Review
Geriatrics & Gerontology
Yujia Qian, Xueying Fu, Haoyang Zhang, Yong Yang, Guotuan Wang
Summary: This study aimed to compare, rank, and evaluate 24 exercise types that improve postural instability in patients with Parkinson's disease. The results showed that body-weight support treadmill training, aquatic exercise, Pilates, balance and gait training with the external cue or attention, and robotic assisted gait balance may be the most effective treatments for adults with Parkinson's disease, but the confidence in evidence was low.
Article
Health Care Sciences & Services
Allyson Flynn, Elisabeth Preston, Sarah Dennis, Colleen G. Canning, Natalie E. E. Allen
Summary: This study aimed to determine if physiotherapy supported by telehealth helped people with Parkinson disease (PwP) to adhere to a home-based exercise program and maintain their physical activity, and to understand their experiences of using telehealth during the COVID-19 pandemic. The results showed that telehealth physiotherapy enabled PwP to continue exercising at home and maintain their physical activity, and the flexibility of both the client and the service was crucial.
BMC HEALTH SERVICES RESEARCH
(2023)
Review
Neurosciences
Xin Wen, Zicai Liu, Xuejin Liu, Yang Peng, Huiyu Liu
Summary: This systematic review investigated the effects of different physiotherapy interventions on dysphagia in Parkinson's disease. The findings suggest that acupuncture, expiratory muscle strength training, high-frequency transcranial magnetic stimulation, and video-assisted swallowing therapy may be effective treatments. However, there is insufficient evidence to support the therapeutic effects of electrical stimulation on dysphagia in patients with Parkinson's disease.
BRAIN RESEARCH BULLETIN
(2022)
Article
Rehabilitation
Allyson Flynn, Elisabeth Preston, Sarah Dennis, Colleen G. Canning, Natalie E. Allen
Summary: The study found that home-based exercise monitored using telehealth for people with Parkinson's disease is feasible and acceptable. Both exercising at home and in a center had a similar level of acceptance, and there was no significant difference between groups in secondary outcomes.
CLINICAL REHABILITATION
(2021)
Article
Geriatrics & Gerontology
Yongsheng Xie, Chunyan Gao, Bin Wu, Liling Peng, Jianjun Wu, Liqin Lang
Summary: The study investigated the relationship between levodopa challenge test (LCT) outcome and brain imaging features in Parkinson's disease (PD) patients. The results showed that morphologic brain network assessment is a valuable method for predicting levodopa responsiveness in PD patients and can help select candidates for deep brain stimulation (DBS) treatment.
FRONTIERS IN AGING NEUROSCIENCE
(2023)
Article
Health Care Sciences & Services
Josefa Domingos, John Dean, Travis M. Cruickshank, Katarzyna Smilowska, Julio Belo Fernandes, Catarina Godinho
Summary: This study assessed the effectiveness of an educational and exercise boot camp program designed for Parkinson's disease patients. Participants showed high satisfaction during the four-day program, particularly enjoying cognitive stepping and dance sessions. Results at the one-month follow-up indicated that the program was considered useful and capable of influencing participants' exercise habits.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Clinical Neurology
Elisa Frisaldi, Piero Bottino, Margherita Fabbri, Marco Trucco, Alessandra De Ceglia, Nadia Esposito, Diletta Barbiani, Eleonora Maria Camerone, Federico Costa, Cristina Destefanis, Edoardo Milano, Giuseppe Massazza, Maurizio Zibetti, Leonardo Lopiano, Fabrizio Benedetti
Summary: The study demonstrated that the DArT method was more effective than conventional physiotherapy in improving motor impairment in mild PD patients, and was found to be safe and well accepted. The experimental group showed significant improvements in MDS-UPDRS-III scores and upper body subscores, while conventional physiotherapy had better effects on reducing trait anxiety levels.
NEUROLOGICAL SCIENCES
(2021)
Article
Rehabilitation
Louise M. Carroll, Meg. E. Morris, William T. O'Connor, Amanda M. Clifford
Summary: The study found that people with Parkinson's disease have a positive attitude towards aquatic therapy, believing it to be beneficial for their health and well-being, but some fear water competence, past experiences, and fall risks. They believe that customized aquatic programs, high-intensity training at least once a week, and guidance from a professional trainer are effective.
