Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials
•Findings regarding the effect of proprioceptive training on fine motor and gross manual dexterity are inconclusive.•There was no effect of proprioceptive training on upper limb function and QoL.•Present results plus broader evidence suggest further research is warranted.•RCTs could explore proprioc...
Gespeichert in:
| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2024-07, Vol.105 (7), p.1364-1374 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1374 |
|---|---|
| container_issue | 7 |
| container_start_page | 1364 |
| container_title | Archives of physical medicine and rehabilitation |
| container_volume | 105 |
| creator | Malwanage, Kavinda T. Dissanayaka, Thusharika D. Allen, Natalie E. Paul, Serene S. |
| description | •Findings regarding the effect of proprioceptive training on fine motor and gross manual dexterity are inconclusive.•There was no effect of proprioceptive training on upper limb function and QoL.•Present results plus broader evidence suggest further research is warranted.•RCTs could explore proprioceptive training vs no intervention and long-lasting effects.
This systematic review and meta-analysis aimed to determine the efficacy of proprioceptive training on hand dexterity, upper limb function, and quality of life (QoL) in people with Parkinson disease (PD) compared with no or other active interventions.
Medline PubMed, Cochrane Library, CINAHL, PEDro, and Web of Science databases were searched to identify published studies until February 2023.
Peer-reviewed English publications of randomized controlled trials (RCTs) of proprioceptive training conducted among people with PD.
Study characteristics, exercise program type and dosage, outcome of interest, and between-group comparisons of post-test results of intervention and comparison groups.
Eight RCTs were included, involving 344 people with PD. Six RCTs contributed to meta-analyses. There was very low certainty of evidence that proprioceptive training may improve dominant hand (standard mean difference [SMD] 0.34, 95% CI 0.08-0.60, P=.01) and non-dominant hand (SMD 0.36, 95% CI 0.10-0.63, P |
| doi_str_mv | 10.1016/j.apmr.2023.10.016 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2889241374</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999323006111</els_id><sourcerecordid>2889241374</sourcerecordid><originalsourceid>FETCH-LOGICAL-c307t-27fd15da706c1d91e677bfc834e712a9dddbb030433af2048205ad6fc62fe7f53</originalsourceid><addsrcrecordid>eNp9UU1vEzEUXCEQDYU_wAH5yGWDP_YTcanSApWCGpVUcFt57Wf6wq692E5Q-Hv8MbxK4cjp2aOZ0XszWfaS0SWjrHqzW8pp9EtOuUjAMkGPsgUrBc8bzr4-zhaUUpG3bSvOsmch7NK3KgV7mp2Jui2ZqKtF9vvKGFCROEM23k0enYIp4gHI1ku0aL-RlRsn6UGTLxjvyU28B0-ubQR_ABvR2UCM8-RumhK-xrEnl2BQYQwELdmAmwY4STfSf0cbnCWXGEAGeEsuyOdjiDDKiIrcwgHhJ5FWk08QZS6tHI4Bw7zcbULdiL_SGitno3fDkJ5bj3IIz7MnJg148TDPs7v3V9vVx3x98-F6dbHOlaB1zHltNCu1rGmlmG4ZVHXdG9WIAmrGZau17nsqaCGENJwWDael1JVRFTdQm1KcZ69PvpN3P_YQYjdiUDAM0oLbh443TcuLlGuRqPxEVd6F4MF0KdpR-mPHaDeX1-26ubxuLm_GEpRErx789_0I-p_kb1uJ8O5EgHRlysp3QSFYBRp9KrHTDv_n_weF6a9b</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2889241374</pqid></control><display><type>article</type><title>Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials</title><source>Elsevier ScienceDirect Journals Complete - AutoHoldings</source><source>MEDLINE</source><creator>Malwanage, Kavinda T. ; Dissanayaka, Thusharika D. ; Allen, Natalie E. ; Paul, Serene S.</creator><creatorcontrib>Malwanage, Kavinda T. ; Dissanayaka, Thusharika D. ; Allen, Natalie E. ; Paul, Serene S.</creatorcontrib><description>•Findings regarding the effect of proprioceptive training on fine motor and gross manual dexterity are inconclusive.•There was no effect of proprioceptive training on upper limb function and QoL.•Present results plus broader evidence suggest further research is warranted.•RCTs could explore proprioceptive training vs no intervention and long-lasting effects.
