Effects of physical therapy by means of exercise therapy on schizophrenia patients. A systematic review
e202201002
Keywords:
Exercise therapy, Physical therapy modalities, Schizophrenia, Aerobic exercise, Exercise, EffectivityAbstract
Background: Schizophrenia is a chronic mental illness that, in addition to its own psychopathology, causes cognitive, physical, metabolic, affective and social deterioration. The aim of this systematic review was to set up the effects on the bio-psycho-social state of exercise therapy in patients with schizophrenia.
Methods: A systematic review was carried out in January 2021, based on a search strategy in the databases PubMed, Scopus, Medline, Cinhal and SportsDiscus. Moreover, bibliographies of articles and reviews related to the topic under study were consulted. Studies published in the last 5 years were identified, randomized clinical trials, with full access in English, which included interventions with therapeutic exercise and the evaluation of the effects they produce in patients with schizophrenia.
Results: From 125 articles identified, 13 that fitted the criteria and the topic under study were finally included. In these cases, the most commonly used exercise therapy intervention is aerobic exercise, as well as yoga and tai chi. As aerobic exercise alternatives, pilates, stretching, toning and balance exercises have also been used. Studies showed effects of this type of exercise therapy, on a specific duration and frequency, with improvements in psychopathology, physical status, cognitive status, social functioning and functional capacity.
Conclusions: Exercise therapy, mainly aerobic exercise, benefits patients with schizophrenia as a complement to pharmacological treatment by producing beneficial effects at the physical, cognitive, psychopathological and social levels.
Downloads
References
Konopaske GT, Coyle JT. Schizophrenia. En: Zigmond MJ, Rowland LP, Coyle JT. Neurobiology of Brain Disorders. London. Elsevier; 2015. p 639-654.
Gurpegui M, de Leon J. Extrapyramidal effects induced by neuroleptics. 1994;29:183-189.
Montejo ÁL, Arango C, Bernardo M, Carrasco JL, Crespo-Facorro B, Cruz JJ et al. Consenso español sobre los riesgos y detección de la hiperprolactinemia iatrogénica por antipsicóticos. Rev Psiquiatr Salud Ment - J Psychiatry Ment Health. 2016;9(3):158-173.
McGrath J, Saha S, Chant D, Welham J. Schizophrenia: A Concise Overview of Incidence, Prevalence, and Mortality. Epidemiol Rev. 2008;30(1):67-76.
Vancampfort D, Firth J, Schuch FB, Rosenbaum S, Mugisha J, Hallgren M et al. Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: a global systematic review and meta-analysis. World Psychiatry. 2017;16(3):308-315.
Espinosa CLG, Motta SAG, Catalán-Matamoros D, Daverio G, Arbeláez VEM, Parra WAV et al. En: Guarín Espinosa CL, Montoya Hurtado OL: Principios de la Fisioterapia en Salud Mental. En: Fisioterapia en salud mental. Bogotá: Editorial Universidad del Rosario; 2020. p- 34-38
Berger VW, Alperson SY. A General Framework for the Evaluation of Clinical Trial Quality. Rev Recent Clin Trials. 2009;4(2):79-88.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ et al. Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Control Clin Trials. 1996;17(1):1-12.
Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.
Palacios MA, Gómez RCO, Huaricancha ILT, Hilario C. Análisis crítico de ensayos clínicos aleatorizados: Riesgo de sesgo. Rev Estomatol Hered. 2015;Oct-Dic 25(4):304-308.
Ho RTH, Fong TCT, Wan AHY, Au-Yeung FSW, Wong CPK, Ng WYH et al. A randomized controlled trial on the psychophysiological effects of physical exercise and Tai-chi in patients with chronic schizophrenia. Schizophr Res. 2016;171(1):42-49.
Priebe S, Savill M, Wykes T, Bentall RP, Reininghaus U, Lauber C et al. Effectiveness of group body psychotherapy for negative symptoms of schizophrenia: multicentre randomised controlled trial. Br J Psychiatry. 2016;209(1):54-61.
Su C-Y, Wang P-W, Lin Y-J, Tang T-C, Liu M-F, Chen M-D. The effects of aerobic exercise on cognition in schizophrenia: A 3-month follow-up study. Psychiatry Res. 2016;244:394-402.
Bhatia T, Mazumdar S, Wood J, He F, Gur RE, Gur RC et al. A randomised controlled trial of adjunctive yoga and adjunctive physical exercise training for cognitive dysfunction in schizophrenia. Acta Neuropsychiatr. 2017;29(2):102-114.
Ikai S, Uchida H, Mizuno Y, Tani H, Nagaoka M, Tsunoda K et al. Effects of chair yoga therapy on physical fitness in patients with psychiatric disorders: A 12-week single-blind randomized controlled trial. J Psychiatr Res. 2017;94:194-201.
