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

Identifieur interne : 000476 ( Main/Corpus ); précédent : 000475; suivant : 000477

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

Auteurs : Samyra H. J. Keus ; Bastiaan R. Bloem ; Erik J. M. Hendriks ; Alexandra B. Bredero-Cohen ; Marten Munneke

Source :

RBID : ISTEX:28A2C3267CED8E3752D89D8E90C16CB9920AD818

English descriptors

Abstract

Physical therapy is often prescribed in Parkinson's disease. To facilitate the uniformity and efficacy of this intervention, we analyzed current evidence and developed practice recommendations. We carried out an evidence‐based literature review. The results were supplemented with clinical expertise and patient values and translated into practice recommendations, developed according to international standards for guideline development. A systematic literature search yielded 6 systematic reviews and 23 randomized controlled trials of moderate methodological quality with sufficient data. Six specific core areas for physical therapy were identified: transfers, posture, reaching and grasping, balance, gait, and physical capacity. We extracted four specific treatment recommendations that were based on evidence from more than two controlled trials: cueing strategies to improve gait; cognitive movement strategies to improve transfers; exercises to improve balance; and training of joint mobility and muscle power to improve physical capacity. These practice recommendations provide a basis for current physical therapy in Parkinson's disease in everyday clinical practice, as well as for future research in this field. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.21244

Links to Exploration step

ISTEX:28A2C3267CED8E3752D89D8E90C16CB9920AD818

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<givenNames>Erik J.M.</givenNames>
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<personName>
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<familyName>Munneke</familyName>
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<unparsedAffiliation>Department of Physical Therapy, Leiden University Medical Center (LUMC), The Netherlands</unparsedAffiliation>
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<unparsedAffiliation>Department of Neurology, Radboud University Nijmegen Medical Centre (RUNMC), The Netherlands</unparsedAffiliation>
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<keyword xml:id="kwd1">practice guideline</keyword>
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<keyword xml:id="kwd3">Parkinson disease</keyword>
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<p>Physical therapy is often prescribed in Parkinson's disease. To facilitate the uniformity and efficacy of this intervention, we analyzed current evidence and developed practice recommendations. We carried out an evidence‐based literature review. The results were supplemented with clinical expertise and patient values and translated into practice recommendations, developed according to international standards for guideline development. A systematic literature search yielded 6 systematic reviews and 23 randomized controlled trials of moderate methodological quality with sufficient data. Six specific core areas for physical therapy were identified: transfers, posture, reaching and grasping, balance, gait, and physical capacity. We extracted four specific treatment recommendations that were based on evidence from more than two controlled trials: cueing strategies to improve gait; cognitive movement strategies to improve transfers; exercises to improve balance; and training of joint mobility and muscle power to improve physical capacity. These practice recommendations provide a basis for current physical therapy in Parkinson's disease in everyday clinical practice, as well as for future research in this field. © 2006 Movement Disorder Society</p>
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<namePart type="given">Samyra H.J.</namePart>
<namePart type="family">Keus</namePart>
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<affiliation>Department of Neurology, Radboud University Nijmegen Medical Centre (RUNMC), The Netherlands</affiliation>
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<affiliation>Department of Research and Development, Dutch Institute of Allied Health Care (NPi), The Netherlands</affiliation>
<affiliation>Department of Epidemiology, and Center for Evidence Based Physiotherapy (CEBP), Maastricht University, The Netherlands</affiliation>
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<abstract lang="en">Physical therapy is often prescribed in Parkinson's disease. To facilitate the uniformity and efficacy of this intervention, we analyzed current evidence and developed practice recommendations. We carried out an evidence‐based literature review. The results were supplemented with clinical expertise and patient values and translated into practice recommendations, developed according to international standards for guideline development. A systematic literature search yielded 6 systematic reviews and 23 randomized controlled trials of moderate methodological quality with sufficient data. Six specific core areas for physical therapy were identified: transfers, posture, reaching and grasping, balance, gait, and physical capacity. We extracted four specific treatment recommendations that were based on evidence from more than two controlled trials: cueing strategies to improve gait; cognitive movement strategies to improve transfers; exercises to improve balance; and training of joint mobility and muscle power to improve physical capacity. These practice recommendations provide a basis for current physical therapy in Parkinson's disease in everyday clinical practice, as well as for future research in this field. © 2006 Movement Disorder Society</abstract>
<note type="content">*Members of the Practice Recommendations Development Group are listed in the Appendix.</note>
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<note type="funding">Royal Dutch Society for Physical Therapy</note>
<note type="funding">Dutch Society for Mensendieck and Cesar Exercise Therapy (VvOCM)</note>
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<topic>physical therapy</topic>
<topic>Parkinson disease</topic>
<topic>evidence‐based medicine</topic>
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<topic>activities of daily living</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2007</date>
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<caption>vol.</caption>
<number>22</number>
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<detail type="issue">
<caption>no.</caption>
<number>4</number>
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<start>451</start>
<end>460</end>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2006 Movement Disorder Society</accessCondition>
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