Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

Osborne, Joanne M.; Botkin, Rachel; Colón-Semenza, Cristina; DeAngelis, Tamara R.; Gallardo, Oscar G; Kosakowski, Heidi; Martello, Justin; Pradhan, Sarita; Rafferty, Miriam; Readinger, Janet; Whitt, Abigail L; Ellis, Terry

doi:10.1093/ptj/pzab302

Cited by 60 publications

(33 citation statements)

References 266 publications

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“…For this reason, we recommend abandoning the category of CPT for future Rs and MAs, on the grounds that it is obsolete and misleading. Indeed, the recent American Physical Therapy Association Guideline does not use it [ 27 ]. CPT should be replaced by the following categories, depending on what it means in each particular study: (I) If CPT equals a single defined treatment modality (e.g., aerobic training), then it should be classified in this category, despite the fact that the authors of the study in question refer to it as CPT; (II) If CPT is related to a single defined treatment modality which does not have its specific category, e.g., due to its uniqueness (like direct-current stimulation), it can be classified under “Other Physiotherapy Techniques”; (III) If CPT comprises several treatment modalities, it should be classified as “Multimodal Training”.…”

Section: Discussionmentioning

confidence: 99%

The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines

Hoskovcová

Růžička

Gál

2022

JPM

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This opinion paper reviews the use of the category of “conventional physiotherapy” (CPT) in Parkinson’s disease (PD)-relevant reviews and meta-analyses and points out serious inconsistencies within and among them. These are first discussed in general, leading to the conclusion that, in most cases, the category of CPT encompasses a range of incompatible interventions. This undermines previous conclusions about their superiority or inferiority relative to various other treatment modalities. Next, the update to the European Physiotherapy Guidelines is discussed in detail, since it treats CPT as a global and time-independent category per se, ascribing effects in various domains to it. This introduces several important biases into the findings presented in this publication. These are subsequently discussed, and it is concluded that the categorisation of various physiotherapy techniques under the umbrella term of CPT is empty, or even dangerous, and should be abandoned. Other categories are suggested as a replacement, including “Other Physiotherapy Techniques” and “Multimodal Training”.

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Section: Discussionmentioning

confidence: 99%

The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines

Hoskovcová

Růžička

Gál

2022

JPM

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“…For selfcare, usually patients that are affected with Parkinson's take care of themselves by diet and exercise, like aerobic training, strength training workouts, and balance training workouts. In some cases, people resort to traditional Chinese medicine and acupuncture, which aids the patient by relieving symptoms of the disease (22,23). Patients that are diagnosed by a neurologist (diagnosed by the given medical history and signs/symptoms) (24), are given medication, but the medications come with complications.…”

Section: Treatment/diagnosis/risk Factorsmentioning

confidence: 99%

Parkinson’s Disease

2022

DHR Proceedings

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“…Although in‐person programs allow social interaction, engagement, and may generate more satisfaction for the participants, this is not a safe choice during the pandemic. A recent guideline from the American Physical Therapy Association (APTA) suggested more research is needed with robust study designs to examine the benefits of telerehabilitation and mHealth technology for safety and feasibility (and usability for patients and providers; Osborne et al., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Adherence rate, barriers to attend, safety and overall experience of a physical exercise program via telemonitoring during COVID‐19 pandemic for individuals with Parkinson's disease: A feasibility study

Torriani‐Pasin

Domingues

Freitas

et al. 2022

Physiotherapy Res Intl

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Background Telemonitoring can maintain daily exercise routine during the COVID‐19 pandemic of individuals with Parkinson's disease (PD). However, there are barriers to adherence and attendance with remote physical rehabilitation. The main objective of this study was to evaluate adherence rate, barriers to attendance, and safety of a telemonitoring program for individuals with PD; and secondarily to evaluate the individual and their family members perceived overall experience when performing the telemonitoring physical exercise program. Methods This was a phase 1 of a clinical trial, engaging 19 individuals with idiopathic PD of an in‐person community rehabilitation program. For 24 weeks an asynchronous telemonitoring physical exercise program delivered two sessions per week by video including warm‐up, balance, aerobic and resistance exercises, and cool‐down. During the remote program were verified: adherence rate at entrance, attendance rate, barriers to attend, safety, and overall experience of the program. Results and conclusion Only one participant did not perform any session and 18 participants completed between 2 and 34 sessions. Participants with a caregiver showed higher attendance rates. The most frequently cited barriers to attend the program were: pain; lack of motor skills; and reduced physical fitness. In relation to safety of the program, the most frequently reported was fear of falling. Although participants reported the telemonitoring program induced health benefits and they had positive experiences for themselves and for their families, most of participants prefer an in‐person program. In this sense, the asynchronous telemonitoring physical exercise program was safe, showed moderate adherence, with attendance rate depending on the presence of a companion.

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Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

Cited by 60 publications

References 266 publications

The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines

The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines

Parkinson’s Disease

Adherence rate, barriers to attend, safety and overall experience of a physical exercise program via telemonitoring during COVID‐19 pandemic for individuals with Parkinson's disease: A feasibility study

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