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Physiotherapy for freezing of gait in Parkinson's disease: a systematic review and meta-analysis

- Miller, Kyle, Suarez-Iglesias, David, Seijo-Martinez, Manuel, Ayan, Carlos

  • Authors: Miller, Kyle , Suarez-Iglesias, David , Seijo-Martinez, Manuel , Ayan, Carlos
  • Date: 2020
  • Type: Text , Journal article
  • Relation: Revista De Neurologia Vol. 70, no. 5 (Mar 2020), p. 161-170
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  • Description: Introduction. Freezing of gait (FOG) is one of the most severe symptoms associated with Parkinson's disease (PD). Physiotherapy treatment could be an effective strategy for treating FOG, but no systematic review has been carried out in this regard. Aim. To identify the characteristics, methodological quality, and main outcomes of the studies that have analyzed the effects of physiotherapy interventions in FOG up to date, by performing a systematic review and a meta-analysis. Patients and methods. Four electronic databases were searched in order to find randomized controlled trials that provided information regarding the effects of any kind of physiotherapy treatment on FOG. The methodological quality of the included investigations was assessed by means of the PEDro scale. Results. Twelve studies were identified for inclusion into the qualitative analysis, with four randomized controlled trials included in the final meta-analysis. The quality of the trials was generally good. Those physiotherapy modalities including cues were more effective for treating FOG than traditional physiotherapy approaches. The meta-analysis indicated that physiotherapy interventions had a significantly greater impact on FOG than control comparisons. Conclusions. Physiotherapy treatment, especially those modalities including visual and auditory cueing, should be prescribed to PD patients with FOG. Future studies including PD patients with cognitive impairment and FOG objective measurement tools are need to complete the existing scientific evidence.

Benefits of pilates in Parkinson's Disease : A systematic review and meta-analysis

- Suarez-Iglesias, David, Miller, Kyle, Seijo-Martinez, Manuel, Ayan, Carlos

  • Authors: Suarez-Iglesias, David , Miller, Kyle , Seijo-Martinez, Manuel , Ayan, Carlos
  • Date: 2019
  • Type: Text , Journal article , Review
  • Relation: Medicina-Lithuania Vol. 55, no. 8 (2019), p. 1-14
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  • Description: Pilates may be a beneficial method of exercise for people with Parkinson's disease (PD). However, no studies have critically reviewed the scientific evidence in this regard. The purpose of this study was to conduct a systematic review and meta-analysis on the effectiveness of Pilates as a rehabilitation strategy for PD. A systematic search of the electronic databases PubMed, PEDro, Scopus, and SPORTDiscus was conducted to identify studies related to the effect of Pilates on PD. The search timeframe ranged from the inception of each database to March 2019. The search resulted in the identification of four randomized controlled trials (RCTs) and four non-RCT studies. The methodological quality of the investigations ranged from poor to fair. The descriptive analysis of the eight investigations showed that Pilates resulted in beneficial effects on fitness, balance and functional autonomy. A subsequent meta-analysis on the four RCTs indicated that Pilates was more effective than traditional training programmes in improving lower limb function. Pilates can be safely prescribed for people with mild-to-moderate PD. Preliminary evidence indicates that its practice could have a positive impact on fitness, balance and physical function. Its benefits on lower-body function appear to be superior to those of other conventional exercises. Future randomized studies with greater samples are needed to confirm these observations.

Improving hamstring flexibility through physical education based interventions : a systematic review and meta-analysis

- Vigo, Cristian, Myller, Kyle, Sánchez, Adriano, Ayan, Carlos

  • Authors: Vigo, Cristian , Myller, Kyle , Sánchez, Adriano , Ayan, Carlos
  • Date: 2022
  • Type: Text , Journal article , Review
  • Relation: Archivos de Medicina del Deporte Vol. 39, no. 1 (2022), p. 50-61
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  • Description: Flexibility is recognized as a strong marker of physical health in children. Scientific research has indicated that there is a worldwide decline in children's physical fitness, including a reduction in flexibility levels. It has been suggested that a lack of flexibility in youth may be responsible for several health complications, including back pain, injury risk, and posture problems. Physical education (PE) classes are part of the school curriculum, which are an ideal setting to improve children physical fitness levels. The purpose of this systematic review and meta-analysis was to investigate whether incorporating a stretching component during regular PE classes can improve flexibility in school children. Three electronic databases were searched systematically until June 2019 for studies analysing the effects of interventions performed during PE classes aimed to improve the flexibility levels of school children (6-18 years). The critical appraisal was carried using PEDro and MINORS scales and a meta-analysis was performed. Seventeen studies of moderate-to-high methodological quality were included in the review and 14 in the meta-analysis, pooling 874 participants. The interventions showed significant improvements in the flexibility of the children, although the relative influence of genre could not be further analysed, due to the fact that insufficient data was reported. The meta-analysis for the hamstring flexibility resulted in a significant moderate effect. Flexibility levels can be improved through the incorporation of stretching interventions during PE classes, since flexibility is a key health-related physical fitness componentFurther research is needed on the effects of such interventions on trunk and upper body flexibility. © 2022 Authors. All rights reserved.
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