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Systematic review of the effectiveness of occupational therapy-related interventions for people with Parkinson's disease

FOSTER ER; BEDEKAR M; TICKLE DEGNEN L
AM J OCCUP THER , 2014, vol. 68, n° 1, p. 39-49
Doc n°: 168019
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2014.008706
Descripteurs : KB1 - TECHNIQUES D'ERGOTHERAPIE, AF5 - PARKINSON

We describe the results of a systematic review of the literature on occupational
therapy-related interventions for people with Parkinson's disease (PD). Three
broad categories of intervention emerged: (1) exercise or physical activity; (2)
environmental cues, stimuli, and objects; and (3) self-management and
cognitive-behavioral strategies. Moderate to strong evidence exists for
task-specific benefits of targeted physical activity training on motor
performance, postural stability, and balance. Low to moderate evidence indicates
that more complex, multimodal activity training supports improvement in
functional movement activities. The evidence is moderate that the use of external
supports during functional mobility or other movement activities has positive
effects on motor control. In addition, moderate evidence is available that
individualized interventions focused on promoting participant wellness
initiatives and personal control by means of cognitive-behavioral strategies can
improve targeted areas of quality of life. The implications for practice,
education, and research are discussed.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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