{"title":"Effectiveness of Motor Imagery in the Rehabilitation of People With Parkinson's Disease: A Systematic Review and Meta-Analysis.","authors":"Tabitha Singer, Paul Fahey, Karen P Y Liu","doi":"10.1177/15459683241246493","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>With more research completed using Motor imagery (MI) in people with Parkinson's disease, this study gathered and synthesized evidence on the use of MI for Parkinson's disease in improving rehabilitation outcomes.</p><p><strong>Methods: </strong>Medical Literature Analysis and Retrieval System Online, Embase, Web of Science, The Cochrane Library, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Scopus were searched from inception to May 2023. We included randomized controlled trials that examine the effects of MI on individuals with Parkinson's disease. Two reviewers selected articles and extracted study characteristics and results independently. The Physiotherapy Evidence Database scale was used to assess the methodological quality. Mean differences and 95% confidence intervals were calculated. Heterogeneity was assessed using the <i>I</i><sup>2</sup> statistic.</p><p><strong>Results: </strong>Thirteen articles with 12 studies were included, involving 320 individuals with Parkinson's disease, with moderate to high methodological quality (mean = 6.62/10). Compared with the control group, 3 articles reported significant greater improvements in cognitive function, 7 reported significant greater improvement in motor function, 1 article reported significant greater improvement in quality of life, and 1 reported significant greater confidence in daily task performance. No statistically significant effects were found in the meta-analyses. <i>Conclusion.</i> Results of individual articles were in favor of the MI intervention. No statistically significant results were found in the meta-analyses. This might be due to the small number of studies and the heterogeneity of interventions and outcome measures used. MI may be effective in improving some rehabilitation outcomes, but meta-analytic evidence is lacking. More research with larger sample size and less heterogeneous samples, interventions, and outcome measures, is warranted.</p><p><strong>Systematic review registration: </strong>PROSPERO registration number CRD42021230556.</p>","PeriodicalId":94158,"journal":{"name":"Neurorehabilitation and neural repair","volume":" ","pages":"460-475"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurorehabilitation and neural repair","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15459683241246493","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Background and objective: With more research completed using Motor imagery (MI) in people with Parkinson's disease, this study gathered and synthesized evidence on the use of MI for Parkinson's disease in improving rehabilitation outcomes.
Methods: Medical Literature Analysis and Retrieval System Online, Embase, Web of Science, The Cochrane Library, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Scopus were searched from inception to May 2023. We included randomized controlled trials that examine the effects of MI on individuals with Parkinson's disease. Two reviewers selected articles and extracted study characteristics and results independently. The Physiotherapy Evidence Database scale was used to assess the methodological quality. Mean differences and 95% confidence intervals were calculated. Heterogeneity was assessed using the I2 statistic.
Results: Thirteen articles with 12 studies were included, involving 320 individuals with Parkinson's disease, with moderate to high methodological quality (mean = 6.62/10). Compared with the control group, 3 articles reported significant greater improvements in cognitive function, 7 reported significant greater improvement in motor function, 1 article reported significant greater improvement in quality of life, and 1 reported significant greater confidence in daily task performance. No statistically significant effects were found in the meta-analyses. Conclusion. Results of individual articles were in favor of the MI intervention. No statistically significant results were found in the meta-analyses. This might be due to the small number of studies and the heterogeneity of interventions and outcome measures used. MI may be effective in improving some rehabilitation outcomes, but meta-analytic evidence is lacking. More research with larger sample size and less heterogeneous samples, interventions, and outcome measures, is warranted.
Systematic review registration: PROSPERO registration number CRD42021230556.
背景和目的：随着越来越多的研究将运动想象（MI）用于帕金森病患者，本研究收集并综合了将运动想象用于帕金森病患者以改善康复效果的证据：方法：对医学文献分析和检索系统在线版、Embase、Web of Science、The Cochrane Library、PsycINFO、Cumulative Index to Nursing and Allied Health Literature 和 Scopus 进行了从开始到 2023 年 5 月的检索。我们纳入了研究 MI 对帕金森病患者影响的随机对照试验。两名审稿人独立选择文章并提取研究特征和结果。物理治疗证据数据库量表用于评估方法学质量。计算平均差和 95% 置信区间。使用I2统计量评估异质性：共纳入13篇文章，12项研究，涉及320名帕金森病患者，方法学质量为中高水平（平均值=6.62/10）。与对照组相比，3 篇文章报道认知功能显著改善，7 篇文章报道运动功能显著改善，1 篇文章报道生活质量显著改善，1 篇文章报道日常工作信心显著增强。在荟萃分析中未发现有统计学意义的效果。结论单篇文章的结果均支持多元智能干预。在荟萃分析中未发现具有统计学意义的结果。这可能是由于研究数量较少以及所使用的干预措施和结果测量方法存在异质性。康复训练可能对改善某些康复效果有效，但缺乏荟萃分析证据。有必要进行更多的研究，以扩大样本量，减少样本、干预措施和结果测量的异质性：系统综述注册：PROSPERO 注册号 CRD42021230556。
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