Efek Aktivitas Fisik dan Latihan pada Penderita Penyakit Huntington: Systematic Review

Farahdina Bachtiar, Condrowati Condrowati

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ABSTRACT: EFFECTS OF PHYSICAL ACTIVITY AND EXERCISE IN PEOPLE WITH HUNTINGTON’S DISEASE: A SYSTEMATIC REVIEW Introduction: Huntington's disease (HD) is a progressive neurodegenerative disease, characterized by the appearance of clinical symptoms such as motor, cognitive, and psychiatric disorders. Several previous studies have shown that increasing physical activity and delivering exercise to people with HD has a positive impact, particularly in everyday tasks.Purpose: This study aims to investigate and discuss the published literature related to the evidence of physical activity and exercise benefits for people with HD.Methods: Electronic databases, including Ovid Medline, Embase, Embase Classic, PsycINFO, PEDro database for physiotherapy trials, and Google Scholar, were used to carry out comprehensive literature searches in October 2021. Results: There were twelve studies that met inclusion criteria from the total of twenty-two identified articles. Each study discussed a different type of physical activity, including balance and transition training, gait training, Activities of Daily Living (ADL), cognitive function training, gym, and games-based exercise. The duration of the intervention ranged from six weeks to two years.Conclusion: Most studies in this review report improvements of the individuals with HD in the early to the middle stage after doing physical activity and exercise in terms of gait ability, balance, fitness, and motor function, as well as daily living activity. Large clinical trials with improved reporting are required in future research. Keywords: physical activity, exercise, Huntington disease’s, HD, physiotherapy INTISARI: EFEK AKTIVITAS FISIK DAN LATIHAN PADA PENDERITA PENYAKIT HUNTINGTON: SYSTEMATIC REVIEW Pendahuluan: Penyakit Huntington (HD) merupakan penyakit neurodegeneratif yang bersifat progresif, ditandai dengan munculnya gejala klinis seperti gangguan motorik, kognitif, dan kejiwaan. Beberapa hasil penelitian sebelumnya menunjukkan bahwa aktivitas fisik serta pemberian latihan pada penderita HD memiliki efek yang positif, terutama dalam melakukan aktivitas kehidupannya sehari-hari. Tujuan: Tujuan dari penelitian ini adalah untuk mencari bukti serta mengidentifikasi pengaruh aktivitas fisik dan latihan bagi penderita HD.Metode Penelitian: Penelusuran literatur secara komprehensif dilakukan pada bulan Oktober 2021. Adapun basis data elektronik yang digunakan meliputi Ovid Medline, Embase, Embase Classic, PsycINFO, PEDro database for physiotherapy trials, dan Google Scholar.Hasil: Terdapat dua belas penelitian yang memenuhi kriteria inklusi dari total dua puluh dua artikel yang teridentifikasi. Setiap penelitian membahas jenis aktivitas fisik yang berbeda, termasuk latihan keseimbangan dan transisi, latihan berjalan, Aktivitas Kehidupan Sehari-hari (AKS), latihan fungsi kognitif, gym, dan latihan berbasis permainan. Durasi intervensi berkisar dari enam minggu hingga dua tahun.Kesimpulan: Secara keseluruhan, sebagian besar penelitian dalam review ini melaporkan peningkatan individu dengan HD pada tahap awal hingga menengah setelah melakukan aktivitas fisik dan latihan. Peningkatan terjadi dalam hal kemampuan berjalan, keseimbangan, kebugaran, dan fungsi motorik, serta aktivitas hidup sehari-hari. Uji klinis dalam skala yang lebih besar dengan pelaporan yang lebih baik masih dibutuhkan di masa depan. Kata kunci: aktivitas fisik, latihan, penyakit Huntington, HD, fisioterapi 

 


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Aleksandar, V. (2013). Treatment of Huntington Disease Aleksandar. Current Treatment Options in Neurology, 15(4), 424–438. https://doi.org/10.1007/s11940-013-0219-8.Treatment

Armour, K., & MacDonald, D. (Eds.). (2012). Research methods in physical education and youth sport. Routledge.

