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A scoping review of the nature of physiotherapists’ role to avoid fall in people with Parkinsonism
Neurological Sciences ( IF 3.3 ) Pub Date : 2021-01-14 , DOI: 10.1007/s10072-020-05015-y
Salem F Alatawi 1
Affiliation  

Background

Parkinson’s disease (PD) is considered a neurological disease with a high prevalence rate among population. One of its main problems is recurrent fall which has numerous contributing factors such as history of fall, fear of falling, gait deficits, impaired balance, poor functional mobility, and muscle weakness.

Objective

To review and explore the focus/nature of interventions which target the role of physiotherapy preventing fall in patients with PD.

Method

A scoping review was led dependent on Arksey and O’Malley as discussed by Wood et al. (2002). This paper based on this structure to perceive intervention studies have been embraced in physiotherapy to prevent fall after Parkinson’s disease. The search included various databases. The referencing arrangements of every pertinent paper were additionally filtered for more studies.

Findings

A total of 173 articles were included, 39 of which met the eligibility criteria. Fifteen studies reported on the direct impact of physiotherapy on fall, while the rest examined the impacts of physiotherapy on factors that are associated with fall. Different outcomes, interventions types, and duration were used in these studies. Findings showed a favorable result of physiotherapy on fall and near fall incidence, balance, gait, functional mobility, muscle strength, and fear of falling.

Conclusion

Physiotherapy has the possibility to decrease fall incidence and fall risk in people with PD. However, the heterogeneity in the patients’ selection, intervention studies, outcome measures chosen, time since the onset of disease, variation in intensity, and duration of treatment between included studies make the comparisons difficult. Consequently, more studies are needed on best intervention.



中文翻译:

对物理治疗师在避免帕金森病患者跌倒方面的作用的性质进行范围界定审查

背景

帕金森病(PD)被认为是一种在人群中患病率很高的神经系统疾病。其主要问题之一是反复跌倒,它有许多促成因素,例如跌倒史、跌倒恐惧、步态缺陷、平衡受损、功能活动性差和肌肉无力。

客观的

回顾和探索针对物理疗法预防 PD 患者跌倒的作用的干预措施的重点/性质。

方法

正如 Wood 等人所讨论的那样,根据 Arksey 和 O'Malley 领导了一项范围界定审查。(2002)。本文基于这种结构感知干预研究已被纳入物理治疗以预防帕金森病后的跌倒。搜索包括各种数据库。每篇相关论文的参考文献安排都经过额外过滤以进行更多研究。

发现

共纳入 173 篇文章,其中 39 篇符合入选标准。15 项研究报告了物理治疗对跌倒的直接影响,而其余研究则检验了物理治疗对跌倒相关因素的影响。这些研究使用了不同的结果、干预类型和持续时间。研究结果表明,物理治​​疗对跌倒和接近跌倒的发生率、平衡、步态、功能活动性、肌肉力量和跌倒恐惧有良好的效果。

结论

物理治疗有可能降低 PD 患者的跌倒发生率和跌倒风险。然而,纳入研究之间在患者选择、干预研究、选择的结果测量、疾病发作时间、强度变化和治疗持续时间方面的异质性使得比较变得困难。因此,需要对最佳干预措施进行更多研究。

更新日期:2021-01-14
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