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Volume 24
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10.3390/s24020354
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Review

Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review

by
Arnaud Delafontaine
1,2,*,
Thomas Vialleron
3,
Gaëtan Barbier
4,5,6,
Arnaud Lardon
4,
Mélodie Barrière
2,
María García-Escudero
7,
Laurent Fabeck
1 and
Martin Descarreaux
2
1
Department of Orthopedic Surgery, Université Libre de Bruxelles, 1050 Bruxelles, Belgium
2
Department of Sciences of Physical Activity, Université Québec Trois-Rivières, Trois-Rivières, QC G9A 5H7, Canada
3
Laboratoire Interdisciplinaire en Neurosciences, Physiologie et Psychologie: Activité Physique, Santé et Apprentissages (LINP2), UFR STAPS, Université Paris Nanterre, 92000 Nanterre, France
4
Institut Franco-Européen de Chiropraxie, 94200 Ivry-sur-Seine, France
5
Complexité, Innovation, Activités Motrices et Sportives (CIAMS) Laboratory, Université Paris-Saclay, CEDEX 91405 Orsay, France
6
Complexité, Innovation, Activités Motrices et Sportives (CIAMS) Laboratory, Université d’Orléans, 45067 Orléans, France
7
Faculté de Médecine et des Sciences de la Santé, Université Catholique de Valence, San Vicente Martir, 46900 Valence, Spain
*
Author to whom correspondence should be addressed.
Sensors 2024, 24(2), 354; https://doi.org/10.3390/s24020354
Submission received: 11 December 2023 / Revised: 28 December 2023 / Accepted: 5 January 2024 / Published: 7 January 2024
(This article belongs to the Special Issue Sensors for Recognition, Analysis, Assistance, and Training of Gait in Neurologic Disorders)
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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.
Keywords: manual therapy; Parkinson’s disease; gait; dynamic gait index; gait performances manual therapy; Parkinson’s disease; gait; dynamic gait index; gait performances

Share and Cite

MDPI and ACS Style

Delafontaine, A.; Vialleron, T.; Barbier, G.; Lardon, A.; Barrière, M.; García-Escudero, M.; Fabeck, L.; Descarreaux, M. Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review. Sensors 2024, 24, 354. https://doi.org/10.3390/s24020354

AMA Style

Delafontaine A, Vialleron T, Barbier G, Lardon A, Barrière M, García-Escudero M, Fabeck L, Descarreaux M. Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review. Sensors. 2024; 24(2):354. https://doi.org/10.3390/s24020354

Chicago/Turabian Style

Delafontaine, Arnaud, Thomas Vialleron, Gaëtan Barbier, Arnaud Lardon, Mélodie Barrière, María García-Escudero, Laurent Fabeck, and Martin Descarreaux. 2024. "Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review" Sensors 24, no. 2: 354. https://doi.org/10.3390/s24020354

APA Style

Delafontaine, A., Vialleron, T., Barbier, G., Lardon, A., Barrière, M., García-Escudero, M., Fabeck, L., & Descarreaux, M. (2024). Effects of Manual Therapy on Parkinson’s Gait: A Systematic Review. Sensors, 24(2), 354. https://doi.org/10.3390/s24020354

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