This systematic review and meta-analysis aimed to determine the efficacy of proprioceptive training on hand dexterity, upper limb function, and quality of life (QoL) in people with Parkinson disease (PD) compared with no or other active interventions.
Medline PubMed, Cochrane Library, CINAHL, PEDro, and Web of Science databases were searched to identify published studies until February 2023.
Peer-reviewed English publications of randomized controlled trials (RCTs) of proprioceptive training conducted among people with PD.
Study characteristics, exercise program type and dosage, outcome of interest, and between-group comparisons of post-test results of intervention and comparison groups.
Eight RCTs were included, involving 344 people with PD. Six RCTs contributed to meta-analyses. There was very low certainty of evidence that proprioceptive training may improve dominant hand (standard mean difference [SMD] 0.34, 95% CI 0.08-0.60, P=.01) and non-dominant hand (SMD 0.36, 95% CI 0.10-0.63, P<.01) fine motor dexterity, and dominant hand gross manual dexterity (SMD 1.73, 95% CI 0.30-3.16, P=.02), following 2-8 weeks of proprioceptive training. There was no evidence of effects on non-dominant hand gross manual dexterity, upper limb function, and QoL after proprioceptive training.
Findings regarding the effect of proprioceptive training on hand dexterity in the short-term are inconclusive. The small sample size likely limited effect detection. Future large RCTs should compare proprioceptive training with no intervention and perform comprehensive biomechanical analysis to gain a clearer idea of its effects. Incorporating longer-duration proprioceptive training programs is also recommended to investigate long-lasting effects.</description><identifier>ISSN: 0003-9993</identifier><identifier>ISSN: 1532-821X</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2023.10.016</identifier><identifier>PMID: 37951376</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Exercise Therapy - methods ; Fine motor dexterity ; Gross manual dexterity ; Humans ; Parkinson Disease - physiopathology ; Parkinson Disease - rehabilitation ; Parkinson's disease ; Proprioception - physiology ; Proprioceptive training ; Quality of Life ; Randomized Controlled Trials as Topic ; Upper Extremity - physiopathology</subject><ispartof>Archives of physical medicine and rehabilitation, 2024-07, Vol.105 (7), p.1364-1374</ispartof><rights>2023 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-27fd15da706c1d91e677bfc834e712a9dddbb030433af2048205ad6fc62fe7f53</cites><orcidid>0000-0001-6422-0721</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2023.10.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37951376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malwanage, Kavinda T.</creatorcontrib><creatorcontrib>Dissanayaka, Thusharika D.</creatorcontrib><creatorcontrib>Allen, Natalie E.</creatorcontrib><creatorcontrib>Paul, Serene S.</creatorcontrib><title>Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>•Findings regarding the effect of proprioceptive training on fine motor and gross manual dexterity are inconclusive.•There was no effect of proprioceptive training on upper limb function and QoL.•Present results plus broader evidence suggest further research is warranted.•RCTs could explore proprioceptive training vs no intervention and long-lasting effects.
This systematic review and meta-analysis aimed to determine the efficacy of proprioceptive training on hand dexterity, upper limb function, and quality of life (QoL) in people with Parkinson disease (PD) compared with no or other active interventions.
Medline PubMed, Cochrane Library, CINAHL, PEDro, and Web of Science databases were searched to identify published studies until February 2023.
Peer-reviewed English publications of randomized controlled trials (RCTs) of proprioceptive training conducted among people with PD.
Study characteristics, exercise program type and dosage, outcome of interest, and between-group comparisons of post-test results of intervention and comparison groups.
