دورية أكاديمية
Effects of Upper Limb Exercise or Training on Hand Dexterity and Function in People With Parkinson Disease: A Systematic Review and Meta-analysis.
| العنوان: | Effects of Upper Limb Exercise or Training on Hand Dexterity and Function in People With Parkinson Disease: A Systematic Review and Meta-analysis. |
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| المؤلفون: | Proud EL; Department of Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Australia. Electronic address: lproud@unimelb.edu.au., Miller KJ; Department of Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Australia; BC Children's Hospital Research Institute, Vancouver, Canada., Morris ME; Academic and Research Collaborative in Health, La Trobe University, Bundoora, Australia; Victorian Rehabilitation Centre, Healthscope, Glen Waverley, Australia., McGinley JL; Department of Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Australia., Blennerhassett JM; Department of Physiotherapy, and Health Independence Program, Austin Health, Heidelberg, Australia. |
| المصدر: | Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2024 Jul; Vol. 105 (7), pp. 1375-1387. Date of Electronic Publication: 2023 Nov 30. |
| نوع المنشور: | Journal Article; Meta-Analysis; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 2985158R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-821X (Electronic) Linking ISSN: 00039993 NLM ISO Abbreviation: Arch Phys Med Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Philadelphia, PA : W.B. Saunders |
| مواضيع طبية MeSH: | Exercise Therapy*/methods , Hand*/physiopathology , Parkinson Disease*/rehabilitation , Parkinson Disease*/physiopathology , Upper Extremity*/physiopathology, Humans ; Handwriting ; Motor Skills/physiology ; Randomized Controlled Trials as Topic |
| مستخلص: | Objective: This systematic review investigated the effects of exercise and training on hand dexterity and function outcomes in people with Parkinson disease (PD). Data Sources: We searched 5 databases (MEDLINE Ovid, CINAHL, PEDro, PubMed, Cochrane Database) from inception to October 2022. Study Selection: Included studies were randomized controlled trials delivering upper limb exercise or training interventions to people with PD and evaluating 1 or more upper limb activity outcomes. Two independent reviewers screened 668 articles for inclusion. Data Extraction: Two reviewers independently extracted data relating to study participants, intervention characteristics, and key outcomes. Cochrane Risk of Bias and GRADE tools assessed methodological quality of included studies, and strength of evidence for 3 outcomes: hand dexterity, self-reported hand function, and handwriting performance. Meta-analyses synthesized results for within-hand dexterity and self-reported function. Results: Eighteen randomized controlled trials (n=704) with low to unclear risk of bias were identified. Experimental interventions varied considerably in their approach and treatment dose, and 3 studies focused on training handwriting. Meta-analysis showed moderate quality evidence of a small positive effect on within-hand dexterity (SMD=0.26; 95% CI 0.07, 0.44). Very low-quality evidence pointed toward a nonsignificant effect on self-reported hand function (SMD=0.67; 95% CI -0.40, 1.75). A narrative review of handwriting interventions showed low quality evidence for improved performance after training. Conclusions: There is moderate certainty of evidence supporting the use of exercise and training to address dexterity problems, but evidence remains unclear for self-reported hand function and handwriting. Our findings suggest that training could employ task-related approaches. Future research should interrogate aspects of clinical practice such as optimal dose and key ingredients for effective interventions. (Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Hand; Occupational therapy; Parkinson disease; Physical therapy modalities; Rehabilitation; Upper extremity |
| تواريخ الأحداث: | Date Created: 20231202 Date Completed: 20240705 Latest Revision: 20240715 |
| رمز التحديث: | 20240716 |
| DOI: | 10.1016/j.apmr.2023.11.009 |
| PMID: | 38042246 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1532-821X |
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| DOI: | 10.1016/j.apmr.2023.11.009 |