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Titre : | Effects of Therapeutic Intervention on Spatiotemporal Gait Parameters in Adults With Neurologic Disorder: Systematic Review and Meta-analysis (2023) |
Auteurs : | Alka Bishnoi ; Meghna Shankar ; Rachel Lee ; Yang Hu ; Manuel E. Hernandez |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 3, 2023) |
Article en page(s) : | p. 451-474 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Démarche ; Intervention précoce (formation) ; Kinésithérapie (spécialité) ; Maladie de Parkinson ; Maladies du système nerveux ; Personne âgée fragile ; Réadaptation |
Résumé : | Objective This systematic review and meta-analysis aimed to review and quantify the changes in gait parameters after therapeutic intervention in adults with neurologic disorders. Data Sources A keyword search was performed in 4 databases: PubMed, CINAHL, Scopus, and Web of Science (01/2000-12/2021). We performed the search algorithm including all possible combinations of keywords. Full-text articles were examined further using forward/backward search methods. Study Selection Studies were thoroughly screened using the following inclusion criteria: Study design: randomized controlled trial; adults ?55 years old with a neurologic disorder; therapeutic intervention; spatiotemporal gait characteristics; and language: English. Data Extraction A standardized data extraction form was used to collect the following methodological outcome variables from each of the included studies: author, year, population, age, sample size, and spatiotemporal gait parameters such as cadence, step length, step width, or double limb support. A meta-analysis was performed among trials presenting with similar characteristics, including study population and outcome measure. If heterogeneity was >50%, a random plot analysis was used; otherwise, a fixed plot analysis was done. Data Synthesis We included 25 out of 34 studies in our meta-analysis that examined gait in adults with neurologic disorders. All analyses used effect sizes and standard error and a P<.05 by threshold was considered statistically significant. overall we found that sensory and electrical stimulation had the most significant effect on step length z="5.44*," es: gait speed in adults with parkinson disease although balance or physical activity interventions were not to be effective modifying pd they showed a speed. further cadence relative for stroke conventional therapy conclusion such as auditory somatosensory while walking pd. also did improve spatial parameters other stroke.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322004853 |