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Le numéro de Septembre de 2012 de la revue de L'Encephale a publié une revue de littérature systématique concernant les APA et la schizophrénie.  Cet article participe à la diffusion de connaissances concernant les bénéfices des Activités Physiques Adaptées dans le cadre de la prise en charge en psychiatrie. Vous trouverez le résumé ci dessous en Francais et en Anglais. Si vous avez des remarques ou des critiques, n'hésitez pas à me les envoyer par courrier électronique ou déposer un commentaire sous cet article. Les bénéfices des activités physiques (AP) sont étudiés dans des maladies chroniques depuis une vingtaine d’années et plus récemment dans des pathologies psychiatriques. Cette revue de littérature systématique porte sur l’efficacité de programmes d’AP spécifiques sur les symptômes schizophréniques et les atteintes physiques ainsi que sur les modes de prise en charge. Les programmes en AP semblent améliorer les symptômes schizophréniques mais le nombre d’études contrôlées randomisées reste trop faible pour conclure. Des programmes multidisciplinaires incluant des AP montrent leur efficacité dans la limitation, voire la baisse, des troubles métaboliques induits par les traitements antipsychotiques. Plusieurs modalités de programme potentialisent les bénéfices, une durée minimale de 12 semaines, des AP sollicitant la voie énergétique aérobie (20 à 40 minutes d’effort continu) et une intensité moyenne d’effort (50-60% de la fréquence cardiaque maximale). Un manque d’études randomisées contrôlées limite la généralisation des résultats.Benefits of exercise for people with schizophrenia: A systematic reviewTitle. Benefits of exercise for people with schizophrenia: systematic review.Introduction. Previous reviews of the exercise and mental health have predominantly examined chronic illness and more recently several psychiatric disorders. There is growing evidence that exercise can also be en effective treatment for major depressive disorders, anxiety disorders and alcohol dependence. Individuals with schizophrenia are more likely to be sedentary than general population. Objectives. The objectives of this systematic review are to analyse the habits of physical activity and examine the literature that has investigated the use of exercise as treatment for schizophrenia.Method. We systematically reviewed psycINFO, Medline/PubMed, SportDiscus, Web of Sciences, and Cochrane Library. The searches of databases were conducted from database inception until September 2010, using a range of search terms to reflect both physical activity and schizophrenia. Studies were subsequently considered eligible if they reported on quantitative studies investigating the effect of PA upon some aspect of physical or mental health in individuals with schizophrenia.Results. Of the 139 articles retrieved, 19 studies met the inclusion criteria. In controlled studies, most authors have underlined (table I) the benefits of the aerobic exercise. These programs may act both on positive symptoms (hallucinations) and on negative symptoms. According to certain studies, the positive effect may appear in a short time and end of program. No studies assess long term benefits. Small samples of self selected participants, inadequately selected control groups are common methodological weaknesses. A recent research has directly investigated the potential mechanism underpinning the positive benefits. The results indicated that hippocampal volume is plastic in response to aerobic exercise.Discussion. We discuss methodological and practical challenges to research in this area, and outline several research questions that future work should seek to address. Existing studies do suggest that lifestyles physical activity interventions or regular exercise programmes are possible in this population and can have healthful effects on both the mental and physical health and well-being of individuals with schizophrenia.Conclusions. Research into the efficacy and safety of exercise as an intervention in schizophrenia is required to support the development of detailed, population-specific guidelines. Larger randomised studies are required before any definitive conclusions can be drawn. Although studies included in this review are small and used various measures of physical and mental health, results indicated that regular exercise programmes are possible in this population, and that they can have healthful effects on both the physical and mental health. Future research should address issues of programme adherence.Bernard, P., &#38; Ninot, G. (2012). Bénéfices des activités physiques adaptées dans la prise en charge de la schizophrénie : revue systématique de la littérature. [Benefits of exercise for people with schizophrenia: A systematic review]. L’Encéphale, 38(4), 280-287. doi:10.1016/j.encep.2011.07.001