Clinical assessment of upper limb impairments and functional capacity in Parkinson's disease: a systematic review

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Citações na Scopus
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Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ASSOC ARQUIVOS NEURO- PSIQUIATRIA
Autores
RODRIGUES, Rubia
TEIXEIRA, Manoel Jacobsen
Citação
ARQUIVOS DE NEURO-PSIQUIATRIA, v.81, n.11, p.1008-1015, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background Parkinson's disease (PD) may progressively reduce the upper limb's functionality. Currently, there is no standardized upper limb functional capacity assessment in PD in the rehabilitation field.Objective To identify specific outcome measurements to assess upper limbs in PD and access functional capacity.Methods We systematically reviewed and analyzed the literature in English published from August/2012 to August/2022 according to PRISMA. The following keywords were used in our search: ""upper limbs"" OR ""upper extremity"" and ""Parkinson's disease."" Two researchers searched independently, including studies accordingly to our inclusion and exclusion criteria. Registered at PROSPERO CRD42021254486.Results We found 797 studies, and 50 were included in this review ( n = 2.239 participants in H&Y stage 1-4). The most common upper limbs outcome measures found in the studies were: (i) UPDRS-III and MDS-UPDRS to assess the severity and progression of PD motor symptoms (tremor, bradykinesia, and rigidity) (ii) Nine Hole Peg Test and Purdue Pegboard Test to assess manual dexterity; (iii) Spiral test and Funnel test to provoke and assess freezing of upper limbs; (iv) Technology assessment such as wearables sensors, apps, and other device were also found.Conclusion We found evidence to support upper limb impairments assessments in PD. However, there is still a large shortage of specific tests to assess the functional capacity of the upper limbs. The upper limbs' functional capacity is insufficiently investigated during the clinical and rehabilitation examination due to a lack of specific outcome measures to assess functionality.
Palavras-chave
Parkinson Disease, Upper Extremity, Physical Therapy Modalities, Treatment Outcome, Rehabilitation, Freezing
URI
https://observatorio.fm.usp.br/handle/OPI/58177
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/45
Artigos e Materiais de Revistas Científicas - LIM/62