A structured literature review to determine whether strength of recommendation affects the significance of the outcomes of studies carried out in the field of manual intervention and Parkinson's disease and to investigate the efficacy of this type of inte

Item

Title
A structured literature review to determine whether strength of recommendation affects the significance of the outcomes of studies carried out in the field of manual intervention and Parkinson's disease and to investigate the efficacy of this type of inte
Author(s)
Beck, W
Abstract
Background. An interest in investigating whether manual therapy can have a significant and positive effect on the musculoskeletal symptoms exhibited by Parkinson's Disease. Objective. To compare studies carried out in the field of manual therapy and PD in order to try to explore differing types of study design and the way in which they were conducted to investigate whether that bears relevance to the outcomes of those studies. This study will also try to establish an understanding as to whether this type of treatment does indeed have an effect on the symptoms of Parkinson's disease. Design. A structured literature review. Methods. Studies were selected that utilised varying types of manual therapy as their intervention approach. Studies were excluded for having psychological involvement within outcome measures, fluctuating medication levels which may have affected the outcomes, non physical outcome measures and papers that were not of a published standard. The search took place from 2/10/2014 until 28/11/2014 utilising databases such as the Cochrane library, Swetswise, PubMed, CINHAL, Medline and Sciverse. Results. The search yielded 12 appropriate studies with varying outcomes and design. These studies had many different treatment approaches with regards to interventions, timescales and methodologies in general giving a good base for comparison when comparing the studies The studies also had differing levels of quality when graded by the SORT model. Discussion. The results show some promising findings which may begin to start helping to highlight some of the efficacy of manual therapy and Parkinson's disease. Another finding from this review, although in a smaller quantity, was that the use of osteopathic intervention has been shown to have quite a significant effect on the musculoskeletal symptoms exhibited by Parkinson's disease. Another aspect of interest that arose from this study is that poor study conduct and methodology could be leading to studies of this nature having far less significant findings which would need to be addressed when considering future studies in this field. Conclusion. This review was able to highlight that the strength of recommendation does have an effect on the significance of the outcome of the study and also demonstrates that this type of manual intervention could be a valuable tool in helping to treat the musculoskeletal symptoms of PD. This review also brought forward an interesting finding in that the use of osteopathic manual therapy could enable a patient to move more freely for a period of time allowing them to partake in more active hobbies such as sports or exercise. This type of treatment paired with the emerging evidence surrounding the benefits of exercise could have a dual effect on the symptoms of PD improving quality of life further.
presented at
European School of Osteopathy
Date Accepted
2015
Date Submitted
2.12.2016 16:54:59
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15881
Inst-Identifier
1229
Keywords
Parkinson's disease, manual therapy, quality
Recommended
0
Item sets
Thesis

Beck, W, “A structured literature review to determine whether strength of recommendation affects the significance of the outcomes of studies carried out in the field of manual intervention and Parkinson's disease and to investigate the efficacy of this type of inte”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathic-research.com/s/orw/item/600