Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

  1. Luque-Moreno, Carlos
  2. Heredia-Rizo, Alberto Marcos
  3. Hidalgo-Agudo, Ruben D.
  4. Moral-Munoz, Jose A.
  5. Lucena-Anton, David
  1. 1 Universidad de Cádiz
    info

    Universidad de Cádiz

    Cádiz, España

    ROR https://ror.org/04mxxkb11

Revista:
Journal of Clinical Medicine

ISSN: 2077-0383

Año de publicación: 2020

Volumen: 9

Número: 4

Páginas: 1038

Tipo: Artículo

DOI: 10.3390/JCM9041038 GOOGLE SCHOLAR

Otras publicaciones en: Journal of Clinical Medicine

Resumen

Parkinson’s disease (PD) represents the second most common neurodegenerative disease. Currently, conventional physical therapy is complemented by additional physical interventions with recreational components, improving different motor conditions in people with PD. This review aims to evaluate the effectiveness of additional physical interventions to conventional physical therapy in Parkinson’s disease. A systematic review and meta-analysis of randomized controlled trials were performed. The literature search was conducted in PubMed, Physiotherapy Evidence Database (PEDro), Scopus, SciELO and Web of Science. The PEDro scale was used to evaluate the methodological quality of the studies. A total of 11 randomized controlled trials were included in this review. Five of them contributed information to the meta-analysis. The statistical analysis showed favorable results for dance-based therapy in motor balance: (Timed Up and Go: standardized mean difference (SMD) = −1.16; 95% Confidence Interval (CI):(−2.30 to −0.03); Berg Balance Scale: SMD = 4.05; 95%CI:(1.34 to 6.75)). Aquatic interventions showed favorable results in balance confidence (Activities-Specific Balance Confidence: SMD=10.10; 95%CI:(2.27 to 17.93)). The results obtained in this review highlight the potential benefit of dance-based therapy in functional balance for people with Parkinson’s disease, recommending its incorporation in clinical practice. Nonetheless, many aspects require clarification through further research and high-quality studies on this subject.

Referencias bibliográficas

  • 10.1186/s12877-019-1332-7
  • 10.1038/nrdp.2017.13
  • 10.1186/s12877-015-0112-2
  • Martínez-Fernández, (2016), Rev. Médica Clínica Las Condes, 27, pp. 363
  • 10.1016/S0048-7120(01)73164-7
  • Miranda, (2017), Rev. Med. Chil., 145, pp. 1624
  • 10.1159/000363442
  • Santos, (2017), Eur. J. Phys. Rehabil. Med., 53, pp. 173
  • Ganesan, (2014), PM&R, 6, pp. 22, 10.1016/j.pmrj.2013.08.604
  • 10.1007/s10072-015-2082-8
  • 10.1016/j.parkreldis.2013.02.010
  • 10.1177/1545968314562111
  • 10.1002/mds.21956
  • Keus, (2013), Mov. Disord., 28, pp. S382
  • 10.1212/WNL.17.5.427
  • 10.1002/mds.20101
  • 10.1589/jpts.29.457
  • 10.1097/01.jsm.0000244612.55550.7d
  • 10.1016/S1353-8020(08)70053-1
  • 10.1097/WCO.0b013e328305bdaf
  • 10.1136/bmj.e5004
  • 10.1002/mds.26363
  • 10.1016/j.medcli.2016.02.025
  • Description of Physical Therapy: Policy Statement. World Confederation for Physical Therapy. Appendix 1 https://www.wcpt.org/policy/ps-descriptionPT
  • 10.1097/01.pep.0000245823.21888.71
  • 10.1093/ptj/83.8.713
  • 10.1016/S0004-9514(14)60281-6
  • 10.1136/bmj.f576
  • 10.1186/1471-2318-13-54
  • 10.1177/0269215514536060
  • 10.1002/mds.26256
  • 10.1016/j.ctim.2015.01.010
  • 10.1016/j.ctim.2015.01.015
  • 10.1177/0269215516664122
  • 10.1016/j.apmr.2016.11.003
  • Shujaat, (2014), Pak. J. Med. Sci., 30, pp. 1094
  • 10.1002/mds.21244
  • Podsiadlo, (1991), J. Am. Geriatr. Soc., 39, pp. 142, 10.1111/j.1532-5415.1991.tb01616.x
  • 10.2522/ptj.20070205
  • 10.1016/j.apmr.2017.02.017
  • 10.1016/j.ijge.2016.02.002
  • 10.1186/1471-2318-14-66
  • 10.1016/j.hkpj.2016.03.002
  • 10.1016/j.ctim.2018.10.027
  • 10.1016/j.ctcp.2019.04.005
  • 10.1007/s40520-017-0836-2