Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review
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...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/24/2/354 |
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| author | Arnaud Delafontaine Thomas Vialleron Gaëtan Barbier Arnaud Lardon Mélodie Barrière María García-Escudero Laurent Fabeck Martin Descarreaux |
| author_facet | Arnaud Delafontaine Thomas Vialleron Gaëtan Barbier Arnaud Lardon Mélodie Barrière María García-Escudero Laurent Fabeck Martin Descarreaux |
| author_sort | Arnaud Delafontaine |
| collection | DOAJ |
| description | 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, <i>p</i> 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 (<i>p</i> < 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 (<i>p</i> > 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. |
| first_indexed | 2024-03-08T09:47:41Z |
| format | Article |
| id | doaj.art-4ee86ee164c84ba88ee6977f46916b74 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-08T09:47:41Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-4ee86ee164c84ba88ee6977f46916b742024-01-29T14:13:33ZengMDPI AGSensors1424-82202024-01-0124235410.3390/s24020354Effects of Manual Therapy on Parkinson’s Gait: A Systematic ReviewArnaud Delafontaine0Thomas Vialleron1Gaëtan Barbier2Arnaud Lardon3Mélodie Barrière4María García-Escudero5Laurent Fabeck6Martin Descarreaux7Department of Orthopedic Surgery, Université Libre de Bruxelles, 1050 Bruxelles, BelgiumLaboratoire Interdisciplinaire en Neurosciences, Physiologie et Psychologie: Activité Physique, Santé et Apprentissages (LINP2), UFR STAPS, Université Paris Nanterre, 92000 Nanterre, FranceInstitut Franco-Européen de Chiropraxie, 94200 Ivry-sur-Seine, FranceInstitut Franco-Européen de Chiropraxie, 94200 Ivry-sur-Seine, FranceDepartment of Sciences of Physical Activity, Université Québec Trois-Rivières, Trois-Rivières, QC G9A 5H7, CanadaFaculté de Médecine et des Sciences de la Santé, Université Catholique de Valence, San Vicente Martir, 46900 Valence, SpainDepartment of Orthopedic Surgery, Université Libre de Bruxelles, 1050 Bruxelles, BelgiumDepartment of Sciences of Physical Activity, Université Québec Trois-Rivières, Trois-Rivières, QC G9A 5H7, CanadaManual 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, <i>p</i> 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 (<i>p</i> < 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 (<i>p</i> > 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.https://www.mdpi.com/1424-8220/24/2/354manual therapyParkinson’s diseasegaitdynamic gait indexgait performances |
| spellingShingle | Arnaud Delafontaine Thomas Vialleron Gaëtan Barbier Arnaud Lardon Mélodie Barrière María García-Escudero Laurent Fabeck Martin Descarreaux Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review Sensors manual therapy Parkinson’s disease gait dynamic gait index gait performances |
| title | Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review |
| title_full | Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review |
| title_fullStr | Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review |
| title_full_unstemmed | Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review |
| title_short | Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review |
| title_sort | effects of manual therapy on parkinson s gait a systematic review |
| topic | manual therapy Parkinson’s disease gait dynamic gait index gait performances |
| url | https://www.mdpi.com/1424-8220/24/2/354 |
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