DISABILITY AND REHABILITATION
(2022)
Review
Rehabilitation
Marco Tramontano, Valentina Russo, Grazia Fernanda Spitoni, Irene Ciancarelli, Stefano Paolucci, Leonardo Manzari, Giovanni Morone
Summary: The systematic review aims to assess the effectiveness of vestibular rehabilitation (VR) in patients with neurologic disorders. Results indicate that customized VR provides greater improvements than traditional rehabilitation programs for patients with central nervous system diseases. However, due to the lack of high-quality studies and treatment protocol heterogeneity, clinical practice recommendations on the efficacy of VR cannot be made.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Clinical Neurology
Fabian Schaible, Franziska Maier, Timo Marcel Buchwitz, Frank Schwartz, Marius Hoock, Eckhard Schoenau, Miriam Libuda, Anke Hordt, Thilo van Eimeren, Lars Timmermann, Carsten Eggers
Summary: This study demonstrated that Lee Silverman Voice Treatment (LSVT) BIG, intensified and personalized physiotherapy (INTENSIVE), and conventional physiotherapy (NORMAL) are all effective techniques to improve non-motor symptoms as well as motor function in Parkinson's disease. The INTENSIVE program showed superior results compared to the NORMAL program.
THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS
(2021)
Article
Geriatrics & Gerontology
Magnus Lindh-Rengifo, Stina B. Jonasson, Susann Ullen, Niklas Mattsson-Carlgren, Maria H. Nilsson
Summary: This study found that perceived walking difficulties increase over time in people with PD. Concerns about falling were the strongest predictor of perceived walking difficulties, followed by perceived balance problems while dual tasking and pain. Non-motor symptoms such as pain and cognitive functioning also seem to play a role in future perceived walking difficulties.
Article
Neurosciences
Andrew S. Monaghan, Andrew Hooyman, Leland E. Dibble, Shyamal H. Mehta, Daniel S. Peterson
Summary: This study aimed to examine whether cognition could predict the responsiveness of people with Parkinson's Disease (PwPD) to reactive step training. The results showed that PwPD with higher baseline global cognition retained better improvements in stepping after a two-month intervention. These findings highlight the potential of cognitive screening to identify which individuals with Parkinson's Disease are more likely to benefit from reactive balance training.
NEUROSCIENCE LETTERS
(2023)
Article
Health Care Sciences & Services
Aan Fleur Terrens, Sze-Ee Soh, Prue Morgan
Summary: Patients with Parkinson's disease participating in aquatic physiotherapy generally found the program beneficial, but reported lower overall well-being and health-related quality of life. They perceived improvement in function, reduced falls, and increased socialization as enablers of aquatic therapy. Further exploration into interventions to optimize HRQoL for individuals with PD is needed based on the study findings.
HEALTH EXPECTATIONS
(2021)
Review
Neurosciences
Roberta Forte, Nicoletta Tocci, Giuseppe De Vito
Summary: This umbrella review aimed to summarize high-quality evidence on the effectiveness of rhythmically cued exercise in improving gait, mobility, and activities of daily living in individuals with Parkinson disease. Results indicated positive effects of rhythmic auditory cueing with exercise on gait and mobility, suggesting its incorporation into regular rehabilitation programs for PD patients. However, further primary research is needed to address gaps in applying this method to physical exercise interventions.
Review
Psychology, Multidisciplinary
Emre Selcuk, Gul Gunaydin
Summary: Previous research on responsiveness has mainly focused on cultural ecologies of independence. Recent studies indicate that the responsiveness process may differ in cultural ecologies of interdependence. We develop a conceptual model that proposes two mechanisms - expectations of culturally normative relationship behaviors and the relative centrality of relationships - to explain how cultural ecology influences responsiveness. These mechanisms account for variations in (a) self-expressive behaviors that elicit responsiveness, (b) associations between partner behaviors and perceived responsiveness, and (c) associations between perceived responsiveness and well-being.
