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Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

1
Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
2
Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain
3
Institute of Research and Innovation in Biomedical Sciences of the Province of Cadiz (INiBICA), University of Cadiz, 11009 Cadiz, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(4), 1038; https://doi.org/10.3390/jcm9041038
Received: 4 March 2020 / Revised: 2 April 2020 / Accepted: 4 April 2020 / Published: 7 April 2020
(This article belongs to the Special Issue Therapies in Age-Related Neurodegenerative Diseases and Stroke)
Parkinson’s disease (PD) represents the second most common neurodegenerative disease. Currently, conventional physical therapy is complemented by additional physical interventions with recreational components, improving different motor conditions in people with PD. This review aims to evaluate the effectiveness of additional physical interventions to conventional physical therapy in Parkinson’s disease. A systematic review and meta-analysis of randomized controlled trials were performed. The literature search was conducted in PubMed, Physiotherapy Evidence Database (PEDro), Scopus, SciELO and Web of Science. The PEDro scale was used to evaluate the methodological quality of the studies. A total of 11 randomized controlled trials were included in this review. Five of them contributed information to the meta-analysis. The statistical analysis showed favorable results for dance-based therapy in motor balance: (Timed Up and Go: standardized mean difference (SMD) = −1.16; 95% Confidence Interval (CI):(−2.30 to −0.03); Berg Balance Scale: SMD = 4.05; 95%CI:(1.34 to 6.75)). Aquatic interventions showed favorable results in balance confidence (Activities-Specific Balance Confidence: SMD=10.10; 95%CI:(2.27 to 17.93)). The results obtained in this review highlight the potential benefit of dance-based therapy in functional balance for people with Parkinson’s disease, recommending its incorporation in clinical practice. Nonetheless, many aspects require clarification through further research and high-quality studies on this subject. View Full-Text
Keywords: Parkinson’s Disease; Movement disorders; Physical therapy; Dance therapy; Aquatic therapy; Meta-analysis; Older adults Parkinson’s Disease; Movement disorders; Physical therapy; Dance therapy; Aquatic therapy; Meta-analysis; Older adults
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MDPI and ACS Style

Hidalgo-Agudo, R.D.; Lucena-Anton, D.; Luque-Moreno, C.; Heredia-Rizo, A.M.; Moral-Munoz, J.A. Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J. Clin. Med. 2020, 9, 1038. https://doi.org/10.3390/jcm9041038

AMA Style

Hidalgo-Agudo RD, Lucena-Anton D, Luque-Moreno C, Heredia-Rizo AM, Moral-Munoz JA. Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Journal of Clinical Medicine. 2020; 9(4):1038. https://doi.org/10.3390/jcm9041038

Chicago/Turabian Style

Hidalgo-Agudo, Ruben D.; Lucena-Anton, David; Luque-Moreno, Carlos; Heredia-Rizo, Alberto M.; Moral-Munoz, Jose A. 2020. "Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials" J. Clin. Med. 9, no. 4: 1038. https://doi.org/10.3390/jcm9041038

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