Bilney, B., Morris, M. E., & Perry, A. (2003). Effectiveness of physiotherapy, occupational therapy, and speech pathology for people with Huntington’s disease: A systematic review. Neurorehabilitation and Neural Repair, 17(1), 12–24. https://doi.org/10.1177/0888439002250448

Bohlen, S., Ekwall, C., Hellström, K., Vesterlin, H., Björnefur, M., Wiklund, L., & Reilmann, R. (2013). Physical therapy in Huntington’s disease - toward objective assessments? European Journal of Neurology, 20(2), 389–393. https://doi.org/10.1111/j.1468-1331.2012.03760.x

Borgs, L., D., J., Malgrange, B., & Nguye, L. (2012). Huntington’s Disease: From the Physiological Function of Huntingtin to the Disease. Huntington’s Disease - Core Concepts and Current Advances, May 2014. https://doi.org/10.5772/31789

Busse, M., Quinn, L., Debono, K., Jones, K., Collett, J., Playle, R., Kelly, M., Simpson, S., Backx, K., Wasley, D., Dawes, H., & Rosser, A. (2013). A randomized feasibility study of a 12-week community-based exercise program for people with Huntington’s disease. Journal of Neurologic Physical Therapy, 37(4), 149–158. https://doi.org/10.1097/NPT.0000000000000016

Busse, M., Quinn, L., Khalil, H., McEwan, K., Bunnnig, K., Collett, J., Guedes, L. C., Dawes, H., Ferreira, J., Handley, O., Hannam, C., Howard, E., Sheridan, B., Teal, J., Fritz, N., Kegelmeyer, D., Kloos, A., Bos, R., Dumas, E. M., … Weekes, R. (2014). Optimising Mobility Outcome Measures in Huntington’s Disease. Journal of Huntington’s Disease, 3(2), 175–188. https://doi.org/10.3233/JHD-140091

Ekwall, C. (2011). Physiotherapy for patients with huntington’s disease: Effects of a treatment program and the intercorrelation between assessment tools. Physiotherapy (United Kingdom), 97, eS304–eS305. https://www.embase.com/search/results?subaction=viewrecord&id=L71882590&from=export%0Ahttp://dx.doi.org/10.1016/j.physio.2011.04.002

Frank, S. (2014). Treatment of Huntington’s Disease. Neurotherapeutics, 11(1), 153–160. https://doi.org/10.1007/s13311-013-0244-z

Frese, S., Petersen, J. A., Ligon-Auer, M., Mueller, S. M., Mihaylova, V., Gehrig, S. M., Kana, V., Rushing, E. J., Unterburger, E., Kägi, G., Burgunder, J. M., Toigo, M., & Jung, H. H. (2017). Exercise effects in Huntington disease. Journal of Neurology, 264(1), 32–39. https://doi.org/10.1007/s00415-016-8310-1

Harrison, D. J., Busse, M., Openshaw, R., Rosser, A. E., Dunnett, S. B., & Brooks, S. P. (2013). Exercise attenuates neuropathology and has greater benefit on cognitive than motor deficits in the R6/1 Huntington’s disease mouse model. Experimental Neurology, 248, 457–469. https://doi.org/10.1016/j.expneurol.2013.07.014

Khalil, H., Quinn, L., Van Deursen, R., Dawes, H., Playle, R., Rosser, A., & Busse, M. (2013). What effect does a structured home-based exercise programme have on people with Huntington’s disease? A randomized, controlled pilot study. Clinical Rehabilitation, 27(7), 646–658. https://doi.org/10.1177/0269215512473762

Kloos, A. D., Fritz, N. E., Kostyk, S. K., Young, G. S., & Kegelmeyer, D. A. (2013). Video game play (Dance Dance Revolution) as a potential exercise therapy in Huntington’s disease: A controlled clinical trial. Clinical Rehabilitation, 27(11), 972–982. https://doi.org/10.1177/0269215513487235

Loney, P. L., Chambers, L. W., Bennett, K. J., Roberts, J. G., & Stratford, P. W. (1998). Critical appraisal of the health research literature: prevalence or incidence of a health problem. Chronic Dis Can, 19(4), 170-6.

