Evidence map›Paper›PMID 31970204›Full record

ReviewMovement disorders clinical practice2020

Physical Activity, Exercise, and Physiotherapy in Parkinson's Disease: Defining the Concepts.

Raquel Bouça-Machado, Ana Rosário, Daniel Caldeira, Ana Castro Caldas, Daniela Guerreiro, Massimo Venturelli, Michele Tinazzi, Federico Schena, Joaquim J Ferreira

Open access · greenAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Raquel Bouça-MachadoInstituto de Medicina Molecular Lisbon Portugal.
Ana RosárioInstituto de Medicina Molecular Lisbon Portugal.
Daniel CaldeiraInstituto de Medicina Molecular Lisbon Portugal.
Ana Castro CaldasCNS-Campus Neurológico Sénior Torres Vedras Portugal.
Daniela GuerreiroCNS-Campus Neurológico Sénior Torres Vedras Portugal.
Massimo VenturelliDepartment of Neurological and Movement Sciences University of Verona Verona Italy.
Michele TinazziDepartment of Neurological and Movement Sciences University of Verona Verona Italy.
Federico SchenaDepartment of Neurological and Movement Sciences University of Verona Verona Italy.
Joaquim J FerreiraInstituto de Medicina Molecular Lisbon Portugal.
University of Verona · ITInstituto de Medicina Molecular João Lobo AntunesUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise is gaining extreme relevancy as a new therapeutic intervention for Parkinson's disease (PD). However, the frequent misuse of the concepts exercise, physiotherapy, and physical activity limits the possibility of summarizing research findings. This review aims to clarify these concepts and summarize the evidence on exercise in PD.

methodsWe critically appraised physical activity-related concepts and conducted a systematic review of clinical trials evaluating exercise interventions in PD. Additionally, we discussed the implications for PD clinical practice and research.

resultsExercise is a subset of physical activity, and a major component of physiotherapy for PD management, having as the main goal to improve physical fitness. The appraisal of the 83 identified clinical trials found high variability in exercise interventions. Multimodal exercise was the most studied, and 60 minutes, two times/week for 12 weeks, the most reported prescription parameters.

conclusionThe best available evidence recommends increasing physical activity levels in PD. Exercise and physiotherapy programs seem the most efficacious strategies to achieve this goal. As a result of the heterogeneity in the type and manner exercise is prescribed, it is not possible to propose strong recommendations for exercise in PD. We believe that, in addition to the clarification of concepts here presented, a collaborative and rigorous work of different areas of knowledge is needed.

Indexed as

exerciseParkinson's diseasephysical activityphysiotherapy

Identifiers

PMID31970204
PMCPMC6962680
OpenAlexW2980251091

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.