Cognitive motor intervention for gait and balance in Parkinson's disease: systematic review and meta-analysis

Clin Rehabil. 2016 Feb;30(2):134-44. doi: 10.1177/0269215515578295. Epub 2015 Apr 14.

Abstract

Objective: We performed a systematic review and meta-analysis to assess the effect of cognitive motor intervention (CMI) on gait and balance in Parkinson's disease.

Data sources: PubMed, Embase, Cochrane Library, CINAHL, Web of Science, PEDro, and China Biology Medicine disc.

Methods: We included randomized controlled trials (RCTs) and non RCTs. Two reviewers independently evaluated articles for eligibility and quality and serially abstracted data. A standardized mean difference ± standard error and 95% confidence interval (CI) was calculated for each study using Hedge's g to quantify the treatment effect.

Results: Nine trials with 181 subjects, four randomized controlled trials, and five single group intervention studies were included. The pooling revealed that cognitive motor intervention can improve gait speed (Hedge's g = 0.643 ± 0.191; 95% CI: 0.269 to 1.017, P = 0.001), stride time (Hedge's g = -0.536 ± 0.167; 95% CI: -0.862 to -0.209, P = 0.001), Berg Balance Scale (Hedge's g = 0.783 ± 0.289; 95% CI: 0.218 to 1.349, P = 0.007), Unipedal Stance Test (Hedge's g = 0.440 ± 0.189; 95% CI: 0.07 to 0.81, P =0.02).

Conclusions: The systematic review demonstrates that cognitive motor intervention is effective for gait and balance in Parkinson's disease. However, the paper is limited by the quality of the included trials.

Keywords: Cognitive motor intervention; Parkinson’s disease; balance; gait; systematic review.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Cognitive Behavioral Therapy / methods*
  • Gait Disorders, Neurologic / rehabilitation*
  • Humans
  • Motor Skills / physiology*
  • Parkinson Disease / complications
  • Parkinson Disease / rehabilitation*
  • Postural Balance*
  • Sensation Disorders / etiology
  • Sensation Disorders / rehabilitation*