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

2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Meng Zhaoli ◽  
Zhi Xiao ◽  
Li Beibei ◽  
Zheng Yanpei ◽  
Li Lin ◽  
...  
2019 ◽  
Vol 51 (Supplement) ◽  
pp. 188
Author(s):  
Yukina Mochizuki ◽  
Naoki Kikuchi ◽  
Noriko Kaji ◽  
Takashi Okada ◽  
Kentaro Terada ◽  
...  

2020 ◽  
Vol 30 (5) ◽  
pp. 837-848 ◽  
Author(s):  
Birk Mygind Grønfeldt ◽  
Jakob Lindberg Nielsen ◽  
Rune Mygind Mieritz ◽  
Hans Lund ◽  
Per Aagaard

2020 ◽  
Vol 72 (12) ◽  
pp. 1703-1718 ◽  
Author(s):  
Chun‐De Liao ◽  
Hung‐Chou Chen ◽  
Yu‐Chi Kuo ◽  
Jau‐Yih Tsauo ◽  
Shih‐Wei Huang ◽  
...  

2020 ◽  
Vol 29 (1) ◽  
pp. 335-356 ◽  
Author(s):  
Renata Mancopes ◽  
Sana Smaoui ◽  
Catriona M. Steele

Purpose Expiratory muscle strength training (EMST) is increasingly utilized in dysphagia rehabilitation; however, little is known about the effects of this approach on swallowing function or physiology. We conducted a systematic review to appraise and synthesize evidence regarding the effects of EMST on videofluoroscopic measures of swallowing in individuals with medical diagnoses, in which dysphagia is a concern. Method A literature search was conducted according to Cochrane guidelines. Of 292 nonduplicate articles, 11 were judged to be relevant for review. These underwent detailed review for study quality, risk of bias evaluation, and synthesis of swallowing outcomes. Results The selected articles described EMST in a variety of patient populations using either the EMST150 or the Phillips Threshold positive expiratory pressure device. The typical protocol involved five sets of five breaths through the device (25 breaths/day), 5 days per week for 4 weeks. Exercise loads were set between 50% and 75% depending on the population, and treatment was typically supervised by a clinician weekly. The Penetration–Aspiration Scale was the most commonly reported videofluoroscopic outcome measure. Conclusions differed as to whether or not swallowing improved following a course of EMST. Differences in videofluoroscopy protocols, methods of summarizing participant performance, and statistical approaches across studies meant that meta-analysis of swallowing outcomes could not be completed. Conclusion This review failed to find clear evidence regarding the effects of EMST on videofluoroscopic measures of swallowing. Heterogeneity in the etiologies and baseline severity of dysphagia across studies and in the methods used to measure swallowing outcomes was a particular barrier to data synthesis.


2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Yolandi Brink ◽  
Heather Brooker ◽  
Emmari Carstens ◽  
Cary A. Gissing ◽  
Candice Langtree ◽  
...  

Purpose: Children and adolescents with burn injuries are at risk of living with social, educational, physical and psychological impairments. The systematic review aimed to ascertain the effectiveness of resistance strength training on muscle strength and lean body mass (LBM) in children and adolescents with burn injuries.Method: Five databases were searched. Randomised controlled trials with an intervention defined as a supervised, individualised resistance exercise programme were sought. The outcomes included muscle strength and/or LBM. The PEDro scale was used to describe the methodological quality. Comparable data were combined using RevMan©.Results: Seven papers were included in the review with an average methodological appraisal score of 5.7/11. Comparable data were combined for muscle strength and LBM. The meta-analysis revealed no significant clinical difference between the exercise and standard care groups after 3 months of strength training for both muscle strength (p = 0.43) and LBM (p = 0.60).Conclusions: There is no conclusive evidence to support the benefit of strength training for children and adolescents with burns injuries in terms of muscle strength and LBM. However, it appears that isokinetic training might benefit children and adolescents with burns, but more studies investigating the effect of isokinetic training are required.Keywords: burns, children, adolescents, strengthening


2021 ◽  
pp. 026921552110401
Author(s):  
Javier Merino-Andrés ◽  
Agustín García de Mateos-López ◽  
Diane L Damiano ◽  
Alberto Sánchez-Sierra

Objective: This systematic review and meta-analysis investigates the effects of strength training program in children and adolescents with cerebral palsy to improve function, activity, and participation. Data sources: Five electronic databases (MEDLINE-Pubmed, Cochrane Library, PEDro, CINAHL, and SPORTDiscus) were systematically searched for full-text articles published from inception to 30 June 2021. Review methods: Randomized controlled trials were included, who compared: (i) child population with spastic cerebral palsy population between 0 and 22 years; (ii) studies in which a muscle strength training program was performed and included dosing information; (iii) studies comparing strength training with other physical therapy technique(s) or untreated control group. Studies with similar outcomes were pooled by calculating standardized mean differences. Risk of bias was assessed with Cochrane Collaboration’s tool for assessing the risk of bias and PROSPERO’s registration number ID: CRD42020193535. Results: Twenty-seven studies, comprising 847 participants with spastic cerebral palsy. The meta-analyses demonstrated significant standardized mean differences in favor of strength training program compared to other physical therapy technique(s) or untreated control group(s) for muscle strength at the knee flexors, at the knee extensor, at the plantarflexors, maximum resistance, balance, gait speed, GMFM (global, D and E dimension) and spasticity. Conclusion: A strength training program has positive functional and activity effects on muscle strength, balance, gait speed, or gross motor function without increasing spasticity for children and adolescents with cerebral palsy in Gross Motor Function Classification System levels I, II, and III when adequate dosage and specific principles are utilized.


2013 ◽  
Vol 12 (2) ◽  
pp. 110-117 ◽  
Author(s):  
Alessandra de Souza Miranda ◽  
Lausanne Barreto de Carvalho Cahu Rodrigues ◽  
Sergio Luiz Cahu Rodrigues ◽  
Crivaldo Gomes Cardoso Junior ◽  
Maryela Oliveira Menacho ◽  
...  

CONTEXT: Over the past few years, several clinical trials have been performed to analyze the effects of exercise training on walking ability in patients with intermittent claudication (IC). However, it remains unclear which type of physical exercise provides the maximum benefits in terms of walking ability. OBJECTIVE: To analyze, by means of a meta-analysis, the effects of walking and strength training on the walking capacity in patients with IC. METHODS: Papers analyzing the effects of walking and strength training programs in patients with IC were browsed on the Medline, Lilacs, and Cochrane databases. Randomized clinical trials scoring >4 on the Physiotherapy Evidence Database (PEDro) scale and assessing claudication distance (CD) and total walking distance (TWD) were included in the review. RESULTS: Walking and strength training yielded increases in CD and TWD (P < 0.05). However, walking training yielded greater increases than strength training (P = 0.02). CONCLUSION: Walking and strength training improve walking capacity in patients with IC. However, greater improvements in TWD are obtained with walking training.


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