La Terapia Occupazionale è efficace nella Malattia di Parkinson? Quali sono le evidenze attualmente a disposizione? Numerosi sono gli interventi di terapia occupazionale che possono essere utilizzati per il trattamento della malattia di Parkinson. Già le Linee Guida del 2015 avevano riportato l’efficacia della terapia occupazionale nel parkinson, così come l’aggiornamento del 2018.
Il nostro studio pubblicato su Movement Disorders Clinical Practice vuole contribuire alla definizione di buone pratiche nel campo della terapia occupazionale. Le Revisioni Sistematiche, infatti, riassumono le evidenze disponibili e valutano l’efficacia del trattamento. Il nostro studio rivela che molteplici interventi di terapia occupazionale possono migliorare la qualità di vita delle persone con malattia di Parkinson.
Abstract
Objective
To review studies assessing the efficacy of occupational therapy interventions on quality of life in patients with Parkinson’s disease.
Method
We followed the international guidelines of the PRISMA Checklist. Databases (PubMed, Pedro, Otseeker, Scopus, Cinhal and Web of Science) were searched to identify randomized controlled trials (RCTs) of occupational therapy interventions in patients with Parkinson’s disease, up to 2019 and with no restriction on language. The primary outcome of the meta‐analysis was the evaluation of quality of life following occupational therapy interventions. Due to the heterogeneity of the studies we examined the data by using a random‐effect model.
Results
We identified 15 RCTs that met the inclusion criteria and 4 of these were included in the meta‐analysis. Studies with a follow‐up of 2 to 3 months showed that occupational therapy interventions significantly improved the quality of life in patients with Parkinson’s disease, with a mean difference of ‐2.08, 95% CI [‐2.52, ‐1.64, p <0.00001]. Studies reporting a longer follow‐up (6‐12 months) also showed that occupational therapy interventions improved the quality of life with a mean difference of ‐2.56, 95% CI [‐3.52, ‐1.61; p <0.00001].
Conclusion
Different occupational therapy interventions may be effective in improving the quality of life in patients with Parkinson’s disease. The strength of the evidence, due to the limited number of studies available, should however be considered as moderate.
Per citare l’articolo: Tofani, M., Ranieri, A., Fabbrini, G., Berardi, A., Pelosin, E., Valente, D., … & Galeoto, G. (2020) Efficacy of Occupational Therapy Interventions on quality of life in patients with Parkinson’s Disease: A Systematic Review and Meta‐analysis. Movement Disorders Clinical Practice.
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