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. 2022 Jun 6;2022(6):CD011574. doi: 10.1002/14651858.CD011574.pub2

RBR‐5w2sqt.

Study name Effects of strength exercises with elastic bands and tubes on the difficulty of movements, quality of life, sleep, memory, depressive symptoms, balance and risk of falls of patients with Parkinson's disease
Methods RCT
Participants Target sample size: 50
Inclusion criteria: diagnosis of Parkinson’s disease according to the UK PD Brain Bank Diagnostic Criteria; stages of 1 to 3 according to the modified Hoehn & Yahr scale; stable antiparkinsonian medication regimen for at least 4 weeks before the intervention; literate; independent in basic daily living activities according to SE higher or equal to 80%; age of 40 years or more; be a resident of Fortaleza, Brazil.
Exclusion criteria: BMI greater than 40 and less than 20; diagnosis of Chron's Disease and Ulcerative Colitis; diagnosis of multiple sclerosis, ADEM, Parkinsonism plus, cerebrovascular disease with motor sequelae, Guillain‐Barre; dementia syndrome of any etiology according to MSD‐V; schizophrenia with hospitalisation or psychotic episode or suicidal ideation in the last 6 months; bipolar affective disorder with hospitalisation or episode of mania or episode of hypomania or episode of depression in the last 6 months; depression with hospitalisation or suicidal ideation or psychotic episode in the last 6 months; myocardial infarction with or without ST elevation in the last 12 months; myocardial revascularisation surgery or percutaneous angioplasty in the last 12 months; uncontrolled arrhythmia; severe or oxygen dependent COPD; cardiac insufficiency with reduced functional class III or IV; resting Blood Pressure greater than or equal to 160 x 100 mmHg; implantable cardioversion defibrillator (ICD); severe chronic kidney disease (creatinine clearance less than 30ml/min); proliferative retinopathy secondary to diabetes; peripheral neuropathy with motor impairment;
moderate to severe hearing impairment (inability to maintain a dialogue or need for lip reading); moderate to severe visual impairment (minimum visual acuity 20/70 ‐ Snellen); cancer in activity or in treatment; history of conventional surgery or DBS for Parkinson's disease; alcohol consumption greater than 14 drinks per week; live with people who participate in the same study; thromboembolism without anticoagulation regimen; significant weight loss (10% of usual weight) in the last 6 months; lack of family support to participate in the study; bariatric surgery history; exercise at moderate intensity for at least 3 x week; glycated haemoglobin higher than 12.
Interventions 1. Muscle power training with elastic bands and resistance tubes for 60 minutes, 2 x per week for 12 weeks.
2. Group health education about living well with Parkinson's disease, once a week, for 12 weeks.
Outcomes 1. Rate of falls in the past month
2. PDQ39
Other outcomes not relevant to this review
Starting date Not yet recruiting
Contact information Danielle Pessoa Lima
Faculdade de Medicina da Universidade Federal do Ceará, Brazil
Notes  

BMI: body, mass index;COPD: chronic obstructive pulmonary disease; EQ‐5D : European Quality of Life 5 Dimension; PDQ39: Parkinson's Disease Questionnaire‐39; PDQ8: Parkinson's Disease Questionnaire‐8;RCT: randomised controlled trial;