Mueller, S. M., Gehrig, S. M., Petersen, J. A., Frese, S., Mihaylova, V., Ligon-Auer, M., Khmara, N., Nuoffer, J. M., Schaller, A., Lundby, C., Toigo, M., & Jung, H. H. (2017). Effects of endurance training on skeletal muscle mitochondrial function in Huntington disease patients. Orphanet Journal of Rare Diseases, 12(1), 1–7. https://doi.org/10.1186/s13023-017-0740-z

Muijs, D. (2004) Doing Quantitative Research in Education with SPSS. London: Sage Publication.

Myers, R. H. (2004). Huntington ’ s disease Genetics of Huntington ’ s disease. 1, 1–5.

Piira, A., van Walsem, M. R., Mikalsen, G., Nilsen, K. H., Knutsen, S., & Frich, J. C. (2013). Effects of a One Year Intensive Multidisciplinary Rehabilitation Program for Patients with Huntington’s Disease: A Prospective Intervention Study. PLoS Currents, SEP, 0–18. https://doi.org/10.1371/currents.hd.9504af71e0d1f87830c25c394be47027

Piira, A., van Walsem, M. R., Mikalsen, G., Øie, L., Frich, J. C., & Knutsen, S. (2014). Effects of a Two-Year Intensive Multidisciplinary Rehabilitation Program for Patients with Huntington’s Disease: a Prospective Intervention Study. PLoS Currents, December. https://doi.org/10.1371/currents.hd.2c56ceef7f9f8e239a59ecf2d94cddac

Quinn, L., Debono, K., Dawes, H., Rosser, A. E., Nemeth, A. H., Rickards, H., Tabrizi, S. J., Quarrell, O., Trender-Gerhard, I., Kelson, M. J., Townson, J., Busse, M., Akhtar, S., Crooks, J., De Souza, J., Gibson, K., Jones, C., Johnston, C., Jones, K., … Taylor, C. (2014). Task-specific training in Huntington disease: A randomized controlled feasibility trial. Physical Therapy, 94(11), 1555–1568. https://doi.org/10.2522/ptj.20140123

Quinn, L., Hamana, K., Kelson, M., Dawes, H., Collett, J., Townson, J., Roos, R., van der Plas, A. A., Reilmann, R., Frich, J. C., Rickards, H., Rosser, A., & Busse, M. (2016). A randomized, controlled trial of a multi-modal exercise intervention in Huntington’s disease. Parkinsonism and Related Disorders, 31, 46–52. https://doi.org/10.1016/j.parkreldis.2016.06.023

Quinn, L., Kegelmeyer, D., Kloos, A., Rao, A. K., Busse, M., & Fritz, N. E. (2020). Clinical recommendations to guide physical therapy practice for Huntington disease. Neurology, 94(5), 217–228. https://doi.org/10.1212/WNL.0000000000008887

Trembath, M. K., Horton, Z. A., Tippett, L., Hogg, V., Collins, V. R., Churchyard, A., Velakoulis, D., Roxburgh, R., & Delatycki, M. B. (2010). A retrospective study of the impact of lifestyle on age at onset of huntington disease. Movement Disorders, 25(10), 1444–1450. https://doi.org/10.1002/mds.23108

Weydt, P., Soyal, S. M., Landwehrmeyer, G. B., & Patsch, W. (2014). A single nucleotide polymorphism in the coding region of PGC-1α is a male-specific modifier of Huntington disease age-at-onset in a large european cohort. BMC Neurology, 14(1), 1–5. https://doi.org/10.1186/1471-2377-14-1

Zinzi, P., Salmaso, D., De Grandis, R., Graziani, G., Maceroni, S., Bentivoglio, A., Zappata, P., Frontali, M., & Jacopini, G. (2007). Effects of an intensive rehabilitation programme on patients with Huntington’s disease: A pilot study. Clinical Rehabilitation, 21(7), 603–613. https://doi.org/10.1177/0269215507075495




DOI: https://doi.org/10.33024/mnj.v4i2.5895

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