Wang P-W, Lin H-C, Su C-Y, Chen M-D, Lin KC, Ko C-H et al. Effect of Aerobic Exercise on Improving Symptoms of Individuals With Schizophrenia: A Single Blinded Randomized Control Study. Front Psychiatry. 2018;9:167.
Woodward ML, Gicas KM, Warburton DE, White RF, Rauscher A, Leonova O et al. Hippocampal volume and vasculature before and after exercise in treatment-resistant schizophrenia. Schizophr Res. 2018;202:158-165.
Brobakken MF, Nygård M, Güzey IC, Morken G, Reitan SK, Heggelund J et al. Aerobic interval training in standard treatment of out-patients with schizophrenia: a randomized controlled trial. Acta Psychiatr Scand. 2019;140(6):498-507.
Romain AJ, Fankam C, Karelis AD, Letendre E, Mikolajczak G, Stip E et al. Effects of high intensity interval training among overweight individuals with psychotic disorders: A randomized controlled trial. Schizophr Res. 2019;210:278-286.
Shimada T, Ito S, Makabe A, Yamanushi A, Takenaka A, Kobayashi M. Aerobic exercise and cognitive functioning in schizophrenia: A pilot randomized controlled trial. Psychiatry Res. 2019;282:112638.
Chaves LG dos S, Gama DRN da, Castro JBP de, Oliveira KR da SG de, Vale RG de S, Chaves LG dos S et al. Cortisol and Serotonin Levels in Schizophrenic Inpatients Undergoing Aerobic Training. Rev Bras Med Esporte. 2020;26(4):307-311.
Kern RS, Reddy LF, Cohen AN, Young AS, Green MF. Effects of aerobic exercise on cardiorespiratory fitness and social functioning in veterans 40 to 65 years old with schizophrenia. Psychiatry Res. 2020;291:113258.
Massa N, Alrohaibani A, Mammino K, Bello M, Taylor N, Cuthbert B et al. The Effect of Aerobic Exercise on Physical and Cognitive Outcomes in a Small Cohort of Outpatients with Schizophrenia. Brain Plast. 2020;5(2):161-174.
Salazar CFD, Aguliera ETM, Bolivar LAR, Parra WAV. Efectos del ejercicio físico sobre la depresión y la ansiedad. Rev Colomb Rehabil. 2019;18(2):128-145.
Caqueo-Urízar A, Urzúa A, Rus-Calafell M. Efectos secundarios de la medicación antipsicótica y calidad de vida en pacientes con esquizofrenia latinoamericanos. Ter Psicológica. 2017;35(1):111-114.
Godoy RF de, Becker B, Otros O. El efecto del ejercicio sobre los niveles de ansiedad, depresión y autoconcepto de pacientes con dolencia pulmonar obstructiva crónica. Rev Psicol Deporte. 2007;10(2).
Uribe DR, Guzmán CS, Marambio MM, Harrington MV. Ejercicio físico y su influencia en los procesos cognitivos. Rev Mot Pers Ser Estud. 2013;(13):69-74.
Espejo Antúnez L, Cardero Durán MÁ, Caro Puértolas B, Téllez de Peralta G. Efectos del ejercicio físico en la funcionalidad y calidad de vida en mayores institucionalizados diagnosticados de gonartrosis. Rev Esp Geriatría Gerontol. 2012;47(6):262-265.
Kimhy D, Lauriola V, Bartels MN, Armstrong HF, Vakhrusheva J, Ballon JS et al. Aerobic exercise for cognitive deficits in schizophrenia - The impact of frequency, duration, and fidelity with target training intensity. Schizophr Res. 2016;172(1):213-215.
Keller-Varady K, Varady PA, Röh A, Schmitt A, Falkai P, Hasan A et al. A systematic review of trials investigating strength training in schizophrenia spectrum disorders. Schizophr Res. 2018;192:64-68.
OMS | Recomendaciones mundiales sobre la actividad física para la salud [Internet]. WHO. World Health Organization; [citado 10 de abril de 2021]. Disponible en: https://www.who.int/dietphysicalactivity/factsheet_recommendations/es/
Vancampfort D, Rosenbaum S, Schuch FB, Ward PB, Probst M, Stubbs B. Prevalence and predictors of treatment dropout from physical activity interventions in schizophrenia: a meta-analysis. Gen Hosp Psychiatry. 2016;39:15-23.
Rodríguez Lozano R, Gómez-Conesa A. El fisioterapeuta es el profesional prescriptor del ejercicio físico con fines terapéuticos. Fisioterapia. 2016;38(6):269-270.
Marra - Ph.D. C, Bottaro M, Oliveira R, Novaes J. Effect of moderate and high intensity aerobic exercise on the body composition of overweight men. J Exerc Physiol Online. 2005;8.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Ana Rovira-García, Iria Da Cuña-Carrera
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.