Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis

Abstract Many Parkinson’s disease (PD) patients are able to ride a bicycle despite being severely compromised by gait disturbances up to freezing of gait. This review [PROSPERO CRD 42019137386] aimed to find out, which PD-related symptoms improve from bicycling, and which type of bicycling exercise...

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Autores principales:	Marianne Tiihonen, Britta U. Westner, Markus Butz, Sarang S. Dalal
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/67af8b8b78c6442cb0f87c7f560b5988
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spelling	oai:doaj.org-article:67af8b8b78c6442cb0f87c7f560b59882021-12-02T18:48:24ZParkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis10.1038/s41531-021-00222-62373-8057https://doaj.org/article/67af8b8b78c6442cb0f87c7f560b59882021-09-01T00:00:00Zhttps://doi.org/10.1038/s41531-021-00222-6https://doaj.org/toc/2373-8057Abstract Many Parkinson’s disease (PD) patients are able to ride a bicycle despite being severely compromised by gait disturbances up to freezing of gait. This review [PROSPERO CRD 42019137386] aimed to find out, which PD-related symptoms improve from bicycling, and which type of bicycling exercise would be most beneficial. Following a systematic database literature search, peer-reviewed studies with randomized control trials (RCT) and with non-randomized trials (NRCT) investigating the interventional effects of bicycling on PD patients were included. A quality analysis addressing reporting, design and possible bias of the studies, as well as a publication bias test was done. Out of 202 references, 22 eligible studies with 505 patients were analysed. An inverse variance-based analysis revealed that primary measures, defined as motor outcomes, benefitted from bicycling significantly more than cognitive measures. Additionally, secondary measures of balance, walking speed and capacity, and the PDQ-39 ratings improved with bicycling. The interventions varied in durations, intensities and target cadences. Conclusively, bicycling is particularly beneficial for the motor performance of PD patients, improving crucial features of gait. Furthermore, our findings suggest that bicycling improves the overall quality-of-life of PD patients.Marianne TiihonenBritta U. WestnerMarkus ButzSarang S. DalalNature PortfolioarticleNeurology. Diseases of the nervous systemRC346-429ENnpj Parkinson's Disease, Vol 7, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurology. Diseases of the nervous system RC346-429 Marianne Tiihonen Britta U. Westner Markus Butz Sarang S. Dalal Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
description	Abstract Many Parkinson’s disease (PD) patients are able to ride a bicycle despite being severely compromised by gait disturbances up to freezing of gait. This review [PROSPERO CRD 42019137386] aimed to find out, which PD-related symptoms improve from bicycling, and which type of bicycling exercise would be most beneficial. Following a systematic database literature search, peer-reviewed studies with randomized control trials (RCT) and with non-randomized trials (NRCT) investigating the interventional effects of bicycling on PD patients were included. A quality analysis addressing reporting, design and possible bias of the studies, as well as a publication bias test was done. Out of 202 references, 22 eligible studies with 505 patients were analysed. An inverse variance-based analysis revealed that primary measures, defined as motor outcomes, benefitted from bicycling significantly more than cognitive measures. Additionally, secondary measures of balance, walking speed and capacity, and the PDQ-39 ratings improved with bicycling. The interventions varied in durations, intensities and target cadences. Conclusively, bicycling is particularly beneficial for the motor performance of PD patients, improving crucial features of gait. Furthermore, our findings suggest that bicycling improves the overall quality-of-life of PD patients.
format	article
author	Marianne Tiihonen Britta U. Westner Markus Butz Sarang S. Dalal
author_facet	Marianne Tiihonen Britta U. Westner Markus Butz Sarang S. Dalal
author_sort	Marianne Tiihonen
title	Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
title_short	Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
title_full	Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
title_fullStr	Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
title_full_unstemmed	Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
title_sort	parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/67af8b8b78c6442cb0f87c7f560b5988
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Parkinson’s disease patients benefit from bicycling - a systematic review and meta-analysis

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