Review: Physical exercise in Tourette syndrome – a systematic review

Child and Adolescent Mental Health - Tập 24 Số 1 - Trang 3-11 - 2019
Colin Reilly1,2, Michael C. Grant3,2, Sophie Bennett3,2, Tara Murphy3,2, Isobel Heyman3,2
1Research Department, Young Epilepsy, Lingfield, Surrey, UK
2UCL Great Ormond Street Institute of Child Health (ICH), London, UK
3Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, UK

Tóm tắt

BackgroundTourette syndrome (TS) is a common neuropsychiatric disorder which, in addition to the core symptoms of motor and vocal tics, includes a high association with co‐existing mental health disorders. Physical exercise is increasingly being recommended as part of management for children and young people with mental health problems. However, there is a lack of guidance regarding the role of physical exercise in the management of TS in children.MethodsEMBASE, MEDLINE, PsycINFO, SportDiscus, Google scholar and Cochrane register of controlled trials (CENTRAL) databases were searched. Studies investigating interventions aimed at reducing core symptoms of TS and comorbidities and exploring the relationship between physical exercise and tic severity were included.ResultsSeven studies were identified. Five focused on physical exercise interventions and two were observational studies investigating the relationship between tic severity and physical activity. There was some evidence indicating that physical exercise reduces tic severity in the short term and some evidence regarding the benefit of physical exercise on associated co‐occurring symptoms, such as anxiety. However, none of the intervention studies involved randomisation and interventions varied in terms of content and duration.ConclusionsThere was some evidence of a short‐term improvement in tic expression as a result of physical exercise interventions, but there is a lack of methodologically robust studies. Thus, conclusions about the impact of exercise on TS symptoms or comorbidities cannot be drawn at this stage. There is a clear need for well‐designed methodologically robust studies, including prospective observational studies and randomised controlled designs.

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Child and Adolescent Mental Health

Tập 24 Số 1

3-11

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