[18] Yang Yan, Wang Sheng, Gu Zhaohua, Efficacy of post-pulling with functional muscle training on the balance function of patients with Parkinson’s disease [J]. Chinese Journal of Rehabilitation, 2018, 33 (06): 502-504.
[19] Shen Jun, Shi Yongwei, Ju Qiangguo, et al. Progressive Resistance Training Combined with Pramipexole Therapy for Improving Muscular Tension in Patients with Parkinson’s Disease [J]. Neural Injury and Functional Reconstruction 2019, 14 (03): 124-127.
[20] Tang Langjuan, Mei Gui, Wang Zhenzhen, et al. The effect of resistance training on improving lower limb muscle strength and balance function of patients with Parkinson's disease [J]. Chinese Journal of Gerontology, 2019, 39 (01): 127-130.
[21] Tang Jie, Zeng Yan, Lin Biying. Effects of strength and balance training on motor and posture control function in patients with Parkinson’s disease [J]. Neural Injury and Functional Reconstruction, 2017, 12 (03): 266-268.
[22] Yu Mei, Li Liantao, Dong Tongbao, et al. The effect of strengthening core strength training on the rehabilitation of Parkinson's disease [J]. Guangdong Medical Journal, 2015, 36 (01): 77-79.
[23] Higgins J P S G. Cochrane Handbook for Systematic Reviews of Interventions [J]. 2008.
[24] Kakinuma S, Nogaki H, Pramanik B, et al. Muscle weakness in Parkinson's disease: isokinetic study of the lower limbs [J]. European Neurology. 1998, 39 (4): 218-222.
[25] Allen N E, Sherrington C. Reduced muscle power is associated with slower walking velocity and falls in people with Parkinson's disease [J]. Parkinsonism Relat Disord. 2010, 16 (4): 261-264.
[26] Latt M D, Lord S R, Morris J G L, et al. Clinical and physiological assessments for elucidating falls risk in Parkinson's disease [J]. Movement Disorders. 2010, 24 (9): 1280-1289.
[27] Intzandt B. Can a Power Training Program Reduce Fall Risk Factors in Parkinson's Disease? [D]. Wilfrid Laurier University, 2016.
[28] Jin Tingjian, Ye Xiangming, Linjian, et al. The effect of intensive weight-bearing exercise especially for affected lower limb on balance and walking function of stroke patients [J]. China Journal of rehabilitation medicine. 2009, 24 (11): 995-998.
[29] Alexandre, Tiago S, Meira, et al. Accuracy of Timed Up and Go Test for screening risk of falls among community-dwelling elderly [J]. Revista Brasileira De Fisioterapia. 2012, 16 (5): 381.
[30] Campbell C M, Rowse J L, Ciol M A, et al. The Effect of Cognitive Demand on Timed Up and Go Performance in Older Adults with and Without Parkinson Disease [J]. Journal of Neurologic Physical Therapy. 2003, 27 (1): 2-7.
[31] Lang J T, Kassan T O, Devaney L L, et al. Test-Retest Reliability and Minimal Detectable Change for the 10-Meter Walk Test in Older Adults with Parkinson's disease [J]. Journal of Geriatric Physical Therapy. 2016, 39 (4).
[32] Dibble L E, Hale T F, Marcus R L, et al. High intensity eccentric resistance training decreases bradykinesia and improves quality of life in persons with Parkinson's disease: A preliminary study [J]. Parkinsonism Relat Disord, 2009, 15 (10): 752-757.
Cite This Article
  • APA Style

    Meng Zhaoli, Zhi Xiao, Li Beibei, Zheng Yanpei, Li Lin, et al. (2021). Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease. Rehabilitation Science, 6(1), 1-9. https://doi.org/10.11648/j.rs.20210601.11

    Copy | Download

    ACS Style

    Meng Zhaoli; Zhi Xiao; Li Beibei; Zheng Yanpei; Li Lin, et al. Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease. Rehabil. Sci. 2021, 6(1), 1-9. doi: 10.11648/j.rs.20210601.11

    Copy | Download

    AMA Style

    Meng Zhaoli, Zhi Xiao, Li Beibei, Zheng Yanpei, Li Lin, et al. Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease. Rehabil Sci. 2021;6(1):1-9. doi: 10.11648/j.rs.20210601.11

