Research Progress on the Pathogenesis, Diagnosis and Treatment of Parkinson Disease

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neurodegenerative Diseases".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 497

Special Issue Editors


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Guest Editor
Department of Neurology, University of Michigan, Ann Arbor, MI, USA
Interests: Parkinson’s disease; dementia; Lewy body diseases; REM sleep behavior disorder; LB-related disease progression; intervention strategies

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Guest Editor
Department of Radiology, University of Michigan, Ann Arbor, MI, USA
Interests: Parkinsonism spectrum disorders and their neurobiology

Special Issue Information

Dear Colleagues,

In recent years, Parkinson's disease (PD) research has experienced a potential paradigm shift. The emerging alpha-synuclein origin and connectome (SOC) model offers a novel perspective on how the pathology may initiate and progress in both the peripheral and central nervous systems. This new approach presents fresh challenges and opportunities for tracking the disease’s progression. Still, this hypothesized model requires substantial validation and cross-validation evidence before it can be fully adopted. Understanding the diverse clinical presentations and effectively managing this heterogeneity remain significant challenges. The spectrum of Lewy body diseases, which include PD, Parkinson’s disease dementia (PDD), and dementia with Lewy bodies (DLBs), poses difficulties in both the clinical and biological definitions. Mixed pathologies and overlooked comorbidities also impact disease manifestations, yet there is no consensus on the integration of these aspects into a comprehensive disease model, which potentially hampers the efficacy of treatment strategies. Furthermore, understanding how the disease initiates before significant brain damage occurs is crucial, with the preclinical and prodromal phases representing critical windows of opportunity, despite the current challenges in their identification.

Emerging theories on disease origin and progression, combined with strategies to track in vivo 'neuropathology'—such as skin biopsy, plasma, and cerebrospinal fluid analysis—and advancements in molecular imaging techniques that quantify neurobiological imbalances even in small brain structures, offer unprecedented opportunities for progress. This Special Issue unpacks these new conceptualizations and techniques, highlighting recent advances in the clinical and endophenotypic heterogeneity of PD and drawing attention to the potential future treatment options.

We welcome papers that explore Lewy body-related disease models, disease progression, and the associated clinical manifestations, including studies on preclinical and prodromal populations. Contributions of new treatment options are also encouraged.

Dr. Giulia Carli
Dr. Prabesh Kanel
Guest Editors

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Keywords

  • Parkinson’s disease
  • Lewy bodies diseases
  • disease progression
  • clinical heterogeneity
  • preclinical and prodromal stages
  • treatments
  • comorbidities

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Published Papers (1 paper)

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14 pages, 1842 KiB  
Article
Feasibility of a Community-Based Boxing Program with Tailored Balance Training in Parkinson’s Disease: A Preliminary Study
by Evan V. Papa, Kathryn E. Sawyer and James M. Smoliga
Brain Sci. 2025, 15(8), 858; https://doi.org/10.3390/brainsci15080858 - 13 Aug 2025
Viewed by 127
Abstract
Background/Objectives: Persons with Parkinson’s disease (PD) are at elevated risk of falling due to deficits in postural control, lower limb strength, and sensory integration. While community-based boxing programs (CBPs) have shown promise in improving strength and balance, their feasibility and potential role in [...] Read more.
Background/Objectives: Persons with Parkinson’s disease (PD) are at elevated risk of falling due to deficits in postural control, lower limb strength, and sensory integration. While community-based boxing programs (CBPs) have shown promise in improving strength and balance, their feasibility and potential role in addressing fall risk remain unclear. This preliminary, prospective cohort study explored the feasibility of a CBP enhanced with individualized balance training tailored to somatosensory deficits and explored early indications of potential impact on fall risk and related outcomes. Methods: Twenty individuals with mild-to-moderate PD participated in a 12-week exercise program consisting of group-based boxing, functional circuit training, and one-on-one balance training based on the Modified Clinical Test of Sensory Interaction in Balance. Self-reported falls were collected at baseline and 3 months post-intervention. Secondary outcomes included standard measures of balance, gait, and functional mobility. Results: Participants demonstrated significant improvements in balance and functional mobility including the Timed Up and Go (F(2, 40.85) = 24.83, p < 0.001, η2 = 0.580), Five Times Sit-to-Stand Test (F(2, 78.13) = 50.22, p < 0.001, η2 = 0.736), and Berg Balance Scale (F(2, 193.39) = 12.72, p < 0.001, η2 = 0.414), among others. 4 participants experienced a decrease in falls, 2 experienced an increase, and the remainder had no change. Conclusions: These preliminary findings suggest that integrating individualized balance training with a CBP is feasible and may positively influence functional mobility and balance in persons with PD. However, effects on fall reduction remain inconclusive. These results should be interpreted as exploratory and used to inform the design of future structured clinical trials. Full article
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