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Effects of aerobic exercise on the symptoms of people with Parkinson´s disease at different stagies: a systematic review
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Exercise has been identified as beneficial in improving functional capacity with an emphasis on gait activity, postural control and production vs/maintenance of strength, also impacting the quality of life of Parkinson’s disease (DP) patients. Among the diferente types of exercise programs, aerobic exercise is the most widely studied ans has already shown positive effects at motor, quality of life, cognition and emotion levels. This systematic review aimed to examine the effects of aerobic exercise on the symptoms of people with Parkinson’s disease (PD) at different stages. PubMed (Medline), Cochrane Central Library, Physiotherapy Evidence Database (PEDro) and Web of Science (Core Colection) were all searched. The Cochrane Risk- of-Bias tool for randomized trials, Version 2 (RoB 2), was also used to assess the methodological quality and risk of bias of studies. A total of 14 studies involving 729 PD patients were included. Aerobic exercise improved motor and non-motor symptoms such as functional mobility, balance, gait velocity, global motor function, anxiety, depression, fatigue, sleep quality and cognition across all PD stages. Aerobic exercise is na effective non-pharmacological approach for improving motor and non-motor symptoms in individual with PD, regardless of the PD stage they are in. In addition, for the minimum dose of aerobic exercise, we recommend that the exercise period is no less than 3 times per week, with a duration of 60 min per training session and a minumum intensity of 60% of HRR.
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Aerobic exercise Motor symptoms Non-motor symptoms Parkinson´s disease Systematic review