Effects of manual therapy on Parkinson's gait: A systematic review

Delafontaine, A., Vialleron, T., Barbier, G., Lardon, A., Barrière, M., García-Escudero, M., Fabeck, L. et Descarreaux, M. (2024). Effects of manual therapy on Parkinson's gait: A systematic review. Sensors, 24 (2). p. 354. ISSN 1424-8220 DOI 10.3390/s24020354

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Résumé

Abstract

Manual therapy (MT) is commonly used in rehabilitation to deal with motor impairments in Parkinson’s disease (PD). However, is MT an efficient method to improve gait in PD? To answer the question, a systematic review of clinical controlled trials was conducted. Estimates of effect sizes (reported as standard mean difference (SMD)) with their respective 95% confidence interval (95% CI) were reported for each outcome when sufficient data were available. If data were lacking, p values were reported. The PEDro scale was used for the quality assessment. Three studies were included in the review. MT improved Dynamic Gait Index (SMD = 1.47; 95% CI: 0.62, 2.32; PEDro score: 5/10, moderate level of evidence). MT also improved gait performances in terms of stride length, velocity of arm movements, linear velocities of the shoulder and the hip (p < 0.05; PEDro score: 2/10, limited level of evidence). There was no significant difference between groups after MT for any joint’s range of motion during gait (p > 0.05; PEDro score: 6/10, moderate level of evidence). There is no strong level of evidence supporting the beneficial effect of MT to improve gait in PD. Further randomized controlled trials are needed to understand the impact of MT on gait in PD.

Type de document:	Article
Mots-clés libres:	Manual therapy Parkinson’s disease Gait Dynamic gait index Gait performances
Date de dépôt:	06 juin 2024 13:07
Dernière modification:	06 juin 2024 13:07
Version du document déposé:	Version officielle de l'éditeur
URI:	https://depot-e.uqtr.ca/id/eprint/11352

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