PARKINSONS & PARKINSONISM-MANAGEMENT (NEWER MODALITIES)

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SUMMARY

1. Exergaming: combination of exercises and games aimed to combine motivational aspects of games and physical benefits of exercise thus providing cognitive and physical stimulaton and motivation. Exergame PD rehabilitation is indeed safe, feasible and effective, and in some cases even more effective than traditional rehabilitation and regular exercise[1][2].

2. Virtual reality: Cochrane review, 2016. Quality of the evidence low or very low, interventions lasted for between 4 and 12 weeks. No increase in adverse events.

3. Telerehabilitation: no improvement in efficacy compared to conventional therapies, however less cost.

4. Dance therapy: helps to improve gait velocity, freezing of gait, functional balance (BBS, TUG) & quality of life. Non-inferior in safety to conventional PT[3][4][5].


Reference(s)

  1. G. Barry, B. Galna, and L. Rochester, "The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence," Journal of neuroengineering and rehabilitation, vol. 11, no. 1, p. 33, 2014.
  2. Garcia-Agundez, A., Folkerts, A., Konrad, R. et al. Recent advances in rehabilitation for Parkinson’s Disease with Exergames: A Systematic Review. J NeuroEngineering Rehabil 16, 17 (2019).
  3. Dos Santos Delabary M, Komeroski IG, Monteiro EP, Costa RR, Haas AN. Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with metaanalysis. Aging clinical and experimental research. 2018 Jul 1;30(7):727-35.
  4. Kalyani HH, Sullivan K, Moyle G, Brauer S, Jeffrey ER, Roeder L, Berndt S, Kerr G. Effects of dance on gait, cognition, and dual-tasking in Parkinson’s disease: A systematic review and meta-analysis. Journal of Parkinson's disease. 2019 Jan 1;9(2):335-49.
  5. 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 Apr;9(4):1038.


Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].