Effects of Exercise and Physical Activity on Quality of Life in Patients with Parkinson’s Disease: A Systematic Review

Authors

DOI:

https://doi.org/10.15359/mhs.20-2.9

Keywords:

exercise, mental health, psychology, physical activity, quality of life

Abstract

Objective: This study aimed to conduct a systematic review of the effects of exercise and physical activity on the quality of life in patients with Parkinson's disease (PD).

Methodology: Under the preferred reporting elements for systematic reviews and meta-analyses of the PRISMA methodology, a literature review was conducted using the Scopus, Springer, and Oxford academic databases. Inclusion criteria were established where documents were filtered, classified, and selected according to their relation to the object of study, and exclusion criteria under the criteria established for the PICOS strategy. The review was not registered a priori in any database, and a review protocol was not published. Sixteen studies were included in the review.

Results: The data show that the factors influencing the effects of physical exercise on the quality of life in PD patients are related to low levels of physical activity and lack of acute physical exercise. In terms of interventions, exercise advised by physiotherapy, boxing, Tai Chi, aquatherapy, and different types of training are highlighted.

Conclusion: The effects of exercise and physical activity on PD patients are related to the well-being experienced by each person in their quality of life. In turn, exercise and physical activity interventions within 6 and 12 weeks are presumed to improve motor and cognitive symptoms and alter brain activity in people with PD. This review may guide future studies that aim to fill existing gaps regarding the effects of exercise and physical activity on the quality of life in people with Parkinson's disease.


 

References

Abal Durán, A. (2019). Eficacia de un protocolo de ejercicio terapéutico en pacientes con enfermedad de Parkinson: proyecto de investigación [Tesis de grado, Universidad Da Coruña]. Universidad Da Coruña Digital Archive. https://ruc.udc.es/dspace/handle/2183/24011

Abeliovich, A., & Rhinn, H. (2016). Guilt by genetic association. Nature 2016 533:7601, 533(7601), 40-41. https://doi.org/10.1038/NATURE17891

Barbosa-Granados, S., & Aguirre Loaiza, H. (2020). Actividad física y calidad de vida relacionada con la salud en una comunidad académica. Pensamiento Psicológico, 18(2), 1-29. https://doi.org/10.11144/JAVERIANACALI.PPSI18-2.AFCV

Barbosa-Granados, S., & Urrea-Cuellar, A. (2018). Influencia del deporte y la actividad física en el estado de salud físico y mental. Katharsis, 25, 141-160. https://doi.org/10.25057/25005731.1023

Barrero Candau, R. (2008). Enfermedad de parkinson y síntomas urinarios: estudio clínico y en modelos animales. [Tesis de grado, Universidad de Sevilla]. Universidad de Sevilla Digital Archive. https://idus.us.es/handle/11441/51253

Barry, G., Galna, B., & Rochester, L. (2014). The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence. Journal of Neuroengineering and Rehabilitation, 11(1). https://doi.org/10.1186/1743-0003-11-33

Bastidas-Bilbao, H. (2014). Enfermedades médicas y depresión en el adulto mayor: características comunes y relación etiológica. Revista de Psicología, 32(2), 191-218. https://doi.org/10.18800/psico.201402.001

Beltrán, G., & Óscar, A. (2005). Revisiones sistémicas de la literatura. Revista Colombiana de Gastroenterología, 20(1), 60-69. https://www.redalyc.org/pdf/3377/337729264009.pdf

Belvisi, D., Pellicciari, R., Fabbrini, A., Costanzo, M., Pietracupa, S., Lucia, M. De, Modugno, N., Magrinelli, F., Dallocchio, C., Ercoli, T., Terravecchia, C., Nicoletti, A., Solla, P., Fabbrini, G., Tinazzi, M., Berardelli, A., & Defazio, G. (2020). Risk factors of Parkinson disease. Neurology, 95(18), e2500–e2508. https://doi.org/10.1212/WNL.0000000000010813

Bouça-Machado, R., Rosário, A., Caldeira, D., Castro Caldas, A., Guerreiro, D., Venturelli, M., Tinazzi, M., Schena, F., & J. Ferreira, J. (2020). Physical Activity, Exercise, and Physiotherapy in Parkinson’s Disease: Defining the Concepts. Movement Disorders Clinical Practice, 7(1), 7-15. https://doi.org/10.1002/mdc3.12849

