Effects of Physiotherapy Interventions on Fall, Posture and Quality of Life in Parkinson Disease

Abstract

BACKGROUND AND AIMS Parkinson disease is the 2nd most common neurological disorder worldwide that is mainly associated with motor system. The role of non-pharmacological treatment in the management of fall, posture and improving quality of life is yet unclear therefore this review was conducted to evaluate the effects of physiotherapy interventions on fall, posture and quality of life in PD patients. DATABASES AND ELIGIBILITY CRITERIA A literature search was conducted through Google Scholar, PEDro, Cochrane Library, Med-line, CINAHL, Web of Science and PubMed included 18 randomized controlled trials evaluating physiotherapy interventions effects on fall, posture or QOL in PD patients that published in the year 2010 to onwards 2019 were included. RESULTS Methodological quality and risk of bias was assessed using the Cochrane tool for assessing risk of bias. The findings revealed that PT treatments like resistance training, balance exercises, exergaming and low-intensity trunk exercises are effectual in enhancing QOL and postural imbalance. However resistance strength training, fall education and gait training more effectively reduces fall. CONCLUSION Physiotherapy interventions play an essential role in the treatment of fall, postural imbalance and QOL. These interventions should be integrated in the treatment plan so that PD patients can achieve greater independence in their lives.