The effect of rehabilitation interventions on freezing of gait in people with Parkinson's disease is unclear: a systematic review and meta-analyses

被引:4
作者
Goh, Lina [1 ]
Canning, Colleen G. [1 ]
Song, Jooeun [1 ]
Clemson, Lindy [2 ]
Allen, Natalie E. [1 ]
机构
[1] Univ Sydney, Fac Med & Hlth, Sch Hlth Sci, Discipline Physiotherapy, Sydney, NSW, Australia
[2] Univ Sydney, Fac Med & Hlth, Sch Hlth Sci, Discipline Occupat Therapy, Sydney, NSW, Australia
关键词
Freezing of gait; Parkinson's disease; rehabilitation; systematic review; meta-analyses; QUALITY-OF-LIFE; FALLS EFFICACY; FUNCTIONAL MOBILITY; AUDITORY-STIMULI; RATING-SCALE; BALANCE; EXERCISE; RELIABILITY; PERFORMANCE; PHYSIOTHERAPY;
D O I
10.1080/09638288.2022.2120099
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose To summarize the effects of rehabilitation interventions to reduce freezing of gait (FOG) in people with Parkinson's disease. Methods A systematic review with meta-analyses of randomized trials of rehabilitation interventions that reported a FOG outcome was conducted. Quality of included studies and certainty of FOG outcome were assessed using the PEDro scale and GRADE framework. Results Sixty-five studies were eligible, with 62 trialing physical therapy/exercise, and five trialing cognitive and/or behavioral therapies. All meta-analyses produced very low-certainty evidence. Physical therapy/exercise had a small effect on reducing FOG post-intervention compared to control (Hedges' g= -0.26, 95% CI= -0.38 to -0.14, 95% prediction interval (PI)= -0.38 to -0.14). We are uncertain of the effects on FOG post-intervention when comparing: exercise with cueing to without cueing (Hedges' g= -0.58, 95% CI= -0.86 to -0.29, 95% PI= -1.23 to 0.08); action observation training plus movement strategy practice to practice alone (Hedges' g= -0.56, 95% CI= -1.16 to 0.05); and dance to multimodal exercises (Hedges' g= -0.64, 95% CI= -1.53 to 0.25). Conclusions We are uncertain if physical therapy/exercise, cognitive or behavioral therapies, are effective at reducing FOG.
引用
收藏
页码:3199 / 3218
页数:20
相关论文
共 145 条
  • [1] Action Observation and Motor Imagery: Innovative Cognitive Tools in the Rehabilitation of Parkinson's Disease
    Abbruzzese, Giovanni
    Avanzino, Laura
    Marchese, Roberta
    Pelosin, Elisa
    [J]. PARKINSONS DISEASE, 2015, 2015
  • [2] Brain plasticity in Parkinson's disease with freezing of gait induced by action observation training
    Agosta, Federica
    Gatti, Roberto
    Sarasso, Elisabetta
    Volonte, Maria Antonietta
    Canu, Elisa
    Meani, Alessandro
    Sarro, Lidia
    Copetti, Massimiliano
    Cattrysse, Erik
    Kerckhofs, Eric
    Comi, Giancarlo
    Falini, Andrea
    Filippi, Massimo
    [J]. JOURNAL OF NEUROLOGY, 2017, 264 (01) : 88 - 101
  • [3] Recurrent Falls in Parkinson's Disease: A Systematic Review
    Allen, Natalie E.
    Schwarzel, Allison K.
    Canning, Colleen G.
    [J]. PARKINSONS DISEASE, 2013, 2013
  • [4] The Effects of an Exercise Program on Fall Risk Factors in People with Parkinson's Disease: A Randomized Controlled Trial
    Allen, Natalie E.
    Canning, Colleen G.
    Sherrington, Catherine
    Lord, Stephen R.
    Latt, Mark D.
    Close, Jacqueline C. T.
    O'Rourke, Sandra D.
    Murray, Susan M.
    Fung, Victor S. C.
    [J]. MOVEMENT DISORDERS, 2010, 25 (09) : 1217 - 1225
  • [5] Exercise- and strategy-based physiotherapy-delivered intervention for preventing repeat falls in people with Parkinson's: the PDSAFE RCT
    Ashburn, Ann
    Pickering, Ruth
    McIntosh, Emma
    Hulbert, Sophia
    Rochester, Lynn
    Roberts, Helen C.
    Nieuwboer, Alice
    Kunkel, Dorit
    Goodwin, Victoria A.
    Lamb, Sarah E.
    Ballinger, Claire
    Seymour, Kim Chivers
    [J]. HEALTH TECHNOLOGY ASSESSMENT, 2019, 23 (36) : VII - +
  • [6] Bega D., 2016, J YOGA PHYS THER, V6
  • [7] Do Patients With Parkinson's Disease With Freezing of Gait Respond Differently Than Those Without to Treadmill Training Augmented by Virtual Reality?
    Bekkers, Esther M. J.
    Mirelman, Anat
    Alcock, Lisa
    Rochester, Lynn
    Nieuwhof, Freek
    Bloem, Bastiaan R.
    Pelosin, Elisa
    Avanzino, Laura
    Cereatti, Andrea
    Della Croce, Ugo
    Hausdorff, Jeffrey M.
    Nieuwboer, Alice
    [J]. NEUROREHABILITATION AND NEURAL REPAIR, 2020, 34 (05) : 440 - 449
  • [8] Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena
    Bloem, BR
    Hausdorff, JA
    Visser, JE
    Giladi, N
    [J]. MOVEMENT DISORDERS, 2004, 19 (08) : 871 - 884
  • [9] Research Note: In a meta-analysis, the I2 index does not tell us how much the effect size varies across studies
    Borenstein, Michael
    [J]. JOURNAL OF PHYSIOTHERAPY, 2020, 66 (02) : 135 - 139
  • [10] Clinical impact of gait training enhanced with visual kinematic biofeedback: Patients with Parkinson's disease and patients stable post stroke
    Byl, Nancy
    Zhang, Wenlong
    Coo, Sophia
    Tomizuka, Masayoshi
    [J]. NEUROPSYCHOLOGIA, 2015, 79 : 332 - 343