scholarly journals The effects of aquatic physiotherapy on the gait of patients with Parkinson’s disease: a systematic review of the literature

2021 ◽  
Author(s):  
Yuri Sena Melo ◽  
Wesley Anderson de Souza Miranda ◽  
João Lucas de Morais Bezerra ◽  
Thaís Bel de Oliveira Teixeira
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Case Series ◽  
Research Field ◽  
Functional Mobility ◽  
Control Group ◽  
Systematic Review Methodology ◽  
Gait Performance ◽  
Gait Parameters

Introduction: Parkinson’s disease is a progressive and degenerative pathology that causes several motor impairments in gait. Aquatic physiotherapy has become an alternative, as it allows the training of gait, balance and muscle relaxation in a safe environment due to the physical properties of water. Objective: to verify the main effects of aquatic physiotherapy on gait rehabilitation in patients with Parkinson’s disease. Study design: This is a systematic review. Methodology: The research was carried out in four distinct stages. Being carried out in the following databases EBSCO, Pubmed, PEDro, Science Direct and MEDLINE; obeying the following inclusion criteria: individuals diagnosed with idiopathic Parkinson’s disease; who underwent aquatic physiotherapy with or without a control group and the main outcome was the improvement in gait performance. Case studies, case series, monograph, dissertation and articles without full access were excluded. The following keywords were used in the research field (“hydrotherapy” OR “aquatic exercise OR aquatic therapy”) AND Parkinson’s disease AND Gait. Results: Ten articles with good to regular methodological quality were included. Most of the results of the study were functional mobility, balance, pathology progression and gait parameters. Conclusion: it was observed that aquatic physiotherapy promoted good results in gait performance, mainly in balance, functional mobility and decreased motor signals, however there is still evidence about gait parameters.

scholarly journals Effect of Foot Orthoses and Shoes in Parkinson’s Disease Patients: A PRISMA Systematic Review

2021 ◽  
Vol 11 (11) ◽  
pp. 1136
Author(s):  
María Reina-Bueno ◽  
César Calvo-Lobo ◽  
Daniel López-López ◽  
Patricia Palomo-López ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Research Field ◽  
Eligibility Criteria ◽  
Important Conclusion ◽  
Positive Effects ◽  
Gait Parameters ◽  
Different Types ◽  
Foot Sensation

Reduced plantar foot sensation, postural instability, and gait difficulties are characteristic of Parkinson´s disease patients. A systematic review was carried out to determine the effect of the different types of insoles and shoes in these patients. Several databases were used to search for relevant articles reporting Parkinson´s disease patients undergoing treatment with any type of insole and footwear. All titles and abstracts were reviewed independently by two reviewers and the available data were extracted. The study eligibility criteria were any type of experimental study that included Parkinson’s disease patients treated with any type of insole or footwear. Eight studies were selected. Interventions used were textured insoles, footwear modifications, and habitual footwear. Three different outcomes were evaluated in each study: gait parameters, balance, and plantar sensation. According to the data available from this systematic review, the most important conclusion is that more controlled studies are needed in this research field. There are indications to suggest that textured insoles have positive effects on gait parameters, balance, and plantar sensation in Parkinson’s disease patients.

Dual-task training on gait, motor symptoms, and balance in patients with Parkinson’s disease: a systematic review and meta-analysis

2020 ◽  
Vol 34 (11) ◽  
pp. 1355-1367
Author(s):  
Zhenlan Li ◽  
Tian Wang ◽  
Haoyang Liu ◽  
Yan Jiang ◽  
Zhen Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dual Task ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Motor Symptoms ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training

Objective: The aim of the present study was to systematically evaluate and quantify the effectiveness of dual-task training on gait parameters, motor symptoms and balance in individuals diagnosed with Parkinson’s disease. Data resources: A systematic review of published literature was conducted until May 2020, using PubMed, EMBASE, Cochrane Library, Web of Science, EBSCO and CNKI databases. Methods: We included randomized controlled trials (RCTs) and non-RCTs to evaluate the effects of dual-task training compared with those of non-intervention or other forms of training. The measurements included gait parameters, motor symptoms and balance parameters. Methodological quality was assessed using the PEDro scale. Outcomes were pooled by calculating between-group mean differences using fixed- or random-effects models based on study heterogeneity. Results: A total of 11 RCTs comprising 322 subjects were included in the present meta-analysis. Results showed that dual-task training significantly improved gait speed (standardized mean difference [SMD], −0.23; 95% confidence interval [CI], −0.38 to −0.08; P = 0.002), cadence (SMD, −0.25; 95% CI, −0.48 to −0.02; P = 0.03), motor symptoms (SMD, 0.56; 95% CI, 0.18 to 0.94; P = 0.004) and balance (SMD, −0.44; 95% CI, −0.84 to −0.05; P = 0.03). However, no significant changes were detected in step length or stride length. Conclusion: Dual-task training was effective in improving gait performance, motor symptoms and balance in patients with Parkinson’s disease relative to other forms of training or non-intervention.

scholarly journals The Role of Architecture and Design in the Management of Parkinson’s Disease: A Systematic Review

2020 ◽  
Vol 10 (4) ◽  
pp. 1301-1314
Author(s):  
Joana Beisl Ramos ◽  
Gonçalo S. Duarte ◽  
Raquel Bouça-Machado ◽  
Margherita Fabbri ◽  
Tiago A. Mestre ◽  
...  
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Experimental Studies ◽  
Postural Instability ◽  
Functional Mobility ◽  
Housing Type ◽  
Architecture And Design ◽  
The Impact

