دورية أكاديمية
Arm swing asymmetry in people with Parkinson's disease and its relationship with gait: A systematic review and meta-analysis.
| العنوان: | Arm swing asymmetry in people with Parkinson's disease and its relationship with gait: A systematic review and meta-analysis. |
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| المؤلفون: | Espinoza-Araneda J; Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil; Department of Human Movement Sciences, Faculty of Health Sciences, University of Talca, Talca, Chile., Caparrós-Manosalva C; Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil; Department of Human Movement Sciences, Faculty of Health Sciences, University of Talca, Talca, Chile., Caballero PM; Department of Human Movement Sciences, Faculty of Health Sciences, University of Talca, Talca, Chile., da Cunha MJ; Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil; Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre, UFCSPA, Porto Alegre, RS, Brazil., Marchese RR; Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil; Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre, UFCSPA, Porto Alegre, RS, Brazil., Pagnussat AS; Rehabilitation Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil; Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre, UFCSPA, Porto Alegre, RS, Brazil. Electronic address: alinespagnussat@gmail.com. |
| المصدر: | Brazilian journal of physical therapy [Braz J Phys Ther] 2023 Nov-Dec; Vol. 27 (6), pp. 100559. Date of Electronic Publication: 2023 Nov 07. |
| نوع المنشور: | Meta-Analysis; Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier B.V Country of Publication: Brazil NLM ID: 101615124 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1809-9246 (Electronic) Linking ISSN: 14133555 NLM ISO Abbreviation: Braz J Phys Ther Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017-: Amsterdam, The Netherlands : Elsevier B.V. Original Publication: São Carlos, SP - Brasil : Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterpia, 2013. |
| مواضيع طبية MeSH: | Parkinson Disease*, Humans ; Walking ; Arm ; Cross-Sectional Studies ; Biomechanical Phenomena ; Gait |
| مستخلص: | Background: Individuals with Parkinson's disease present arm swing alterations that can adversely affect their locomotion. Objective: To identify differences in arm swing asymmetry (ASA) between individuals with Parkinson's disease (PD) and healthy individuals and to investigate the relationship between ASA, temporal-spatial gait parameters, and disease progression. Methods: A literature search was conducted in PubMed, Scopus, ProQuest, Web of Science, and EBSCOhost up to February 2023. Cross-sectional studies evaluating parameters of arm swing (AS) and ASA were included. Methodological quality was assessed using the Critical Appraisal Checklist, and the quality of the evidence was measured with a modified Grading of Recommendations Assessment, Development, and Evaluation. Results: Fourteen studies were included in the systematic review (1130 participants). Irrespective of the medication phase (ON or OFF) and the type of walk test employed, the meta-analysis showed moderate-quality evidence that individuals with PD have increased ASA amplitude (SMD = 0.84; 95% CI: 0.69, 0.99; I²= 0%).Very low-quality evidence suggests higher ASA velocity (SMD=0.64; 95% CI: 0.24, 1.05; I²=59%) and lower AS amplitude on both the most affected (ES = -1.99, 95% CI: -3.04, -0.94, I 2 : 91%) and the least affected sides (ES = -0.75, 95% CI: -1.05, -0.44; I²=66%). Meta-regression indicated that ASA is inversely related to disease duration (Z: -2.4892, P< 0.05) and motor symptoms progression (Z: -2.1336, P< 0.05). Conclusions: Regardless of the medication phase and the type of walk test employed, individuals with PD exhibited greater ASA and decreased AS amplitude than healthy individuals. ASA decreases as the disease progresses and symptoms worsen. Competing Interests: Conflicts of interest The authors declare no conflicts of interest. (Copyright © 2023. Publicado por Elsevier España, S.L.U.) |
| فهرسة مساهمة: | Keywords: Arm; Arm swing asymmetry; Gait; Parkinson disease |
| تواريخ الأحداث: | Date Created: 20231119 Date Completed: 20231225 Latest Revision: 20231225 |
| رمز التحديث: | 20231225 |
| مُعرف محوري في PubMed: | PMC10695845 |
| DOI: | 10.1016/j.bjpt.2023.100559 |
| PMID: | 37980716 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1809-9246 |
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| DOI: | 10.1016/j.bjpt.2023.100559 |