Braz de Oliveira, M. P., Maria dos Reis, L., & Duarte Pereira, N. (2021). Effect of Resistance Exercise on Body Structure and Function, Activity, and Participation in Individuals With Parkinson Disease: A Systematic Review. Archives of Physical Medicine and Rehabilitation, 102(10), 1998-2011. https://doi.org/10.1016/J.APMR.2021.01.081

Cammisuli, D. M., Bonuccelli, U., Daniele, S., Martini, C., Fusi, J., & Franzoni, F. (2020). Aerobic exercise and healthy nutrition as neuroprotective agents for brain health in patients with parkinson’s disease: A critical review of the literature. In Antioxidants (Vol. 9, Issue 5). https://doi.org/10.3390/antiox9050380

Campo-Prieto, P., Rodríguez-Fuentes, G., & Cancela Carral, J. M. (2020). Application of a focused-attention exercise program in two patients affected by Parkinson-plus syndrome. Fisioterapia, 42(1), 51-55. https://doi.org/10.1016/j.ft.2019.09.002

Cano-de la Cuerda, R., Vela-Desojo, L., Miangolarra-Page, J. C., MacIas-Macias, Y., & Muñoz-Hellin, E. (2010). Calidad de vida relacionada con la salud en la enfermedad de Parkinson. Medicina, 70(6), 503-507. http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802010000600003

Chen, J., Fen Chien, H., Valente Francato, D. C., Ferreira Barbosa, A., de Oliveira, C., Callil, M., Greve, J. M., & Reis Barbosa, E. (2021). Effects of resistance training on postural control in Parkinson’s disease: a randomized controlled trial. Arquivos de Neuro-Psiquiatria, 79(6), 511-520. https://doi.org/10.1590/0004-282X-ANP-2020-0285

da Costa, C. M., de Mattos, C., & Cuce Nobre, M. (2007). Estrategia PICO para la construcción de la pregunta de investigación y la búsqueda de evidencias. Revista Latino-Americana de Enfermagem, 15(3), 508-511. https://doi.org/10.1590/S0104-11692007000300023

Dauwan, M., Begemann, M. J. H., Slot, M. I. E., Lee, E. H. M., Scheltens, P., & Sommer, I. E. C. (2019). Physical exercise improves quality of life, depressive symptoms, and cognition across chronic brain disorders: a transdiagnostic systematic review and meta-analysis of randomized controlled trials. Journal of Neurology, 0123456789. https://doi.org/10.1007/s00415-019-09493-9

Domingos, J., Dean, J., Cruickshank, T. M., Śmiłowska, K., Fernandes, J. B., & Godinho, C. (2021). A Novel Boot Camp Program to Help Guide Personalized Exercise in People with Parkinson Disease. Journal of Personalized Medicine 2021, Vol. 11, Page 938, 11(9), 938. https://doi.org/10.3390/JPM11090938

Duncan, R. P., Van Dillen, L. R., Garbutt, J. M., Earhart, G. M., & Perlmutter, J. S. (2019). Low Back Pain-Related Disability in Parkinson Disease: Impact on Functional Mobility, Physical Activity, and Quality of Life. Physical Therapy, 99(10), 1346-1353. https://doi.org/10.1093/PTJ/PZZ094

Ellingson, L. D., Zaman, A., & Stegemöller, E. L. (2019). Sedentary Behavior and Quality of Life in Individuals With Parkinson’s Disease. Neurorehabilitation and Neural Repair, 33(8), 595-601. https://doi.org/10.1177/1545968319856893

Ellis, T. D., Cavanaugh, J. T., DeAngelis, T., Hendron, K., Thomas, C. A., Saint-Hilaire, M., Pencina, K., & Latham, N. K. (2019). Comparative Effectiveness of mHealth-Supported Exercise Compared With Exercise Alone for People With Parkinson Disease: Randomized Controlled Pilot Study. Physical Therapy, 99(2), 203-216. https://doi.org/10.1093/PTJ/PZY131

