Evidence-based analysis of physical therapy in Parkinson's disease with recommendations for practice and research.
Fulltext:
51481.pdf
Embargo:
until further notice
Size:
156.2Kb
Format:
PDF
Description:
Publisher’s version
Publication year
2007Source
Movement Disorders, 22, 4, (2007), pp. 451-60ISSN
Publication type
Article / Letter to editor
Display more detailsDisplay less details
Organization
Neurology
Donders Centre for Cognitive Neuroimaging
Rehabilitation
Journal title
Movement Disorders
Volume
vol. 22
Issue
iss. 4
Page start
p. 451
Page end
p. 60
Subject
DCN 2: Functional Neurogenomics; EBP 4: Quality of Care; NCEBP 10: Human Movement & Fatigue; NCEBP 6:Quality of nursing and allied health care; UMCN 3.2: Cognitive neurosciencesAbstract
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.
This item appears in the following Collection(s)
- Academic publications [238441]
- Donders Centre for Cognitive Neuroimaging [3824]
- Electronic publications [122523]
- Faculty of Medical Sciences [90373]
Upload full text
Use your RU credentials (u/z-number and password) to log in with SURFconext to upload a file for processing by the repository team.