Identifier: TFM:516
Authors: Bague Sanz, Ariadna
Abstract:
Introduction: Alternative therapies such as virtual reality or dance have shown positive effects on balance, although it is unknown whether they are more effective than traditional physiotherapy techniques in Parkinson's patients, a disease with high prevalence in older people. Objective: To compare the effect on the improvement in balance, gait, and the motor function of virtual reality or dance, as alternative therapies, with respect to conventional physiotherapy treatment in Parkinson's patients (≥ 60 years). Methodology: Randomized clinical trials (RCTs) with participants (≥ 60 years old) were selected through the Pedro, PubMed and Cochrane Library databases published from 2010 to 2020. The main variable was balance (points), and the secondary variables were walking speed (seconds) and motor function (points). Results: The systematic review included nine RCTs with a total of 364 participants, and the meta-analysis 4 RCTs for the balance variable and 4 RCTs for gait. It was observed that there was no significant effect on the balance of Parkinson's patients between virtual reality interventions compared to conventional physiotherapy (SD balance, 0.67 equilibrium units; 95% CI, -1.64 to 2, 98; p = 0.57); neither on the march (DE march, - 0.81 seconds; 95% CI, -1.89 to 0.26; p = 0.14). Meta-analyses could not be performed for the variable motor function; nor for dance interventions. Conclusion: Virtual reality shows effects similar to those observed with conventional physical therapy on balance and gait in older people with Parkinson's disease. Furthermore, more studies are needed on the effect of dance in patients with Parkinson's disease. Furthermore, the effect of these interventions on motor function remains unknown in patients with Parkinson's disease.
Repositori URV