Emig, M., George, T., Zhang, J. K., & Soudagar-Turkey, M. (2021). The Role of Exercise in Parkinson’s Disease. Https://Bbibliograficas.Ucc.Edu.Co:2160/10.1177/08919887211018273, 34(4), 321-330. https://doi.org/10.1177/08919887211018273

Estanga, A. (2015). Características neuropsicológicas de pacientes con enfermedad de Parkinson y portadores asintomáticos de la mutación R1441G en el gen Lrrk2 [Tesis de doctorado, Universidad del País Vasco]. http://hdl.handle.net/10810/17829

Fiorelli, C. M., Ciolac, E. G., Simieli, L., Silva, F. A., Fernandes, B., Christofoletti, G., & Barbieri, F. A. (2019). Differential acute effect of high-intensity interval or continuous moderate exercise on cognition in individuals with Parkinson’s disease. Journal of Physical Activity and Health, 16(2), 157-164. https://doi.org/10.1123/jpah.2018-0189

Forjaz, M. J., Frades Payo, B., & Martínez Martín, P. (2009). Situación actual del conocimiento sobre calidad de vida en la enfermedad de Parkinson: II. Determinantes y factores asociados. Revista de Neurología, 49(12), 655. https://doi.org/10.33588/rn.4912.2009197

Freidle, M., Johansson, H., Ekman, U., Lebedev, A. v., Schalling, E., Thompson, W. H., Svenningsson, P., Lövdén, M., Abney, A., Albrecht, F., Steurer, H., Leavy, B., Holmin, S., Hagströmer, M., & Franzén, E. (2022). Behavioural and neuroplastic effects of a double-blind randomised controlled balance exercise trial in people with Parkinson’s disease. Npj Parkinson’s Disease 2022 8:1, 8(1), 1-10. https://doi.org/10.1038/S41531-021-00269-5

García, S., Sauri Suárez, S., Meza Dávalo, E., & Castillo, J. L. (2008). Perspectiva histórica y aspectos epidemiológicos de la enfermedad deParkinson. Medicina Interna de México 24(1), 28-37. https://www.medigraphic.com/pdfs/medintmex/mim-2008/mim081f.pdf

Garcia-Agundez, A., Folkerts, A. K., Konrad, R., Caserman, P., Tregel, T., Goosses, M., Göbel, S., & Kalbe, E. (2019). Recent advances in rehabilitation for Parkinson’s Disease with Exergames: A Systematic Review. Journal of Neuroengineering and Rehabilitation, 16(1). https://doi.org/10.1186/S12984-019-0492-1

García-Ramos, R., López Valdés, E., Ballesteros, L., Jesús, S., & Mir, P. (2016). The social impact of Parkinson’s disease in Spain: Report by the Spanish Foundation for the Brain. Neurología (English Edition), 31(6), 401-413. https://doi.org/10.1016/j.nrleng.2013.04.008

Gil, N., Jamora, R., Rae, M., & Marl, A. (2021). Malnutrition and related factors in Filipino patients with Parkinson’s disease: results from a pilot study. Https://Doi.Org/10.2217/Nmt-2020-0050, 11(2), 125-135. https://doi.org/10.2217/NMT-2020-0050

Gilat, M., Ginis, P., Zoetewei, D., De Vleeschhauwer, J., Hulzinga, F., D’Cruz, N., & Nieuwboer, A. (2021). A systematic review on exercise and training-based interventions for freezing of gait in Parkinson’s disease. Npj Parkinson’s Disease 2021 7:1, 7(1), 1-18. https://doi.org/10.1038/S41531-021-00224-4

Gruber, M. T., Witte, O. W., Grosskreutz, J., & Prell, T. (2020). Association between malnutrition, clinical parameters and health-related quality of life in elderly hospitalized patients with Parkinson’s disease: A cross-sectional study. PLoS ONE, 15(5). https://doi.org/10.1371/journal.pone.0232764

Hulbert, S. M., & Goodwin, V. A. (2020). ‘Mind the gap’ - a scoping review of long term, physical, self-management in Parkinson’s. Physiotherapy (United Kingdom), 107, 88-99. https://doi.org/10.1016/j.physio.2019.12.003

