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Effects of physical exercise programs on cognitive function in Parkinson’s disease patients: A systematic review of randomized controlled trials of the last 10 years

机译:体育锻炼计划对帕金森病患者认知功能的影响:过去10年随机对照试验的系统综述

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摘要

Given the relative importance of cognitive impairment, there was considerable interest in identifying the cognitive profile of PD patients, in order to ensure specific and appropriate therapeutic interventions.To determine the effects of physical exercise programs on cognitive function in PD patients, compared with the control group.Medline, Cochrane, Scopus, PEDro and Web of Science (last searched in September 2016).Randomized clinical trials examining the effects of physical exercise programs and cognitive function in PD patients. Nine studies fulfilled the selection criteria and were included in this review.Characteristics of the publication, characteristics of the participants, test used for cognitive screening, cognitive domain assessed, tools used to assess cognitive function, characteristics of the experimental intervention, characteristics of the control group, mean results and standard deviation of function cognitive. The PEDro score was used to evaluate methodological quality.Most eligible studies showed good methodological quality based on the PEDro scale. Studies have shown that adapted tango for PD patients, cognitive training combined with motor training, and treadmill training promote the preservation or improvement of cognitive function in PD patients.The diversity of cognitive tests used to assess cognitive function and the high heterogeneity identified between the physical exercise programs.Physical exercise programs promote positive and significant effects on global cognitive function, processing speed, sustained attention and mental flexibility in PD patients, at a mild to moderate stage for patients with a 6-year clinical diagnosis of PD. However, treadmill training performed 3 times a week for about 60 minutes and for a period of 24 weeks produced larger improvements in cognition.
机译:鉴于认知障碍的相对重要性,鉴定PD患者的认知概况有相当令人兴趣,以确保具体和适当的治疗干预措施。为了确定PD患者在PD患者中的身体运动方案对PD患者的影响的影响Group.Medline,Cochrane,Scopus,佩德罗和科学网(2016年9月在2016年9月搜索)。疾病临床试验检查了PD患者的体育锻炼计划和认知功能的影响。九项研究实现了选择标准,包括在本综述中。出版物的特征,参与者的特征,用于认知筛查的测试,认知域评估,用于评估认知功能的工具,实验干预的特征,控制特征群体,函数认知的平均结果和标准偏差。 Pedro评分用于评估方法论质量。大多数合格研究表现出基于佩德罗秤的良好方法。研究表明,PD患者的适应探戈,与电机训练相结合的认知培训,以及跑步机训练促进PD患者的认知功能的保存或改善。用于评估认知功能和物理之间鉴定的高异质性的认知试验的多样性练习计划。物理运动计划促进PD患者的全球认知功能,加工速度,持续关注和精神上灵活的积极和显着影响,在6年的PD临床诊断患者中的温和患者。然而,每周进行3次跑步机训练约60分钟,24周的时间产生了更大的认知改善。

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