Evidence‐based analysis of physical therapy in Parkinson's disease with recommendations for practice and research

Keus, S.H.J.; Bloem, Bastiaan R.; Hendriks, Erik; Bredero-Cohen, Alexandra B.; Munneke, Marten

doi:10.1002/mds.21244

Cited by 415 publications

(318 citation statements)

References 67 publications

(77 reference statements)

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“…2 People with PD can present with movement disorders, 3 postural instability, reduced mobility, and an increased risk of falls. 4 The severity of PD can be classified according to the original or modified Hoeln and Yahr 1 staging scales, with lower stages on these scales representing milder disease states. At stages 1 and 2, physical symptoms are predominantly unilateral; however, as the stage of disease progresses, physical symptoms become bilateral.…”

Section: Introductionmentioning

confidence: 99%

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Shanahan

Morris

Bhriain

et al. 2015

Archives of Physical Medicine and Rehabilitation

144

118

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Objectives: (1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population. Data Extraction: Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed. DataData Synthesis: Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.Conclusions: Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.

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Section: Introductionmentioning

confidence: 99%

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Shanahan

Morris

Bhriain

et al. 2015

Archives of Physical Medicine and Rehabilitation

144

118

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“…The manual has the sequence of the exercises, description of the exercises, number of repetitions and self-explanatory illustrations, being delivered as a way of guiding the practice at home. The exercises were based on the recommendations of the guide for Physical Therapy in patients with PD of the Royal Dutch Society of Physiotherapy (10). The physiotherapy chapter is divided into 4 parts: 1-stretches; 2-mobility exercises; 3-exercises for balance and strength and 4-orientations of everyday situations (Table 1).…”

Section: Experimental Groupmentioning

confidence: 99%

“…Physiotherapy in PD includes aerobic exercises, transfers, posture, balance, strengthening, relaxation, movement strategies, gait training without and with external stimuli, and education of the patient and caregivers (9)(10)(11). Recently, studies have evaluated the effects of therapeutic home exercise programs whose practice can be supervised by the patient (12)(13)(14)(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

Individualized guidance and telephone monitoring in a self-supervised home-based physiotherapeutic program in Parkinson

et al. 2017

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Introduction: Home therapeutic exercises have been a target of interest in the treatment of the Parkinson's disease (PD). The way that the physical therapist guides and monitors these exercises can impact the success of therapy. Objective: To evaluate the effects of individualized orientation and monitoring by telephone in a self-supervised home therapeutic exercise program on signs and symptoms of PD and quality of life (QoL). Methods: Single-blind randomized clinical trials with 28 people with PD (Hoehn and Yahr 1 to 3). Patients were randomized into two groups: experimental and control. The experimental group had a meeting with individualized guidance about physiotherapy exercises present in a manual, received the manual to guide their activities at home and obtained subsequent weekly monitoring by telephone. The control group received the usual cares by the service. Both were orientated to carry out exercises three times a week during 12 weeks. Was evaluated: (1) activities of daily living (ADL) and motor examination sections of the Unified Parkinson's Disease Rating Scale (UPDRS) and QoL by the Parkinson Disease Questionnaire 39 (PDQ-39). The analysis between groups was performed by the Mann-Whitney test and intragroup through the Wilcoxon (p < 0.05). Results: Significant improvement in ADL (p= 0.001) and motor examination (p= 0.0008) of the UPDRS, PDQ-39 total (p = 0.027) and dimensions mobility (p = 0.027), emotional well-being (p= 0.021) and bodily discomfort (p = 0.027) in the experimental group compared to the control group. Conclusion: The individualized guidance and weekly monitoring by telephone in a self-supervised home therapeutic exercises program promoted positive effects on ADL, motor examination and QoL of people in early stages of PD.

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“…Com a progressão da enfermidade, indivíduos com a doença de Parkinson (DP) apresentam défi-cits motores na marcha, na postura e no equilíbrio (1). Tais déficits contribuem para a perda de independência, quedas e inatividade, com consequente isolamento social e maior risco de osteoporose e doenças cardiovasculares (2,3).…”

Section: Introductionunclassified

Exercício aeróbio e fortalecimento muscular melhoram o desempenho funcional na doença de Parkinson

Rodrigues-de-Paula

Lima²,

Teixeira-Salmela

et al. 2011

Fisioter. mov.

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ResumoIntrodução: Indivíduos com doença de Parkinson (DP) apresentam déficits motores na marcha, postura e equilíbrio e tendem a apresentar redução mais acentuada do nível de atividade física do que indivíduos assintomáticos da mesma idade. O declínio físico pode estar associado à perda de força muscular, da capacidade física e piora do desempenho funcional na DP. Objetivo: Avaliar os efeitos de um programa de fortalecimento e condicionamento aeróbio no desempenho funcional e na capacidade física de indivíduos com DP. Materiais e métodos: Dezessete indivíduos, com média de idade de 60,35 ± 9,94 anos e estágios I a III da Hoehn e Yahr, participaram de um programa de exercícios três vezes por semana durante 12 semanas. Avaliou-se a força muscular por meio do dinamômetro manual, o desempenho funcional por meio da Unified Parkinson Disease Rating Scale (UPDRS), avaliou-se também a velocidade da marcha e habilidade em usar escadas e a capacidade física por meio do perfil de atividade humana (PAH). Utilizou-se a estatística descritiva, testes t e ANOVA para medidas repetidas para a análise. Resultados e discussão: Os dorsoflexores bilaterais foram o único grupo muscular a apresentar maior torque após a intervenção (F = 7,93; p = 0,008).Fisioter Mov. 2011 jul/set;24(3):379-88Rodrigues-de-Paula F, Lima LO, Teixeira-Salmela LF, Cardoso F. 380Houve ganho nas medidas de desempenho funcional: velocidade da marcha (p = 0,028), velocidade para subir (p = 0,001) e descer (p = 0,002) escadas, no escore total da UPDRS (p = 0,007) e do PAH (p < 0,0001). Considerações finais: O uso combinado de condicionamento aeróbio e fortalecimento muscular resultou em melhoras no desempenho funcional e na capacidade física de indivíduos com DP leve a moderada. [ # ] [P]

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Evidence‐based analysis of physical therapy in Parkinson's disease with recommendations for practice and research

Cited by 415 publications

References 67 publications

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Individualized guidance and telephone monitoring in a self-supervised home-based physiotherapeutic program in Parkinson

Exercício aeróbio e fortalecimento muscular melhoram o desempenho funcional na doença de Parkinson

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