    Copy | Download

  • @article{10.11648/j.rs.20210601.11,
      author = {Meng Zhaoli and Zhi Xiao and Li Beibei and Zheng Yanpei and Li Lin and Du Fei and Li Tong and Yan Zhi and Liang Zhanghua},
      title = {Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease},
      journal = {Rehabilitation Science},
      volume = {6},
      number = {1},
      pages = {1-9},
      doi = {10.11648/j.rs.20210601.11},
      url = {https://doi.org/10.11648/j.rs.20210601.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20210601.11},
      abstract = {Objective: This Meta-analysis was aimed to systematically studying the effects of muscle strength training on the walking ability like balance ability, mobility ability of Parkinson's disease patients and then provide useful theoretical reference to further researches on exercise treatments on Parkinson’s disease by retrieving and collecting articles about muscle strength training. Methods This literature review was finally determined on searching PubMed, Elsevier, Web of science, China Journal Full-text Database (CNKI), WanFang Data and other Chinese and foreign databases and combined with manual search. The limit of the search time was from the date when the literature was recorded to 2019. A comprehensive collection of randomly controlled trials of muscle strength training on the walking ability of Parkinson's patients was done. Researchers used the Cochrance risk assessment tool to evaluate the methodological quality of the selected articles, and the ReMan 5.3.5 software to statistically process the obtained data. Results A total of 13 RCTs and 627 samples were included in this study. Meta-analysis of BBS balance scale show that MD=4.67 (95%CI, I2=97%, P=0.52) between muscle strength training group and non-exercise intervention group; MD=-2.67 between muscle strength training group and exercise intervention control group (95%CI, I2=7%, P2=75%, P=0.10) between muscle strength training group and non-exercise intervention group; MD=0.09 (95%CI, I2=0%, P=0.31) between the muscle strength training group and the control group with exercise intervention; 10MWT Meta-analysis show MD=-0.28 (95%CI), I2=98%, P2=68%, P=0.63) between the muscle strength training group and the control group without exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56) between the muscle strength training group and the control group with exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56). Meta-analysis of stride speed show MD=-0.02 (95%CI, I2=0%, P=0.46) between muscle strength training group and control group without exercise intervention; MD=-0.03 (95%CI, I2=35%, P=0.52) between the muscle strength training group and control group with exercise intervention. Conclusion Muscle strength training can significantly improve the balance ability, mobility, and walking ability of Parkinson's disease patients, but it has no significant benefits on improving stride length and walking speed.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease
    AU  - Meng Zhaoli
    AU  - Zhi Xiao
    AU  - Li Beibei
    AU  - Zheng Yanpei
    AU  - Li Lin
    AU  - Du Fei
    AU  - Li Tong
    AU  - Yan Zhi
    AU  - Liang Zhanghua
    Y1  - 2021/01/22
    PY  - 2021
    N1  - https://doi.org/10.11648/j.rs.20210601.11
    DO  - 10.11648/j.rs.20210601.11
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 1
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2637-594X
    UR  - https://doi.org/10.11648/j.rs.20210601.11
    AB  - Objective: This Meta-analysis was aimed to systematically studying the effects of muscle strength training on the walking ability like balance ability, mobility ability of Parkinson's disease patients and then provide useful theoretical reference to further researches on exercise treatments on Parkinson’s disease by retrieving and collecting articles about muscle strength training. Methods This literature review was finally determined on searching PubMed, Elsevier, Web of science, China Journal Full-text Database (CNKI), WanFang Data and other Chinese and foreign databases and combined with manual search. The limit of the search time was from the date when the literature was recorded to 2019. A comprehensive collection of randomly controlled trials of muscle strength training on the walking ability of Parkinson's patients was done. Researchers used the Cochrance risk assessment tool to evaluate the methodological quality of the selected articles, and the ReMan 5.3.5 software to statistically process the obtained data. Results A total of 13 RCTs and 627 samples were included in this study. Meta-analysis of BBS balance scale show that MD=4.67 (95%CI, I2=97%, P=0.52) between muscle strength training group and non-exercise intervention group; MD=-2.67 between muscle strength training group and exercise intervention control group (95%CI, I2=7%, P2=75%, P=0.10) between muscle strength training group and non-exercise intervention group; MD=0.09 (95%CI, I2=0%, P=0.31) between the muscle strength training group and the control group with exercise intervention; 10MWT Meta-analysis show MD=-0.28 (95%CI), I2=98%, P2=68%, P=0.63) between the muscle strength training group and the control group without exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56) between the muscle strength training group and the control group with exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56). Meta-analysis of stride speed show MD=-0.02 (95%CI, I2=0%, P=0.46) between muscle strength training group and control group without exercise intervention; MD=-0.03 (95%CI, I2=35%, P=0.52) between the muscle strength training group and control group with exercise intervention. Conclusion Muscle strength training can significantly improve the balance ability, mobility, and walking ability of Parkinson's disease patients, but it has no significant benefits on improving stride length and walking speed.
    VL  - 6
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • School of Kinesiology and Promotion, Dalian University of Technology, Dalian, China

  • School of Kinesiology and Promotion, Dalian University of Technology, Dalian, China

  • School of Kinesiology and Promotion, Dalian University of Technology, Dalian, China

  • School of Kinesiology and Promotion, Dalian University of Technology, Dalian, China

  • Department of Neurology, Dalian Port Hospital, Dalian, China

  • Department of Neurology, Dalian Port Hospital, Dalian, China

  • Department of Neurology, Dalian Port Hospital, Dalian, China

  • Department of Neurology, Dalian Port Hospital, Dalian, China

  • Department of Neurology, the First Affiliated Hospital of Dalian Medical University, Dalian, China

  • Sections