Article

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.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS