Iratxe Duñabeitia, Daniel González-Devesa, Nerea Blanco-Martínez, Carlos Ayán-Pérez
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引用次数: 0
Abstract
Introduction: Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor and non-motor symptoms. While incurable, exercise has shown therapeutic benefits. Stretching, an accessible and low-cost modality, may improve mobility, balance, and flexibility, warranting systematic evaluation for managing PD symptoms. This systematic review aimed to examine and critically analyze scientific evidence on the effects of stretching in people with Parkinson's disease.
Methods: A search was conducted in four electronic databases (Scopus, Web of Science, PEDro, and MEDLINE/PubMed) from inception to November 2024. The methodological quality of included studies was assessed using the PEDro scale.
Results: Twelve randomized controlled trials were analyzed. Stretching programs lasted 4 weeks to 6 months. Positive effects were observed in motor symptoms and functional mobility for people with PD, although these were generally less pronounced compared to interventions like Tai Chi or WuQinXi Qigong. In contrast, mixed results to no significant improvements were observed for balance, gait, strength, cardiorespiratory fitness, mental health, neurocognitive function, sleep quality, physical activity levels, and fatigue.
Conclusion: Stretching improves motor symptoms and mobility in people with PD, but its benefits for gait, motor function, and mental health are limited compared to other exercises. Further studies are needed to assess its impact on motor and neurocognitive functions.
简介：帕金森病（PD）是一种以运动和非运动症状为特征的进行性神经退行性疾病。虽然无法治愈，但锻炼已经显示出治疗效果。拉伸是一种可及且低成本的方式，可以改善活动、平衡和灵活性，需要对PD症状进行系统评估。本系统综述旨在检查和批判性分析关于拉伸对帕金森病患者影响的科学证据。方法：检索4个电子数据库（Scopus、Web of Science、PEDro、MEDLINE/PubMed）自成立至2024年11月的数据。采用PEDro量表评估纳入研究的方法学质量。结果：对12项随机对照试验进行分析。拉伸项目持续4周到6个月。在PD患者的运动症状和功能活动能力方面观察到积极的影响，尽管与太极拳或五琴西气功等干预措施相比，这些影响通常不那么明显。相比之下，在平衡、步态、力量、心肺健康、心理健康、神经认知功能、睡眠质量、身体活动水平和疲劳方面，观察到的结果喜忧参半，甚至没有显著的改善。结论：拉伸可以改善PD患者的运动症状和活动能力，但与其他运动相比，它对步态、运动功能和心理健康的益处有限。需要进一步的研究来评估其对运动和神经认知功能的影响。
期刊介绍：
Parkinsonism & Related Disorders publishes the results of basic and clinical research contributing to the understanding, diagnosis and treatment of all neurodegenerative syndromes in which Parkinsonism, Essential Tremor or related movement disorders may be a feature. Regular features will include: Review Articles, Point of View articles, Full-length Articles, Short Communications, Case Reports and Letter to the Editor.
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