EFFECTS OF PHYSIOTHERAPY INTERVENTIONS ON FALL, POSTURE AND QUALITY OF LIFE IN PARKINSON DISEASE

Abstract

BACKGROUND AND AIMS
Parkinson disease is the 2nd most common neurological disorder
worldwide that is mainly associated with motor system. The role of
non-pharmacological treatment in the management of fall, posture
and improving quality of life is yet unclear therefore this review was
conducted to evaluate the effects of physiotherapy interventions
on fall, posture and quality of life in PD patients.
DATABASES AND ELIGIBILITY CRITERIA
A literature search was conducted through Google Scholar, PEDro,
Cochrane Library, Med-line, CINAHL, Web of Science and PubMed
included 18 randomized controlled trials evaluating physiotherapy
interventions effects on fall, posture or QOL in PD patients that
published in the year 2010 to onwards 2019 were included.
RESULTS
Methodological quality and risk of bias was assessed using the
Cochrane tool for assessing risk of bias. The findings revealed that PT
treatments like resistance training, balance exercises, exergaming
and low-intensity trunk exercises are effectual in enhancing QOL
and postural imbalance. However resistance strength training, fall
education and gait training more effectively reduces fall.
CONCLUSION
Physiotherapy interventions play an essential role in the treatment of
fall, postural imbalance and QOL. These interventions should be
integrated in the treatment plan so that PD patients can achieve
greater independence in their lives.

KEYWORDS
Rehabilitation, Parkinson's disease, fall, posture, quality of life,
Parkinsonism