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FocusReview

Brain exercises may help thinking in Parkinson's disease, but the studies are few.

HelpedThe short version

In four studies, the same brain exercises helped planning and control skills more than other groups did.

A man of about sixty-six calmly moves a single bead between pegs on a wooden puzzle board, one move at a time.
4
studies pooled
480
people with Parkinson's disease in 14 trials
1 tool
tested

The review

  1. Who took part

    480 people with Parkinson's disease took part in 14 trials, published from 2006 to 2014. Their average age was 66, and only two trials included people with memory or thinking problems.

  2. What they did

    Eight trials gave the same brain exercises to everyone, and three set them up for each person. Three used repeated magnetic pulses. Trials ranged from 8 minutes to 45 hours in total.

  3. What happened

    The same exercises helped planning and control, attention and memory more than other groups did. Set-up exercises did not clearly help those skills, and magnetic pulses did not help planning and control. The summary says set-up exercises may help too, but results were unclear, and small studies may be missing.

What the review found

  1. HelpedOther outcomes

    In four studies, the same brain exercises helped planning and control skills more than other groups did.

    Pooled analysis of 4 studies · vs groups that did not get the exercises · ⚠ signs that small negative studies went unpublished; mixes trials with other kinds of study

  2. HelpedFocus

    In six studies, the same exercises helped attention and keeping things in mind more than other groups did.

    Pooled analysis of 6 studies · vs groups that did not get the exercises · ⚠ signs that small negative studies went unpublished; mixes trials with other kinds of study

  3. HelpedOther outcomes

    In three studies, the same brain exercises helped memory more than other groups did.

    Pooled analysis of 3 studies · vs groups that did not get the exercises · ⚠ signs that small negative studies went unpublished; mixes trials with other kinds of study

  4. No differenceOther outcomes

    In three studies, exercises set up for each person did not help planning and control skills more than other groups.

    Pooled analysis of 3 studies · vs groups that did not get the exercises · ⚠ mixes trials with other kinds of study

How solid is this?

  • Unclear how groups were picked
  • Summary claims more than the results show
  • Mixes trials with other kinds of study
  • Signs that small negative studies went unpublished

Source

Cognitive Training and Noninvasive Brain Stimulation for Cognition in Parkinson's Disease: A Meta-analysis (2017)

DOI: 10.1177/1545968317712468 (opens in a new tab)

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