Tratamiento fisioterapéutico de las alteraciones posturales en la enfermedad de Parkinson. Revisión sistemática

Gómez-Regueira, N.; Escobar-Velando, G.

doi:10.1016/j.ft.2016.02.002

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…Parkinson's disease (PD) is a progressive and chronic neurodegenerative disorder, characterized by a deep and selective loss of dopaminergic neurons, with clinical manifestations including motor and nonmotor abnormalities [1,2]. PD is the second most common neurodegenerative disorder [3,4], and the average incidence rate estimated in developed countries is 14 cases per 100,000 people per year.…”

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confidence: 99%

Treatment of Dysphagia in Parkinson’s Disease: A Systematic Review

Liria

Parra-Egeda

Vega-Ramírez

et al. 2020

IJERPH

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The incidence of oropharyngeal dysphagia in Parkinson’s disease (PD) is very high. It is necessary to search for effective therapies that could prevent pneumonia. Previous results should be interpreted cautiously as there is a lack of evidence to support the use of compensatory or rehabilitative approaches to dysphagia. We reviewed the scientific literature to describe the treatments of dysphagia in PD. A systematic review was performed in PubMed, Scopus, Elsevier, and Medline according to PRISMA standards in 2018. The articles that did not mention dysphagia secondary to PD or used surgical treatment were excluded. Eleven articles met the criteria with information from 402 patients. The review relates to different protocols, such as training in expiratory muscle strength, postural techniques, oral motor exercises, video-assisted swallowing therapy, surface electrical stimulation, thermal stimulation, touch, compensatory interventions, training regime for swallowing, neuromuscular electrical stimulation, Lee Silverman voice treatment, swallow maneuver, airway protection, and postural compensation maneuvers. This review identifies the rationing interventions in each trial, if they are efficient and equitable. Several rehabilitative therapies have been successful. An improvement was seen in the degenerative function (coordination, speed, and volume), quality of life, and social relationships of people with PD. Further investigations concerning the clinical applicability of these therapies based on well-designed randomized controlled studies are needed. Larger patient populations need to be recruited to evaluate the effectiveness, long-term effects, and new treatment techniques.

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confidence: 99%

Treatment of Dysphagia in Parkinson’s Disease: A Systematic Review

Liria

Parra-Egeda

Vega-Ramírez

et al. 2020

IJERPH

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“…Control group: Participants will continue with basic life activities and maintain the treatment established by the public health system (“usual care”). Although there is no standard treatment for PD, the usual treatment, depending on the clinical condition of each patient, consist of the prescription of medication, essentially Levodopa [ 48 ], and the recommendation of physiotherapy [ 49 ].…”

Section: Methodsmentioning

confidence: 99%

Falls Prevention and Quality of Life Improvement by Square Stepping Exercise in People with Parkinson’s Disease: Project Report

Mayoral-Moreno

Chimpén‐López

Rodríguez-Santos

et al. 2021

JPM

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Parkinson’s disease (PD) is a chronic neurodegenerative disorder that affects physical, psychological, and social quality of life. Square Stepping Exercise (SSE) is an effective balance training program to prevent falls and to stimulate cognitive function in the elderly; however, no study has analyzed the effect of SSE in people with PD. The main objective is to investigate whether the application of SSE is safe, applicable, and can improve balance, and is effective in preventing falls, improving cognitive and psychological aspects and thus maximize quality of life in people with PD. Methods/Design: SSE will be performed three times per week for 8 weeks with an additional month follow-up after the intervention. Sixty people with PD will participate, randomly distributed into two groups: experimental group (SSE: n = 30) and control group (Usual care: n = 30). The primary measurements will be: (1) Applicability, (2) Safety, (3) Balance, and (4) Annual number of falls. Secondary measurements will be: (1) Sociodemographic information, (2) Physical condition, (3) Health-related quality of life, (4) Depressive symptoms, (5) Cognitive aspects, (6) Perceived functional social support, and (7) Anticipatory cognition.

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“…There is an urgent need to evaluate the effectiveness of therapeutic interventions focused on this area and the impact of these treatment techniques on postural stability, looking for conclusive answers across the disease spectrum [ 21 ]. Although several authors have carried out treatments aimed at the trunk, whether the focus was on mobility, stretching, endurance or strengthening of the trunk (e.g., Global Postural Re-education; Mezieres physiotherapy; proprioceptive training), no studies have delved into the efficacy of these interventions and their benefits related to balance among PD patients [ 21 , 22 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Specific Trunk Exercises in the Balance Dysfunction of Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis

Liria

Vega-Tirado

Valverde-Martínez

et al. 2023

Sensors

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Parkinson’s disease (PD) is a neurodegenerative pathology classified as a movement disorder. Physical exercise within a physiotherapy program is an important element to improve postural stability, balance and mobility in order to reduce falls in people with PD. The aim of this work was to determine the efficacy of specific balance and trunk mobility exercises, as well as their benefits for and effects on patients with idiopathic PD. A systematic review and meta-analysis was conducted according to PRISMA standards. The search was performed in five databases: Cochrane Library, SciELO, PEDro, Scopus and PubMed, in February 2022 with the following descriptors: Parkinson’s disease, trunk, exercise, therapy and physical therapy. The inclusion criteria were randomized controlled trials (RCTs) over the last ten years. A meta-analysis on static and dynamic balance was conducted with the software Review Manager. Nine articles met the objectives and inclusion criteria, with a total of 240 participants. The trials had moderate methodological quality according to the PEDro scale. The studies included differed with regard to intervention protocol and outcome measures. Finally, eight studies were included in a quantitative analysis in which it was shown that trunk-specific exercises interventions did not significantly improve static balance (SMD = −0.10, 95% CI= −0.29, 0.08; p = 0.28) or dynamic balance (SMD = 0.64 95% CI= −0.24, 1.52; p = 0.15). However, significant differences were found in static balance measured subjectively using the Berg Balance Scale (SMD = −0.52, 95% CI= −1.01, −0.02; p = 0.04). Although some differences were not significant, the studies included in this systematic review consider that specific trunk exercises or balance training combined with muscle strengthening in patients with idiopathic PD should be a complement to pharmacological treatment for improving balance dysfunction and postural instability, preventing falls and promoting wellness.

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Tratamiento fisioterapéutico de las alteraciones posturales en la enfermedad de Parkinson. Revisión sistemática

Cited by 3 publications

References 26 publications

Treatment of Dysphagia in Parkinson’s Disease: A Systematic Review

Treatment of Dysphagia in Parkinson’s Disease: A Systematic Review

Falls Prevention and Quality of Life Improvement by Square Stepping Exercise in People with Parkinson’s Disease: Project Report

Efficacy of Specific Trunk Exercises in the Balance Dysfunction of Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis

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