Hunter, H., Lovegrove, C., Haas, B., Freeman, J., & Gunn, H. (2019). Experiences of people with Parkinson’s disease and their views on physical activity interventions: a qualitative systematic review. JBI Database of Systematic Reviews and Implementation Reports, 17(4), 548-613. https://doi.org/10.11124/JBISRIR-2017-003901

Jenkinson, C., Fitzpatrick, R., Peto, V., Greenhall, R., & Hyman, N. (1997). The Parkinson’s disease questionnaire (PDQ-39): Development and validation of a Parkinson’s disease summary index score. Age and Ageing, 26(5), 353-357. https://doi.org/10.1093/ageing/26.5.353

Kalia, L. V., & Lang, A. E. (2015). Parkinson’s disease. The Lancet, 386(9996), 896-912. https://doi.org/10.1016/S0140-6736(14)61393-3

Koohi, N., Bancroft, M. J., Patel, J., Castro, P., Akram, H., Warner, T. T., & Kaski, D. (2021). Saccadic Bradykinesia in Parkinson’s Disease: Preliminary Observations. Movement Disorders, 36(7), 1729-1731. https://doi.org/10.1002/MDS.28609

Krishnamurthi, N., Fleury, J., Belyea, M., Shill, H. A., & Abbas, J. J. (2020). ReadySteady intervention to promote physical activity in older adults with Parkinson’s disease: Study design and methods. Contemporary Clinical Trials Communications, 17, 100513. https://doi.org/10.1016/j.conctc.2019.100513

Kuhn, W., Neufeld, T., & Müller, T. (2020). Kinesiology training in patients with Parkinson’s disease: results of a pilot study. Journal of Neural Transmission 2020 127:5, 127(5), 793-798. https://doi.org/10.1007/S00702-019-02123-8

Kulisevsky, J., Luquin, M. R., Arbelo, J. M., Burguera, J. A., Carrillo, F., Castro, A., Chacón, J., García-Ruiz, P. J., Lezcano, E., Mir, P., Martínez-Castrillo, J. C., Martínez-Torres, I., Puente, V., Sesar, A., Valldeoriola-Serra, F., & Yañez, R. (2013). Advanced Parkinson’s disease: Clinical characteristics and treatment (part 1). Neurologia, 28(8), 503-521. https://doi.org/10.1016/j.nrl.2013.05.001

Lauze, M., Daneault, J., & Duval, C. (2016). The effects of physical activity in Parkinson’s disease: a review. J Parkinsons Dis, 6(4), 685-698. https://doi.org/10.3233/jpd-160790

Luna, N. M. S., Brech, G. C., Canonica, A., Ernandes, R. de C., Bocalini, D. S., Greve, J. M. D. A., & Alonso, A. C. (2020). Effects of treadmill training on gait of elders with Parkinson’s disease: a literature review. Einstein (Sao Paulo, Brazil), 18, eRW5233. https://doi.org/10.31744/EINSTEIN_JOURNAL/2020RW5233

Martínez-Martín, P., Serrano-Dueñas, M., Forjaz, M. J., & Serrano, M. S. (2007). Two questionnaires for Parkinson’s disease: Are the PDQ-39 and PDQL equivalent? Quality of Life Research, 16(7), 1221-1230. https://doi.org/10.1007/s11136-007-9224-2

Martínez-Jurado, E., Cervantes-Arriaga, A., Rodríguez-Violante, M. (2010). Calidad de vida en pacientes con enfermedad de Parkinson. Revista Mexicana de Neurociencias, 11 (6), 480-486. https://www.medigraphic.com/pdfs/revmexneu/rmn-2010/rmn106f.pdf

Morris, M. E., Ellis, T. D., Jazayeri, D., Heng, H., Thomson, A., Balasundaram, A. P., & Slade, S. C. (2019). Boxing for Parkinson’s Disease: Has Implementation Accelerated Beyond Current Evidence? Frontiers in Neurology, 10. https://doi.org/10.3389/FNEUR.2019.01222

Murray, D. K., Sacheli, M. A., Eng, J. J., & Stoessl, A. J. (2014). The effects of exercise on cognition in Parkinson’s disease: a systematic review. Translational Neurodegeneration, 3(1). https://doi.org/10.1186/2047-9158-3-5

