Universität zu Köln

Streckmann, Fiona, Zopf, Eva M., Lehmann, Helmar C., May, Kathrin, Rizza, Julia, Zimmer, Philipp, Gollhofer, Albert, Bloch, Wilhelm and Baumann, Freerk T. (2014). Exercise Intervention Studies in Patients with Peripheral Neuropathy: A Systematic Review. Sports Med., 44 (9). S. 1289 - 1305. NORTHCOTE: ADIS INT LTD. ISSN 1179-2035

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Abstract

Introduction Peripheral neuropathies (PNPs) encompass a large group of disorders of heterogeneous origin which can manifest themselves with sensory and/or motor deficits depending on the predominantly affected nerve fiber modality. It represents a highly prevalent disease group which can be associated with significant disability and poor recovery. Exercise has the potential to improve side effects of PNP. Objective Our objective in this systematic review was to analyze exercise interventions for neuropathic patients in order to evaluate the possible benefits of exercise. Methods Three independent reviewers used PubMed, MEDPILOT (R) (MEDLINE), Cochrane, and relevant reference lists to obtain the data. Relevant studies were graded according to the Oxford Levels of Evidence. Results Eighteen studies (ten randomized controlled trials and eight controlled clinical trials) met all inclusion criteria. Three (diabetic) studies were ranked very high quality [1b (A)], nine high quality (four diabetes, one cancer, four others) [2b (B)], while six (four diabetes, two others) showed low quality (4/C). Current data suggests that exercise is a feasible, safe, and promising supportive measure for neuropathic patients. This is best documented for patients with diabetic peripheral neuropathy (DPN), suggesting that endurance training has the potential to prevent the onset of and reduce the progression of DPN. In general, balance exercises showed the highest effect on the motor as well as sensory symptoms in all types of PNP. Conclusion Overall, balance training appears to be the most effective exercise intervention. Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact. For metabolicallyinduced neuropathies, endurance training also plays an important role. Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Streckmann, Fiona UNSPECIFIED UNSPECIFIED UNSPECIFIED Zopf, Eva M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehmann, Helmar C. UNSPECIFIED UNSPECIFIED UNSPECIFIED May, Kathrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Rizza, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Zimmer, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Gollhofer, Albert UNSPECIFIED UNSPECIFIED UNSPECIFIED Bloch, Wilhelm UNSPECIFIED UNSPECIFIED UNSPECIFIED Baumann, Freerk T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-429188
DOI:	10.1007/s40279-014-0207-5
Journal or Publication Title:	Sports Med.
Volume:	44
Number:	9
Page Range:	S. 1289 - 1305
Date:	2014
Publisher:	ADIS INT LTD
Place of Publication:	NORTHCOTE
ISSN:	1179-2035
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; TAI-CHI EXERCISE; BODY VIBRATION THERAPY; DIABETIC-NEUROPATHY; OLDER-ADULTS; TRAINING-PROGRAM; MUSCLE STRENGTH; BALANCE; ADAPTATIONS; HEALTH Multiple languages Sport Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42918