CURRENT OPINION IN PSYCHOLOGY
(2023)
Letter
Rehabilitation
Paula da Cruz Peniche, Larissa Tavares Aguiar, Maria Teresa Ferreira dos Reis, Christina Danielli Coelho de Morais Faria
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
(2022)
Article
Rehabilitation
Heyriane Martins dos Santos, Gabriela Santos Pereira, Leia Cordeiro de Oliveira, Paula Karina da Silva, Michael Goncalves Lima, Victor Hugo Alexandre de Amorim Feliz, Christina Danielli Coelho de Morais Faria, Soraia Micaela Silva
Summary: The purpose of this study was to analyze the diagnostic capacity and accuracy of WHODAS 2.0 in stroke survivors. The results showed that a cutoff point of 39.62 was acceptable for distinguishing individuals with moderate/severe disability from those with no or mild disability, with reasonable sensitivity and specificity.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Paula da Cruz Peniche, Larissa Tavares Aguiar, Maria Teresa Ferreira dos Reis, Christina Danielli Coelho de Morais Faria
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Review
Rehabilitation
Sherindan Ayessa Ferreira de Brito, Aline Alvim Scianni, Paula da Cruz Peniche, Christina Danielli Coelho de Morais Faria
Summary: This systematic review aimed to summarize the measurement properties and the clinical utility of measurement tools used in telerehabilitation for individuals with neurological conditions. The results showed that out of the 43 identified measurement tools, 22 had sufficient measurement properties and clinical utility. Further research is needed to investigate measurement error, content validity, structural validity, and responsiveness. Rating: 8 out of 10.
CLINICAL REHABILITATION
(2023)
Article
Rehabilitation
Heyriane Martins dos Santos, Gabriela Santos Pereira, Leia Cordeiro de Oliveira, Paula Karina Da Silva, Michael Goncalves Lima, Christina Danielli C. De Morais Faria, Soraia Micaela Silva
Summary: This study aimed to identify the main biopsychosocial factors associated with disability level after stroke using the ICF model. A cross-sectional study was conducted with chronic stroke survivors, and disability was assessed. The results showed that limited locomotor ability, dissatisfaction regarding activities and participation, and the non-return to work were associated with disability.
DISABILITY AND REHABILITATION
(2023)
Article
Neurosciences
Camila Lima Gervasio Mendes, Marcela Aline Fernandes Braga, Edvania Andrade de Moura Silva, Aline Alvim Scianni, Luci Fuscaldi Teixeira-Salmela, Kenia Kiefer Parreiras de Menezes, Iza de Faria-Fortini, Christina Danielli Coelho de Morais Faria
Summary: This study aimed to compare the quality of life among individuals with stroke before and during the COVID-19 pandemic. The results showed that individuals reported worse overall quality of life and specific domains during the pandemic compared to before.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2023)
Article
Rehabilitation
Luana Cristina da Silva, Christina Danielli Coelho de Moraes Faria, Paula da Cruz Peniche, Sherindan Ayessa Ferreira de Brito, Larissa Tavares Aguiar
Summary: The study aimed to investigate the validity of the 2-minute walk test (2MWT) and the 6-minute walk test (6MWT) in assessing exercise capacity and cardiorespiratory fitness of individuals with chronic stroke. The study found a high correlation between the distance covered in the 2MWT and 6MWT, as well as a moderate correlation between the distance covered in the 2MWT and VO2peak. Prediction equations were developed to estimate VO2peak and the distance covered in the 6MWT.
TOPICS IN STROKE REHABILITATION
(2023)
Article
Rehabilitation
Soraia Micaela Silva, Tamires Mariana de Freitas Vieira Dutra, Marcela Aline Fernandes Braga, Edvania Andrade de Moura Silva, Iza de Faria-Fortini, Christina Danielli Coelho de Morais Faria
Summary: In this study conducted in Brazil, a developing country, gender and education level were found to be significant predictors of access to healthcare services within one month of stroke. However, overall, patients had less access to healthcare services than recommended. This has significant implications for the health and functional outcomes of stroke survivors.
PHYSIOTHERAPY RESEARCH INTERNATIONAL
(2023)
Article
Rehabilitation
Juliane Franco, Paula Fernanda de Sousa Silva, Alice Rausch Menezes, Sherindan Ayessa Ferreira de Brito, Christina Danielli Coelho de Morais Faria
Summary: The purpose of this study was to compare the trunk biomechanical characteristics during sit-to-stand and stand-to-sit tasks in stroke survivors and healthy-matched controls. The results showed that stroke survivors had a greater range of trunk forward flexion and longer duration for both tasks.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Maria Teresa Ferreira dos Reis, Larissa Tavares Aguiar, Paula da Cruz Peniche, Christina Danielli coelho de Morais Faria
Summary: The study aimed to investigate the validity of six age-predicted maximum heart rate equations after stroke. The results showed that the equations developed for non-disabled individuals were not suitable for individuals after stroke, except for equation (6) proposed by Brawner, which showed the best results but should still be used with caution.