Nimwegen, M. Van, Speelman, A. D., Hofman-Van Rossum, E. J. M., Overeem, S., Deeg, D. J. H., Borm, G. F., Van Der Horst, M. H. L., Bloem, B. R., & Munneke, M. (2011). Physical inactivity in Parkinson’s disease. Journal of Neurology, 258(12), 2214-2221. https://doi.org/10.1007/S00415-011-6097-7

Oonk, N. G. M., Movig, K. L. L., van der Palen, J., Nijmeijer, H.-W., van Kesteren, M. E., & Dorresteijn, L. D. A. (2021). The Impact of Non-dopaminergic Medication on Quality of Life in Parkinson’s Disease. Clinical Drug Investigation 2021 41:9, 41(9), 809-816. https://doi.org/10.1007/S40261-021-01064-Z

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Alonso-Fernández, S. (2021). Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016

Patterson, C. G., Joslin, E., Gil, A. B., Spigle, W., Nemet, T., Chahine, L., Christiansen, C. L., Melanson, E., Kohrt, W. M., Mancini, M., Josbeno, D., Balfany, K., Griffith, G., Dunlap, M. K., Lamotte, G., Suttman, E., Larson, D., Branson, C., McKee, K. E., … Corcos, D. M. (2022). Study in Parkinson’s disease of exercise phase 3 (SPARX3): study protocol for a randomized controlled trial. Trials, 23(1), 1-26. https://doi.org/10.1186/S13063-022-06703-0

Pla Casamitjana, C. F., García, S., Méndez, A. Z., Salazar, M. H., Suárez, S. S., Dávalos, E. M., Ortiz, C. G., Venegas, J. B., Granados, F. J. V., Cervantes, J. H., Luna, O. M., Vázquez, A. G., Blanco, J. V., Salazar, A. M., Sosa, A., Álvarez, N. I. P., Cerdeira, E. O., & Cosmes, J. J. (2007). Calidad de vida en pacientes con enfermedad de Parkinson y estimulación cerebral profunda. Medicina Interna de México, 23(1), 7-14. https://www.medigraphic.com/pdfs/medintmex/mim-2007/mim071b.pdf

Ribero-Marulanda, S., & Novoa-Gómez, M. (2019). Qualitative Systematic Review of Emotional Processes and Social Interaction: Behavioral Analysis in Contexts of Political Violence. International Journal of Psychological Research, 12(2), 91-104. https://doi.org/10.21500/20112084.4053

Salas, C; & Garzón, M.(2013). La noción de calidad de vida y su medición. Revista CES Salud Publica.4(1), 36-46. https://revistas.ces.edu.co/index.php/ces_salud_publica/article/view/2751/1984

Schönenberg, A., Zipprich, H. M., Teschner, U., Grosskreutz, J., Witte, O. W., & Prell, T. (2021). Impact of subthreshold depression on health-related quality of life in patients with Parkinson’s disease based on cognitive status. Health and Quality of Life Outcomes 2021 19:1, 19(1), 1-8. https://doi.org/10.1186/S12955-021-01753-5

Serrano Dueñas, M. (2000). Enfermedad de Parkinson, hemicuerpo afectado y depresión. Revista de Neurología, 31(12), 1109. https://doi.org/10.33588/rn.3112.2000290

Shalash, A., Helmy, A., Salama, M., Gaber, A., El-Belkimy, M., & Hamid, E. (2022). A 6-month longitudinal study on worsening of Parkinson’s disease during the COVID-19 pandemic. Npj Parkinson’s Disease 2022 8:1, 8(1), 1-7. https://doi.org/10.1038/S41531-022-00376-X

Silva, C. M., Travessa, A. M., Bouça-Machado, R., Caldeira, D., & Ferreira, J. J. (2019). Reporting and methodological quality of clinical trials on exercise therapy for Parkinson’s disease. Parkinsonism & Related Disorders, 69, 150-156. https://doi.org/10.1016/J.PARKRELDIS.2019.11.011

Suzuki, K., Fujita, H., Matsubara, T., & Hirata, K. (2019). Non-motor symptoms in postural instability/gait difficulty subtype in the early stage of Parkinson’s disease. European Journal of Neurology, 26(3), e37–e37. https://doi.org/10.1111/ENE.13828