Eight RCTs were included, involving 344 people with PD. Six RCTs contributed to meta-analyses. There was very low certainty of evidence that proprioceptive training may improve dominant hand (standard mean difference [SMD] 0.34, 95% CI 0.08-0.60, P=.01) and non-dominant hand (SMD 0.36, 95% CI 0.10-0.63, P<.01) fine motor dexterity, and dominant hand gross manual dexterity (SMD 1.73, 95% CI 0.30-3.16, P=.02), following 2-8 weeks of proprioceptive training. There was no evidence of effects on non-dominant hand gross manual dexterity, upper limb function, and QoL after proprioceptive training.
Findings regarding the effect of proprioceptive training on hand dexterity in the short-term are inconclusive. The small sample size likely limited effect detection. Future large RCTs should compare proprioceptive training with no intervention and perform comprehensive biomechanical analysis to gain a clearer idea of its effects. Incorporating longer-duration proprioceptive training programs is also recommended to investigate long-lasting effects.</description><subject>Exercise Therapy - methods</subject><subject>Fine motor dexterity</subject><subject>Gross manual dexterity</subject><subject>Humans</subject><subject>Parkinson Disease - physiopathology</subject><subject>Parkinson Disease - rehabilitation</subject><subject>Parkinson's disease</subject><subject>Proprioception - physiology</subject><subject>Proprioceptive training</subject><subject>Quality of Life</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Upper Extremity - physiopathology</subject><issn>0003-9993</issn><issn>1532-821X</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1vEzEUXCEQDYU_wAH5yGWDP_YTcanSApWCGpVUcFt57Wf6wq692E5Q-Hv8MbxK4cjp2aOZ0XszWfaS0SWjrHqzW8pp9EtOuUjAMkGPsgUrBc8bzr4-zhaUUpG3bSvOsmch7NK3KgV7mp2Jui2ZqKtF9vvKGFCROEM23k0enYIp4gHI1ku0aL-RlRsn6UGTLxjvyU28B0-ubQR_ABvR2UCM8-RumhK-xrEnl2BQYQwELdmAmwY4STfSf0cbnCWXGEAGeEsuyOdjiDDKiIrcwgHhJ5FWk08QZS6tHI4Bw7zcbULdiL_SGitno3fDkJ5bj3IIz7MnJg148TDPs7v3V9vVx3x98-F6dbHOlaB1zHltNCu1rGmlmG4ZVHXdG9WIAmrGZau17nsqaCGENJwWDael1JVRFTdQm1KcZ69PvpN3P_YQYjdiUDAM0oLbh443TcuLlGuRqPxEVd6F4MF0KdpR-mPHaDeX1-26ubxuLm_GEpRErx789_0I-p_kb1uJ8O5EgHRlysp3QSFYBRp9KrHTDv_n_weF6a9b</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Malwanage, Kavinda T.</creator><creator>Dissanayaka, Thusharika D.</creator><creator>Allen, Natalie E.</creator><creator>Paul, Serene S.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6422-0721</orcidid></search><sort><creationdate>20240701</creationdate><title>Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials</title><author>Malwanage, Kavinda T. ; Dissanayaka, Thusharika D. ; Allen, Natalie E. ; Paul, Serene S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-27fd15da706c1d91e677bfc834e712a9dddbb030433af2048205ad6fc62fe7f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Exercise Therapy - methods</topic><topic>Fine motor dexterity</topic><topic>Gross manual dexterity</topic><topic>Humans</topic><topic>Parkinson Disease - physiopathology</topic><topic>Parkinson Disease - rehabilitation</topic><topic>Parkinson's disease</topic><topic>Proprioception - physiology</topic><topic>Proprioceptive training</topic><topic>Quality of Life</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Upper Extremity - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malwanage, Kavinda T.</creatorcontrib><creatorcontrib>Dissanayaka, Thusharika D.</creatorcontrib><creatorcontrib>Allen, Natalie E.</creatorcontrib><creatorcontrib>Paul, Serene S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malwanage, Kavinda T.</au><au>Dissanayaka, Thusharika D.</au><au>Allen, Natalie E.</au><au>Paul, Serene S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>105</volume><issue>7</issue><spage>1364</spage><epage>1374</epage><pages>1364-1374</pages><issn>0003-9993</issn><issn>1532-821X</issn><eissn>1532-821X</eissn><abstract>•Findings regarding the effect of proprioceptive training on fine motor and gross manual dexterity are inconclusive.•There was no effect of proprioceptive training on upper limb function and QoL.•Present results plus broader evidence suggest further research is warranted.•RCTs could explore proprioceptive training vs no intervention and long-lasting effects.
