■研究帕金森氏病PD中用于缓解Timedup和Go(TUG)的特定类型运动之间的剂量-反应关系。
■系统评价和贝叶斯网络荟萃分析。
■PubMed,Medline,Embase,PsycINFO,科克伦图书馆,和WebofScience从一开始一直搜索到2月5日,2024.
■使用具有MBNMA包的R软件进行数据分析。结果指标的影响大小表示为平均偏差(MD)和95%置信区间(95%CrI)。网络中的偏倚风险由两名审阅者使用ROB2独立评估。
■总共73项研究,涉及3,354名PD患者。本文讨论了在各种运动类型中改善PD患者TUG表现的剂量反应关系。值得注意的是,水产(AQE),混合运动(Mul_C),感觉运动(SE),和阻力训练(RT)证明有效剂量范围,AQE最佳为1500MET-min/周(MD:-8.359,95%CI:-1.398至-2.648),Mul_C在1000METs-min/周(MD:-4.551,95%CI:-8.083至-0.946),SE为1200MET-min/周(MD:-5.145,95%CI:-9.643至-0.472),RT为610METs-min/周(MD:-2.187,95%CI:-3.161至-1.278),分别。然而,没有发现有效的有氧运动剂量(AE),平衡步态训练(BGT),跳舞,和跑步机训练(TT)。身心锻炼(MBE)的有效范围为130至750METs-min/周,最佳剂量为750METs-min/周(MD:-2.822,95%CI:-4.604至-0.996)。根据等级制度,纳入研究的证据总体质量为中等水平.
■本研究确定了能显著增强PD患者TUG表现的特定运动方式和剂量。AQE成为最有效的模式,最佳剂量为1,500METs-min/周。MBE在较低剂量下显示出显着的益处,迎合不同运动能力的患者。RT表现出微妙的“U形”剂量反应关系,建议最佳的范围平衡功效和过度训练的风险。这些发现倡导PD管理中量身定制的锻炼计划,强调个性化处方以最大化结果。系统审查注册:国际前瞻性系统审查注册(PROSPERO)(CRD42024506968)。
UNASSIGNED: To examine the dose-response relationship between specific types of exercise for alleviating Timed up and Go (TUG) in Parkinson\'s disease PD.
UNASSIGNED: Systematic review and Bayesian network meta-analysis.
UNASSIGNED: PubMed, Medline, Embase, PsycINFO, Cochrane Library, and Web of Science were searched from inception until February 5th, 2024.
UNASSIGNED: Data analysis was conducted using R software with the MBNMA package. Effect sizes of outcome indicators were expressed as mean deviation (MD) and 95% confidence intervals (95% CrI). The risk of bias in the network was evaluated independently by two reviewers using ROB2.
UNASSIGNED: A total of 73 studies involving 3,354 PD patients. The text discusses dose-response relationships in improving TUG performance among PD patients across various exercise types. Notably, Aquatic (AQE), Mix Exercise (Mul_C), Sensory Exercise (SE), and Resistance Training (RT) demonstrate effective dose ranges, with AQE optimal at 1500 METs-min/week (MD: -8.359, 95% CI: -1.398 to -2.648), Mul_C at 1000 METs-min/week (MD: -4.551, 95% CI: -8.083 to -0.946), SE at 1200 METs-min/week (MD: -5.145, 95% CI: -9.643 to -0.472), and RT at 610 METs-min/week (MD: -2.187, 95% CI: -3.161 to -1.278), respectively. However, no effective doses are found for Aerobic Exercise (AE), Balance Gait Training (BGT), Dance, and Treadmill Training (TT). Mind-body exercise (MBE) shows promise with an effective range of 130 to 750 METs-min/week and an optimal dose of 750 METs-min/week (MD: -2.822, 95% CI: -4.604 to -0.996). According to the GRADE system, the included studies\' overall quality of the evidence was identified moderate level.
UNASSIGNED: This study identifies specific exercise modalities and dosages that significantly enhance TUG performance in PD patients. AQE emerges as the most effective modality, with an optimal dosage of 1,500 METs-min/week. MBE shows significant benefits at lower dosages, catering to patients with varying exercise capacities. RT exhibits a nuanced \"U-shaped\" dose-response relationship, suggesting an optimal range balancing efficacy and the risk of overtraining. These findings advocate for tailored exercise programs in PD management, emphasizing personalized prescriptions to maximize outcomes.Systematic Review Registration: International Prospective Register of Systematic Reviews (PROSPERO) (CRD42024506968).