Good Move for People with Parkinson’s Disease

Complementary physical therapies for movement disorders in Parkinson’s disease: a systematic review.

By Alves da Rocha P. from the School Allied Health, Department of Physiotherapy, College Science, Health & Engineering, La Trobe University, Bundoora, Australia and the CAPES Foundation, Ministry of Education of Brazil, Brasília – DF 70040-020, Brazil | McClelland J. from the Department of Rehabilitation, Nutrition and Sport, College of Science, Health and Engineering, La Trobe University, Bundoora, Australia | Morris M. E. from the School Allied Health, Department of Physiotherapy, College Science, Health & Engineering, La Trobe University, Bundoora, Australia, July 2015

 

BACKGROUND

The growth and popularity of complementary physical therapies for Parkinson’s disease (PD) attempt to fill the gap left by conventional exercises, which does not always directly target well-being, enjoyment and social participation.

 

AIM

To evaluate the effects of complementary physical therapies on motor performance, quality of life and falls in people living with Parkinson’s disease.

 

DESIGN

Systematic review with meta-analysis.

 

SETTING AND POPULATION

Outpatients – adults diagnosed with idiopathic Parkinson’s disease, Male or female, modified Hoehn and Yahr scale I-IV, any duration of Parkinson’s disease, any duration of physical treatment or exercise.

 

METHODS

Randomized controlled trials, nonrandomized controlled trials and case series studies were identified by systematic searching of health and rehabilitation electronic databases. A standardised form was used to extract key data from studies by two independent researchers.

 

RESULTS

1210 participants from 20 randomized controlled trials, two nonrandomized controlled trials and 13 case series studies were included. Most studies had moderately strong methodological quality. Dancing, water exercises and robotic gait training were an effective adjunct to medical management for some people living with Parkinson’s disease. Virtual reality training, mental practice, aerobic training, boxing and Nordic walking training had a small amount of evidence supporting their use in Parkinson’s disease.

 

CONCLUSION

On balance, alternative physical therapies are worthy of consideration when selecting treatment options for people with Parkinson’s disease.

 

CLINICAL REHABILITATION IMPACT

Complementary physical therapies such as dancing, hydrotherapy and robotic gait training appear to afford therapeutic benefits, increasing mobility and quality of life, in some people living with Parkinson’s disease.

 

 

REFERENCE
European Journal of Physical and Rehabilitation Medicine (Europa Medicophysica) 2015 Jul 03
PMID: 26138090 [PubMed – as supplied by publisher]