This systematic review and meta-analysis aimed to determine the efficacy of proprioceptive training on hand dexterity, upper limb function, and quality of life (QoL) in people with Parkinson disease (PD) compared with no or other active interventions.
Medline PubMed, Cochrane Library, CINAHL, PEDro, and Web of Science databases were searched to identify published studies until February 2023.
Peer-reviewed English publications of randomized controlled trials (RCTs) of proprioceptive training conducted among people with PD.
Study characteristics, exercise program type and dosage, outcome of interest, and between-group comparisons of post-test results of intervention and comparison groups.
Eight RCTs were included, involving 344 people with PD. Six RCTs contributed to meta-analyses. There was very low certainty of evidence that proprioceptive training may improve dominant hand (standard mean difference [SMD] 0.34, 95% CI 0.08-0.60, P=.01) and non-dominant hand (SMD 0.36, 95% CI 0.10-0.63, P<.01) fine motor dexterity, and dominant hand gross manual dexterity (SMD 1.73, 95% CI 0.30-3.16, P=.02), following 2-8 weeks of proprioceptive training. There was no evidence of effects on non-dominant hand gross manual dexterity, upper limb function, and QoL after proprioceptive training.
Findings regarding the effect of proprioceptive training on hand dexterity in the short-term are inconclusive. The small sample size likely limited effect detection. Future large RCTs should compare proprioceptive training with no intervention and perform comprehensive biomechanical analysis to gain a clearer idea of its effects. Incorporating longer-duration proprioceptive training programs is also recommended to investigate long-lasting effects.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37951376</pmid><doi>10.1016/j.apmr.2023.10.016</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-6422-0721</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-9993 |
| ispartof | Archives of physical medicine and rehabilitation, 2024-07, Vol.105 (7), p.1364-1374 |
| issn | 0003-9993 1532-821X 1532-821X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2889241374 |
| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Exercise Therapy - methods Fine motor dexterity Gross manual dexterity Humans Parkinson Disease - physiopathology Parkinson Disease - rehabilitation Parkinson's disease Proprioception - physiology Proprioceptive training Quality of Life Randomized Controlled Trials as Topic Upper Extremity - physiopathology |
| title | Effect of Proprioceptive Training Compared With Other Interventions for Upper Limb Deficits in People With Parkinson Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T11%3A24%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20Proprioceptive%20Training%20Compared%20With%20Other%20Interventions%20for%20Upper%20Limb%20Deficits%20in%20People%20With%20Parkinson%20Disease:%20A%20Systematic%20Review%20and%20Meta-analysis%20of%20Randomized%20Controlled%20Trials&rft.jtitle=Archives%20of%20physical%20medicine%20and%20rehabilitation&rft.au=Malwanage,%20Kavinda%20T.&rft.date=2024-07-01&rft.volume=105&rft.issue=7&rft.spage=1364&rft.epage=1374&rft.pages=1364-1374&rft.issn=0003-9993&rft.eissn=1532-821X&rft_id=info:doi/10.1016/j.apmr.2023.10.016&rft_dat=%3Cproquest_cross%3E2889241374%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2889241374&rft_id=info:pmid/37951376&rft_els_id=S0003999323006111&rfr_iscdi=true |