A comparison of computerized dynamic posturography therapy to standard balance physical therapy in individuals with Parkinson's disease: A pilot study1

Qutubuddin, Abu; Cifu, David X.; Armistead-Jehle, Patrick; Carne, William; McGuirk, Theresa E.; Baron, Mark S.

doi:10.3233/nre-2007-22402

Cited by 34 publications

(50 citation statements)

References 6 publications

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“…Jöbges et al (10) found no improvement in LOS after repetitive step training in response to pulls and pushes. Qutubuddin et al (11) used posturography-based step training and reported increases in LOS parameters, but LOS gains were also found in the physical therapy (control) group. These findings suggest that repetitive step training alone may not be better than conventional therapy in enhancing LOS in patients with PD (10,11).…”

Section: Introductionmentioning

confidence: 99%

Repetitive step training with preparatory signals improves stability limits in patients with Parkinsonâ€™s disease

Shen¹,

Mak²

2012

J Rehabil Med

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Section: Introductionmentioning

confidence: 99%

Repetitive step training with preparatory signals improves stability limits in patients with Parkinsonâ€™s disease

Shen¹,

Mak²

2012

J Rehabil Med

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“…A recent systematic review of the use of home-based virtual-reality and gaming systems demonstrated strong retention and adherence to these programmes (65). despite this, the 3 trials in our review reporting adherence data reported no significant difference with the computerized intervention compared with physiotherapy (28,47,51).…”

Section: Effect Of Computer-based Intervention Vs No Therapy In Peoplmentioning

confidence: 49%

“…Other commercial video-game based devices were used in 4 trials (30,37,48,49). nine trials used customized electronic balance devices, where games could be individually tailored by the therapists (31,39,41,42,45,47,50,54,57). two trials used virtual-reality based treadmill training (32,40) and 2 trials used virtual-reality based robot training (33,34).…”

Section: Summary Of Datamentioning

confidence: 99%

“…typically, sessions were completed 2-3 times per week for, on average, 6 weeks (range 1-20 weeks). the computerized intervention was compared with conventional physiotherapy interventions (termed physiotherapy for the purpose of this review) in 17 trials (28,29,31,38,39,41,44,45,47,(49)(50)(51)(52)(53)(54)(55)(56). Physiotherapy interventions included traditional balance, seated exercise and home exercise programmes, which included functional mobility, static and dynamic balance, strength and flexibility exercises.…”

Section: Summary Of Datamentioning

confidence: 99%

“…Four trials reported increased levels of enjoyment and motivation when using the computerized intervention (31,(49)(50)(51). However, 3 trials reported no significant difference in compliance with the computerized intervention compared with physiotherapy (28,47,51).…”

Section: Adverse Events and Adherencementioning

confidence: 99%

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Machines that go ”ping” may improve balance but may not improve mobility or reduce risk of falls: A systematic review

Dennett¹,

Taylor²

2015

J Rehabil Med

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Objective: To determine the effectiveness of computer-based electronic devices that provide feedback in improving mobility and balance and reducing falls. Data sources: Randomized controlled trials were searched from the earliest available date to August 2013. Data extraction: Standardized mean differences were used to complete meta-analyses, with statistical heterogeneity being described with the I-squared statistic. The GRADE approach was used to summarize the level of evidence for each completed meta-analysis. Risk of bias for individual trials was assessed with the (Physiotherapy Evidence Database) PEDro scale. Data synthesis: Thirty trials were included. There was highquality evidence that computerized devices can improve dynamic balance in people with a neurological condition compared with no therapy. There was low-to-moderate-quality evidence that computerized devices have no significant effect on mobility, falls efficacy and falls risk in community-dwelling older adults, and people with a neurological condition compared with physiotherapy. Conclusion: There is high-quality evidence that computerized devices that provide feedback may be useful in improving balance in people with neurological conditions compared with no therapy, but there is a lack of evidence supporting more meaningful changes in mobility and falls risk.

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Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease

El Hayek,

Lobo Jofili Lopes,

LeLaurin

et al. 2023

JAMA Netw Open

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ImportanceParkinson disease (PD) is a neurodegenerative syndrome affecting approximately 1% of the population older than 60 years, and a major goal of treatment is preservation of physical function through physical therapy (PT). Although PT outcomes for PD are well documented, aggregate information on the parameters of PT are needed to guide implementation.ObjectiveTo evaluate current evidence on the types, timing, frequency, duration, and outcomes of PT regimens applied for PD.Data SourcesPubMed, Embase, Medline, and the Web of Science Core Collection were searched for articles published from January 1, 2000, to August 10, 2022. Search terms included terms related to Parkinson disease, PT interventions, and PT-related outcomes.Study SelectionIncluded studies were peer-reviewed randomized clinical trials available in English of any PT intervention for patients with PD that included PT-related outcomes. The Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline was followed.Data Extraction and SynthesisTwo reviewers extracted data and assessed quality using the Cochrane Risk of Bias Tool. Data were analyzed using a random-effects model.Main Outcomes and MeasuresA meta-analysis compared outcomes of nonstandard PT vs standard PT and standard PT vs no intervention for Unified Parkinson’s Disease Rating Scale (UPDRS) score and measures of gait and balance.ResultsA total of 46 trials with 3905 patients were included (range of mean ages, 61-77 years). Ten trials (22%) compared 2 types of nonstandard PT interventions; 26 (57%), nonstandard PT vs standard PT; and 10 (22%), PT vs no intervention. The most common nonconventional PT intervention was aquatic physiotherapy (5 trials [11%]). Durations of PT regimen ranged from 2 to 12 weeks in 39 trials (85%), and PT was most commonly performed with frequencies of either twice or 3 times weekly (27 [59%]). In most trials (39 [85%]), PT session length ranged from 30 to 60 minutes. Across trials, PT outcomes were reported for gait (14 trials [30%]), balance (10 [22%]), quality of life (3 [9%]), and cognition (1 [2%]). Approximately half of the trials (22 [48%]) documented durability of some level of benefit after completion of the prescribed regimen. Meta-analysis showed no significant difference for PT vs no intervention in UPDRS scores (standardized mean difference [SMD], −1.09; 95% CI, −2.50 to 0.33) or for nonstandard PT vs standard PT in measures of gait (SMD, 0.03; 95% CI, −0.53 to 0.59), balance (SMD, 0.54; 95% CI, −0.03 to 1.12), and UPDRS score (SMD, −0.49; 95% CI, −1.04 to 0.06). Meta-analytic regression of moderators revealed no significant differences in outcomes by frequency of PT per week (SMD, 0.17; 95% CI, –0.03 to 0.36).Conclusions and RelevanceThe findings suggest that although a wide range of types and regimens of PT for PD have been tested, comparative effectiveness of different models of care and implementation strategies as well as long-term durability of their outcomes remain undetermined.

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A comparison of computerized dynamic posturography therapy to standard balance physical therapy in individuals with Parkinson's disease: A pilot study1

Cited by 34 publications

References 6 publications

Repetitive step training with preparatory signals improves stability limits in patients with Parkinsonâ€™s disease

Repetitive step training with preparatory signals improves stability limits in patients with Parkinsonâ€™s disease

Machines that go ”ping” may improve balance but may not improve mobility or reduce risk of falls: A systematic review

Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease

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