Is physical therapy recommended for people with parkinson’s disease treated with subthalamic deep brain stimulation? a delphi consensus study DOI Creative Commons
Matteo Guidetti, Sara Marceglia, Tommaso Bocci

et al.

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 10, 2025

Although deep brain stimulation of the subthalamic nucleus (STN-DBS) induces motor benefits in people with Parkinson's disease (PwPD), its effect on axial symptoms (e.g., postural instability, trunk posture alterations) and gait impairments freezing gait) is still ambiguous. Physical therapy (PT) effectively complements pharmacological treatment to improve stability, performance, other dopamine-resistant (e.g. general population PD. Despite positive potential combined PT STN-DBS surgery, scientific results are lacking. We therefore involved worldwide leading experts DBS rehabilitation PwPD a consensus Delphi panel define current level recommendation following surgery. After summarizing few available findings through systematic scoping review, we identified clinically academically experienced clinicians (n = 21) discuss challenges related STN-DBS. A 5-point Likert scale questionnaire was used based thirty-nine questions were designed submitted panel-half considerations STN-DBS, half treatments. low-to-moderate quality data, studies suggested that could dynamic static balance, performance PD receiving Similarly, panellists strongly agreed might help life, it may be prescribed maximize effects stimulation. The physical therapists part multidisciplinary team taking care patients. Also, they conventional PT, but not massage or manual therapy, should because specificity implantation. RCT evidence lacking, upon panel, for can potentially useful clinical improvement. However, more research needed, RCTs well-designed studies. community expand this area create guidelines

Language: Английский

Is physical therapy recommended for people with parkinson’s disease treated with subthalamic deep brain stimulation? a delphi consensus study DOI Creative Commons
Matteo Guidetti, Sara Marceglia, Tommaso Bocci

et al.

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 10, 2025

Although deep brain stimulation of the subthalamic nucleus (STN-DBS) induces motor benefits in people with Parkinson's disease (PwPD), its effect on axial symptoms (e.g., postural instability, trunk posture alterations) and gait impairments freezing gait) is still ambiguous. Physical therapy (PT) effectively complements pharmacological treatment to improve stability, performance, other dopamine-resistant (e.g. general population PD. Despite positive potential combined PT STN-DBS surgery, scientific results are lacking. We therefore involved worldwide leading experts DBS rehabilitation PwPD a consensus Delphi panel define current level recommendation following surgery. After summarizing few available findings through systematic scoping review, we identified clinically academically experienced clinicians (n = 21) discuss challenges related STN-DBS. A 5-point Likert scale questionnaire was used based thirty-nine questions were designed submitted panel-half considerations STN-DBS, half treatments. low-to-moderate quality data, studies suggested that could dynamic static balance, performance PD receiving Similarly, panellists strongly agreed might help life, it may be prescribed maximize effects stimulation. The physical therapists part multidisciplinary team taking care patients. Also, they conventional PT, but not massage or manual therapy, should because specificity implantation. RCT evidence lacking, upon panel, for can potentially useful clinical improvement. However, more research needed, RCTs well-designed studies. community expand this area create guidelines

Language: Английский

Citations

0