Exercise training guidelines for multiple sclerosis, stroke, and Parkinson’s disease: Rapid review and synthesis

The translation of knowledge from exercise training research into the clinical management of multiple sclerosis (MS), stroke, and Parkinson’s disease (PD) requires evidence-based guidelines that are uniformly recognizable by healthcare practitioners and patients/clients. This paper synthesized resources that reported aerobic and resistance training guidelines for people with MS, stroke, and PD. Systematic searches yielded 25 eligible resources from electronic databases and websites or textbooks of major organizations. Data were extracted (exercise frequency, intensity, time, and type) and synthesized into three sets of recommendations. Exercise guidelines for MS consistently recommended 2–3 days/week of aerobic training (10–30 minutes at moderateintensity) and 2–3 days/week of resistance training (1–3 sets of 8–15 repetition maximum (RM)). Exercise guidelines for stroke recommended 3–5 days/week of aerobic training (20–40 minutes at moderate-intensity) and 2–3 days/week of resistance training (1–3 sets between 8–15 repetitions between 30–50% 1-RM). Exercise guidelines for PD recommended 3–5 days/week of aerobic training (20–60 minutes at moderate-intensity), and 2–3 days/week of resistance training (1–3 sets Correspondence to: Yumi Kim, MS, University of Alabama at Birmingham/Lakeshore Foundation Research Collaborative, 4000 Ridgeway Drive, Birmingham, AL 35209, USA; yumikim@uab.edu. Authorship YK: Article selection/screening, data extraction/synthesis, writing, editing BL: Data cross-check, exercise guideline summary, writing, editing TM: Reviewing, editing MT: Reviewing, editing SP: Reviewing, editing JH: Exercise guideline summary, reviewing, writing, editing RM: Exercise guideline summary, reviewing, writing, editing All the authors approved and critically revised the manuscript. CONFLICT OF INTEREST The authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article. HHS Public Access Author manuscript Am J Phys Med Rehabil. Author manuscript; available in PMC 2020 July 01. Published in final edited form as: Am J Phys Med Rehabil. 2019 July ; 98(7): 613–621. doi:10.1097/PHM.0000000000001174. A uhor M anscript