Torres-Lagunas, M. A., Vega-Morales, E. G., Vinalay-Carrillo, I., Arenas-Montaño, G., & Rodríguez-Alonzo, E. (2015). Validación psicométrica de escalas PSS-14, AFA-R, HDRS, CES-D, EV en puérperas mexicanas con y sin preeclampsia. Enfermería universitaria, 12(3), 122-133. https://doi.org/10.1016/j.reu.2015.08.001

Tymruk-Skoropad, K., Pavlova, I., & Stupnytska, S. (2019). Educational component in rehabilitation programs for persons with chronic obstructive pulmonary disease: A systematic review. Postepy Rehabilitacji, 33(4), 51-65. https://doi.org/10.5114/AREH.2019.89827

Urell, C., Zetterberg, L., Hellström, K., & Anens, E. (2021). Factors explaining physical activity level in Parkinson´s disease: A gender focus. Physiotherapy theory and practice, 37(4), 507-516. https://doi.org/10.1080/09593985.2019.163087

Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. In Medicina Clínica (Vol. 135, Issue 11, pp. 507-511). https://doi.org/10.1016/j.medcli.2010.01.015

Varma, P., Narayan, L., Alty, J., Painter, V., & Padmakumar, C. (2021). An Innovative Personalised Management Program for Older Adults with Parkinson’s Disease: New Concepts and Future Directions. Journal of Personalized Medicine 2021, Vol. 11, Page 43, 11(1), 43. https://doi.org/10.3390/JPM11010043

von Rosen, P., Hagströmer, M., Franzén, E., & Leavy, B. (2021). Physical activity profiles in Parkinson’s disease. BMC Neurology 2021 21:1, 21(1), 1-8. https://doi.org/10.1186/S12883-021-02101-2

Watanabe, H., Saiki, H., Chiu, S.-W., Yamaguchi, T., Kashihara, K., Tsuboi, Y., Nomoto, M., Hattori, N., Maeda, T., & Shimo, Y. (2020). Real-World Nonmotor Changes in Patients with Parkinson’s Disease and Motor Fluctuations: J-FIRST. Movement Disorders Clinical Practice, 7(4), 431-439. https://doi.org/10.1002/MDC3.12939

World Health Organization. (2010). Global recommendations on physical activity for health. World Health Organization. https://www.who.int/publications/i/item/9789241599979

Xu, X., Fu, Z., & Le, W. (2019). Exercise and Parkinson’s disease. International Review of Neurobiology, 147, 45-74. https://doi.org/10.1016/BS.IRN.2019.06.003

Yan, J., Kwok, Y., Pui, Edmond, Choi, H., Jung, J. Lee, J., Yuet, K., Lok, W., Cheuk, J., Kwan, Y., & Vincent, T. (2022). Effects of Mindfulness Yoga Versus Conventional Physical Exercises on Symptom Experiences and Health-related Quality of Life in People with Parkinson’s Disease: The Potential Mediating Roles of Anxiety and Depression. Annals of Behavioral Medicine, 56(10), 1068-1081. https://doi.org/10.1093/ABM/KAAC005

Yousefi, B., Tadibi, V., Khoei, A., & Montazeri, A. (2009). Exercise therapy, quality of life, and activities of daily living in patients with Parkinson disease: a small scale quasi-randomised trial. Trials, 10. https://doi.org/10.1186/1745-6215-10-67

Published

2023-07-27

How to Cite

Corrales Gómez, J. D., Torres Naranjo, T., Orozco Villa, E. O., & Barbosa-Granados, S. (2023). Effects of Exercise and Physical Activity on Quality of Life in Patients with Parkinson’s Disease: A Systematic Review. MHSalud: Revista En Ciencias Del Movimiento Humano Y Salud, 20(2). https://doi.org/10.15359/mhs.20-2.9

How to Cite

Corrales Gómez, J. D., Torres Naranjo, T., Orozco Villa, E. O., & Barbosa-Granados, S. (2023). Effects of Exercise and Physical Activity on Quality of Life in Patients with Parkinson’s Disease: A Systematic Review. MHSalud: Revista En Ciencias Del Movimiento Humano Y Salud, 20(2). https://doi.org/10.15359/mhs.20-2.9

Comentarios (ver términos de uso)

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>