Evidence map›Paper›PMID 40933053›Full record

SynthesisFrontiers in neurology2025

The effects of nine types of exercise rehabilitation therapies on improving limb balance, cognitive and emotional function, and quality of life in elderly patients with Parkinson's disease: a network meta-analysis of 55 RCTs.

Jing Mao, Yi Xia, Yimin Hu, Xuewu Yao

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Jing Mao *Shanghai University of Sport, Shanghai, China.
Yi Xia *Shanghai University of Sport, Shanghai, China.
Yimin HuShanghai University of Sport, Shanghai, China.
Xuewu YaoShanghai University of Sport, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Parkinson's disease (PD) is a common neurodegenerative disorder that primarily affects individuals over the age of 60. Impaired limb balance, cognitive decline, and emotional disturbances are core symptoms of PD, significantly impacting patients' quality of life. While medication can alleviate motor symptoms, its effectiveness in improving non-motor symptoms (such as cognitive and emotional disturbances) is limited, and long-term use may lead to adverse effects. In recent years, exercise therapy has garnered increasing attention due to its safety, accessibility, and potential to offer both motor and non-motor benefits, making it an important direction in PD rehabilitation research. This study systematically evaluated nine exercise rehabilitation interventions to provide evidence-based non-pharmacological alternatives for PD management. Methods: A systematic search of six major databases was conducted, and 55 randomized controlled trials involving 4,417 patients with Parkinson's disease were included. The outcome measures were evaluations of balance, cognition, Emotional Functions, and quality of life-related indicators. Stata 17.0 was used to perform a net meta-analysis to assess the relative effectiveness of each intervention and to test the consistency of direct and indirect evidence. Results: Exoskeletal Training (ET) was the most effective intervention for improving balance (SMD = -2.52, 95% CI [-3.38, -1.67], Conclusion: Dance (DA) is the most effective intervention for improving balance, while aquatic training (ABT) and resistance training (RT) are most effective for emotional regulation. Mind-body exercise (MBE) demonstrates exceptional efficacy in cognitive function, while resistance training has the greatest impact on improving quality of life. These findings provide evidence-based guidance for optimizing exercise-based rehabilitation for Parkinson's disease, supporting tailored interventions targeting specific symptom domains. Future research should focus on refining protocols to maximize treatment efficacy.

Indexed as

balancecognitive emotionselderly patientexercise therapynetwork meta-analysisParkinson’s disease

Identifiers

PMID40933053
PMCPMC12417168

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.