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Characteristics of respiratory rehabilitation programs for people with Parkinson’s disease: a scoping review

2025-07Journal article Restricted access
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorLoureiro, Ricardo Filipe de Moura
dc.contributor.authorSantana, Elaine dos Santos
dc.contributor.authorDuque, Filipa Margarida Gonçalves
dc.contributor.authorBernardes, Rafael Alves
dc.contributor.authorVentura, Filipa Isabel Quaresma
dc.contributor.authorSilva, Rosa Carla Gomes da
dc.contributor.authorOliveira, Albertina Lima de
dc.contributor.authorLima, Margarida Pedroso de
dc.contributor.authorAlmeida, Maria de Lurdes Ferreira de
dc.contributor.authorCardoso, Daniela Filipa Batista
dc.contributor.authorCardoso, Ana Filipa dos Reis Marques
dc.contributor.editorAromataris, Edoardo
dc.date.accessioned2025-10-02T14:44:47Z
dc.date.available2025-10-02T14:44:47Z
dc.date.issued2025-07
dc.descriptionJBI Evidence Synthesis 23(7):p 1308-1375, July 2025.
dc.description.abstractObjective: The objective of this review was to map the characteristics of respiratory rehabilitation programs for people with Parkinson's disease. Introduction: Parkinson's disease is a progressive and heterogeneous neurodegenerative disease. Respiratory dysfunction is highly prevalent in people with Parkinson's disease and is a major contributor to morbidity and mortality. People with Parkinson's disease may experience respiratory dysfunction such as ineffective coughing and dyspnea. Complications, such as atelectasis and respiratory infections, significantly impact their self-care and quality of life. To mitigate its impact on people's lives, various respiratory rehabilitation programs have been developed and implemented. Many studies have examined this topic, yet respiratory rehabilitation programs vary significantly in structure and evaluated outcomes. Eligibility criteria: We considered studies focused on respiratory rehabilitation programs implemented to prevent or target one or more symptoms for adults (18 years and older) with Parkinson's disease, regardless of the disease stage. The programs could be provided by any health professional in any health care setting. Methods: We followed JBI methodology for conducting the scoping review, and the results were reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). A literature search was conducted across PubMed, CINAHL Complete (EBSCOhost), Cochrane Central Register of Controlled Trials (EBSCOhost), the Cochrane Database of Systematic Reviews (EBSCOhost), Scielo, Scopus, PEDro, and ClinicalTrials.gov. Unpublished studies were identified via Google Scholar, DART-Europe, and MedNar. All search strategies were conducted on April 24, 2023. Sources published in English, Spanish, and Portuguese were included and no date restrictions were applied. Study selection and data extraction were conducted independently by 2 reviewers using a standardized extraction tool. Results: Thirty-three studies published between 2001 and 2023 were included. Studies were conducted in the USA, Brazil, Turkey, Chile, Australia, Taiwan, Czechia, Italy, Republic of Korea, Germany, India, and Israel. The sample sizes ranged from 1 participant to 75 participants. The combined sample size of all studies was 1007 participants. Most programs integrated respiratory muscle strength training using devices, targeting people with Parkinson´s disease in Hoehn and Yahr scale stages 1-3. Speech-language pathologists, physiotherapists, and medical doctors were the health professionals responsible for delivering these programs in home-based or clinical settings. A broad spectrum of outcomes related to respiratory function was reported. Additionally, the studies assessed other outcomes such as quality of life, functional capacity, motor symptoms, and fatigue. Conclusions: Respiratory rehabilitation programs for people with Parkinson's disease have predominantly targeted respiratory muscle strength training, without a multidisciplinary approach. More research is needed emphasizing inclusive studies in terms of exercises/interventions in respiratory rehabilitation programs, stages of disease progression, and with the adoption of a multidisciplinary approach. Review registration: OSF https://osf.io/hgajt. Supplemental digital content: A translation of the abstract of this review is available in Portuguese at http://links.lww.com/SRX/A107 .eng
dc.description.sponsorshipThis work is part of a PhD for RL funded by the Foundation for Science and Technology (FCT) via a research grant (reference no. UI/BD/154397/2023): https://doi.org/10.54499/UI/BD/154397/2023.
dc.identifier.citationMoura Loureiro RF, Santana EDS, Duque FMG, Bernardes RA, Ventura FIQ, Silva RCGD, Oliveira AL, Lima MP, Almeida MLF, Cardoso DFB, Cardoso AFDRM. Characteristics of respiratory rehabilitation programs for people with Parkinson's disease: a scoping review. JBI Evid Synth. 2025 Jul 1;23(7):1308-1375. doi: 10.11124/JBIES-24-00183. Epub 2025 May 22. PMID: 40457986.
dc.identifier.doi10.11124/jbies-24-00183
dc.identifier.issn2689-8381
dc.identifier.urihttp://hdl.handle.net/10400.8/14194
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWolters Kluwer
dc.relationEfetividade de um programa de Reabilitação Respiratória na qualidade de vida e no autocuidado em pessoas com doença de Parkinson
dc.relation.hasversionhttps://journals.lww.com/jbisrir/abstract/2025/07000/characteristics_of_respiratory_rehabilitation.3.aspx
dc.relation.ispartofJBI Evidence Synthesis
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectParkinson’s disease
dc.subjectrehabilitation
dc.subjectrespiratory therapy
dc.titleCharacteristics of respiratory rehabilitation programs for people with Parkinson’s disease: a scoping revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleEfetividade de um programa de Reabilitação Respiratória na qualidade de vida e no autocuidado em pessoas com doença de Parkinson
oaire.awardURIhttp://hdl.handle.net/10400.8/14193
oaire.citation.endPage1375
oaire.citation.issue7
oaire.citation.startPage1308
oaire.citation.titleJBI Evidence Synthesis
oaire.citation.volume23
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMoura Loureiro
person.givenNameRicardo Filipe
person.identifier.ciencia-id4C1B-73A3-AB53
person.identifier.orcid0000-0001-6135-2278
relation.isAuthorOfPublicationf2cc5100-2aac-48c3-9e2f-71ebab91987c
relation.isAuthorOfPublication.latestForDiscoveryf2cc5100-2aac-48c3-9e2f-71ebab91987c
relation.isProjectOfPublication9943ba37-8b59-424c-85b0-4aeb1262a4f0
relation.isProjectOfPublication.latestForDiscovery9943ba37-8b59-424c-85b0-4aeb1262a4f0

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