Background: Parkinson’s disease (PD) is a neurological condition characterized by the development of daily disabling symptoms. Although the architecture and design of a PD patient’s environment can hinder or facilitate full participation in daily activities, their putative role in the management of these patients has received little attention to date. Objective: We conducted a systematic review to evaluate the evidence of architectural and design features in the management of people with PD. Methods: An electronic database search of observational and experimental studies was conducted in MEDLINE and Embase from inception to May 2020, with two independent reviewers identifying the studies. Falls, fear of falling, postural instability, gait impairment/disability, and functional mobility were our outcomes of interest. Results: Thirty-six studies were included, among which nineteen were observational and seventeen were experimental studies (overall participants = 2,965). Pavement characteristics, notably unstable surfaces and level differences, were found to be a major cause of falling. Ground-based obstacles and confined/narrowed spaces were found to disturb gait, increase postural instability, and decrease functional mobility. Housing type did not appear to increase risk of falling, nor to significantly explain concerns about falling. Conclusion: Findings suggest a need to adjust architectural features of the surrounding space to ensure appropriate care and provide a safe environment to PD patients. More evidence about the impact of such modifications on PD outcomes is needed.

scholarly journals Immediate effects of an approach in high cervical and occipitomastoidon postural control and mobility of individuals with parkinson’s disease: case series

2020 ◽  
pp. 1-7
Author(s):  
Alexandre Rodrigues Severo ◽  
Mateus Corrêa Silveira ◽  
Carlos Bolli Mota ◽  
Eduardo Costa Rhoden ◽  
Nadiesca Taisa Filippin
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Postural Control ◽  
Manual Therapy ◽  
Center Of Pressure ◽  
Lateral Displacement ◽  
Case Series ◽  
Functional Mobility ◽  
Disease Case ◽  
High Cervical

Introduction: Parkinson’s disease (PD) causes impairments in postural control and mobility that affect the individual’s independence. Manual therapy has been used in the treatment of these disorders and can change mobility and postural control. Objective: To assess the immediate effects of an approach in high cervical and occipitomastoid on postural control and mobility of individuals with PD. Method: Three individuals with PD, females, aged 52 to 73 years, participated in this case series. Participants were assessed immediately before and after therapeutic intervention through releases of suboccipital muscles and occipitomastoid sutures. Trunk mobility, functional mobility and postural control (center of pressure parameters - COP) were evaluated. Results: All participants demonstrated improvements in trunk mobility. Participants 1 and 2 slightly improved functional mobility. Participants 1 and 2 showed a decrease in the medial-lateral displacement of the COP. All participants showed increases in at least one direction to the limits of stability. Conclusions: The results showed that the intervention appears more effective on trunk mobility. Variables related to postural control changed with no consistent pattern. Further studies could investigate the association of other manual therapy techniques and their effects on mobility and postural control in individuals with PD.

Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with meta-analysis

2017 ◽  
Vol 30 (7) ◽  
pp. 727-735 ◽  
Author(s):  
Marcela dos Santos Delabary ◽  
Isabel Giovannini Komeroski ◽  
Elren Passos Monteiro ◽  
Rochelle Rocha Costa ◽  
Aline Nogueira Haas
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Meta Analysis ◽  
Functional Mobility ◽  
Motor Symptoms

Effects of external cues on gait parameters of Parkinson's disease patients: A systematic review

2014 ◽  
Vol 124 ◽  
pp. 127-134 ◽  
Author(s):  
Priscila A. Rocha ◽  
Gustavo M. Porfírio ◽  
Henrique B. Ferraz ◽  
Virginia F.M. Trevisani
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Gait Parameters ◽  
External Cues

Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study

2018 ◽  
Vol 33 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Michael H Thaut ◽  
Ruth R Rice ◽  
Thenille Braun Janzen ◽  
Corene P Hurt-Thaut ◽  
Gerald C McIntosh
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Gait Training ◽  
Auditory Stimulation ◽  
Controlled Study ◽  
Control Group ◽  
Home Based ◽  
Gait Parameters ◽  
Rhythmic Auditory Stimulation

Objective: To test whether rhythmic auditory stimulation (RAS) training reduces the number of falls in Parkinson’s disease patients with a history of frequent falls. Design: Randomized withdrawal study design. Subjects: A total of 60 participants (aged 62–82 years) diagnosed with idiopathic Parkinson’s disease (Hoehn and Yahr stages III or IV) with at least two falls in the past 12 months. Intervention: Participants were randomly allocated to two groups and completed 30 minutes of daily home-based gait training with metronome click–embedded music. The experimental group completed 24 weeks of RAS training, whereas the control group discontinued RAS training between weeks 8 and 16. Main measures: Changes in clinical and kinematic parameters were assessed at baseline, weeks 8, 16, and 24. Results: Both groups improved significantly at week 8. At week 16—after the control group had discontinued training—significant differences between groups emerged including a rise in the fall index for the control group ( M = 10, SD = 6). Resumption of training reduced the number of falls so that group differences were no longer significant at week 24 ( Mexperimental = 3, SD = 2.6; Mcontrol = 5, SD = 4.4; P > 0.05). Bilateral ankle dorsiflexion was significantly correlated with changes in gait, fear of falling, and the fall index, indicating ankle flexion as a potential kinematic mechanism RAS addresses to reduce falls. Conclusion: RAS training significantly reduced the number of falls in Parkinson’s disease and modified key gait parameters, such as velocity and stride length.

scholarly journals A Systematic Review and Case Series of Ziprasidone for Psychosis in Parkinson’s Disease

2019 ◽  
Vol 9 (1) ◽  
pp. 63-71 ◽  
Author(s):  
John R. Younce ◽  
Albert A. Davis ◽  
Kevin J. Black
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Case Series
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