DISABILITY AND REHABILITATION
(2023)
Article
Neurosciences
Jordana P. Magalhaes, Iza Faria-Fortini, Tamires M. F. Dutra, Romeu Sant'Anna, Carolina LA Soares, Luci F. Teixeira-Salmela, Christina D. C. M. Faria
Summary: This study aimed to compare access to rehabilitation professionals by individuals with stroke before and during the COVID-19 pandemic in Brazil. The findings showed that the access to rehabilitation professionals was similar between the two periods, but the actual number of accessed professionals was lower than the number of referrals. This indicates a compromised comprehensiveness of care for individuals with stroke, regardless of the pandemic.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2023)
Article
Multidisciplinary Sciences
Sherindan Ayessa Ferreira de Brito, Aline Alvim Scianni, Bruna Mara Franco Silveira, Elem Rodrigues Martins de Oliveira, Maria Eduarda Mateus, Christina Danielli Coelho de Morais Faria
Summary: This study aims to evaluate the efficacy of high-intensity respiratory muscle training in improving muscle strength, functional outcomes, and quality of life in individuals with Parkinson's disease. Through a randomized controlled trial, patients will be assigned to either the experimental group or the control group and undergo home-based intervention for 8 weeks. The results will provide valuable information for clinical practice.
Article
Medicine, General & Internal
Oriana Ciani, Anthony M. Manyara, Philippa Davies, Derek Stewart, Christopher J. Weir, Amber E. Young, Jane Blazeby, Nancy J. Butcher, Sylwia Bujkiewicz, An-Wen Chan, Dalia Dawoud, Martin Offringa, Mario Ouwens, Asbjorn Hrobjartssson, Alain Amstutz, Luca Bertolaccini, Vito Domenico Bruno, Declan Devane, Christina D. C. M. Faria, Peter B. Gilbert, Ray Harris, Marissa Lassere, Lucio Marinelli, Sarah Markham, John H. Powers, Yousef Rezaei, Laura Richert, Falk Schwendicke, Larisa G. Tereshchenko, Achilles Thoma, Alparslan Turan, Andrew Worrall, Robin Christensen, Gary S. Collins, Joseph S. Ross, Rod S. Taylor
Summary: Interventional trials that use surrogate endpoints to evaluate treatment effects are increasingly common. However, there is currently inconsistency and lack of clarity in the definition and interpretation of surrogate endpoints. Surrogate endpoints are used as substitutes for the treatment effects on ultimate outcomes of interest. While traditionally biomarkers have been the focus of surrogate endpoint consideration, intermediate outcomes that include measures of function or symptoms can also act as surrogate endpoints. However, there is a lack of consensus among stakeholders on accepting and interpreting intermediate outcomes as surrogate endpoints. Better understanding and reporting on the use of surrogate endpoints in interventional trials is urgently needed.
Article
Medicine, General & Internal
Jordana de Paula Magalhaes, Iza de Faria-Fortini, Zaqueline Fernandes Guerra, Nathalia Aparecida Gravito Rodrigues, Romeu Vale Sant'Anna, Christina Danielli Coelho de Morais Faria
Summary: This study compared the sociodemographic and clinico-functional characteristics of stroke patients during different phases of the COVID-19 pandemic. The results showed that in the early phase, patients had more risk factors, higher smoking rates, more severe stroke severity, and higher level of disability. However, in the late phase, only the incidence of ischemic stroke increased.
EINSTEIN-SAO PAULO
(2023)
Article
Neurosciences
Kenia Kiefer Parreiras de Menezes, Aline Alvim Scianni, Patrick Roberto Avelino, Iza de Faria-Fortini, Luci Fuscaldi Teixeira-Salmela, Christina Danielli Coelho de Morais Faria
Summary: This study aimed to investigate which residual sensorimotor impairments would best explain functional independence during hospitalization after a stroke. The results showed that balance was the most important factor in explaining functional independence, while sensory function and upper limb motor function also contributed to the explained variance.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
(2023)