The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines

This opinion paper reviews the use of the category of “conventional physiotherapy” (CPT) in Parkinson’s disease (PD)-relevant reviews and meta-analyses and points out serious inconsistencies within and among them. These are first discussed in general, leading to the conclusion that, in most cases, t...

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Main Authors: Martina Hoskovcová, Evžen Růžička, Ota Gál, on behalf of the iCARE-PD Consortium
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/5/730
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author Martina Hoskovcová
Evžen Růžička
Ota Gál
on behalf of the iCARE-PD Consortium
author_facet Martina Hoskovcová
Evžen Růžička
Ota Gál
on behalf of the iCARE-PD Consortium
author_sort Martina Hoskovcová
collection DOAJ
description This opinion paper reviews the use of the category of “conventional physiotherapy” (CPT) in Parkinson’s disease (PD)-relevant reviews and meta-analyses and points out serious inconsistencies within and among them. These are first discussed in general, leading to the conclusion that, in most cases, the category of CPT encompasses a range of incompatible interventions. This undermines previous conclusions about their superiority or inferiority relative to various other treatment modalities. Next, the update to the European Physiotherapy Guidelines is discussed in detail, since it treats CPT as a global and time-independent category per se, ascribing effects in various domains to it. This introduces several important biases into the findings presented in this publication. These are subsequently discussed, and it is concluded that the categorisation of various physiotherapy techniques under the umbrella term of CPT is empty, or even dangerous, and should be abandoned. Other categories are suggested as a replacement, including “Other Physiotherapy Techniques” and “Multimodal Training”.
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spelling doaj.art-d0c2b5df21624687a8b9d6b482a181782023-11-23T11:43:50ZengMDPI AGJournal of Personalized Medicine2075-44262022-04-0112573010.3390/jpm12050730The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease GuidelinesMartina Hoskovcová0Evžen Růžička1Ota Gál2on behalf of the iCARE-PD Consortium3Department of Neurology, Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University, General University Hospital in Prague, 128 21 Prague, Czech RepublicDepartment of Neurology, Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University, General University Hospital in Prague, 128 21 Prague, Czech RepublicDepartment of Neurology, Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University, General University Hospital in Prague, 128 21 Prague, Czech RepublicDepartment of Neurology, Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University, General University Hospital in Prague, 128 21 Prague, Czech RepublicThis opinion paper reviews the use of the category of “conventional physiotherapy” (CPT) in Parkinson’s disease (PD)-relevant reviews and meta-analyses and points out serious inconsistencies within and among them. These are first discussed in general, leading to the conclusion that, in most cases, the category of CPT encompasses a range of incompatible interventions. This undermines previous conclusions about their superiority or inferiority relative to various other treatment modalities. Next, the update to the European Physiotherapy Guidelines is discussed in detail, since it treats CPT as a global and time-independent category per se, ascribing effects in various domains to it. This introduces several important biases into the findings presented in this publication. These are subsequently discussed, and it is concluded that the categorisation of various physiotherapy techniques under the umbrella term of CPT is empty, or even dangerous, and should be abandoned. Other categories are suggested as a replacement, including “Other Physiotherapy Techniques” and “Multimodal Training”.https://www.mdpi.com/2075-4426/12/5/730conventional physiotherapyParkinson’s diseaseguidelinemeta-analysesreviews
spellingShingle Martina Hoskovcová
Evžen Růžička
Ota Gál
on behalf of the iCARE-PD Consortium
The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines
Journal of Personalized Medicine
conventional physiotherapy
Parkinson’s disease
guideline
meta-analyses
reviews
title The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines
title_full The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines
title_fullStr The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines
title_full_unstemmed The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines
title_short The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines
title_sort category of conventional physiotherapy the case of parkinson s disease guidelines
topic conventional physiotherapy
Parkinson’s disease
guideline
meta-analyses
reviews
url https://www.mdpi.com/2075-4426/12/5/730
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