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The Effects of Action Observation Therapy as a Rehabilitation Tool in Parkinson’s Disease Patients: A Systematic Review

Author

Listed:
  • Ioannis Giannakopoulos

    (Biomechanics and Ergonomics Laboratory, Department of Physical Education and Sports Science (DPESS), University of Thessaly, 42100 Trikala, Greece)

  • Panagiota Karanika

    (Biomechanics and Ergonomics Laboratory, Department of Physical Education and Sports Science (DPESS), University of Thessaly, 42100 Trikala, Greece)

  • Charalambos Papaxanthis

    (Biomechanics and Ergonomics Laboratory, Department of Physical Education and Sports Science (DPESS), University of Thessaly, 42100 Trikala, Greece
    L’Unité Mixte de Recherche (UMR) INSERM 1093 CAPS (Cognition, Action et Plasticité Sensorimotrice), Université Bourgogne Franche-Comté, UFR des Sciences du Sport, F-21000 Dijon, France
    Pôle Recherche et Santé Publique, CHU Dijon Bourgogne, F-21000 Dijon, France)

  • Panagiotis Tsaklis

    (Biomechanics and Ergonomics Laboratory, Department of Physical Education and Sports Science (DPESS), University of Thessaly, 42100 Trikala, Greece
    Department of Molecular Medicine and Surgery, Growth and Metabolism, Karolinska Institute, 17164 Solna, Sweden)

Abstract

During Action Observation (AO), patients observe human movements that they then try to imitate physically. Until now, few studies have investigated the effectiveness of it in Parkinson’s disease (PD). However, due to the diversity of interventions, it is unclear how the dose and characteristics can affect its efficiency. We investigated the AO protocols used in PD, by discussing the intervention features and the outcome measures in relation to their efficacy. A search was conducted through MEDLINE, Scopus, Cochrane, and WoS until November 2021, for RCTs with AO interventions. Participant’s characteristics, treatment features, outcome measures, and main results were extracted from each study. Results were gathered into a quantitative synthesis (MD and 95% CI) for each time point. Seven studies were included in the review, with 227 participants and a mean PEDro score of 6.7. These studies reported positive effects of AO in PD patients, mainly on walking ability and typical motor signs of PD like freezing of gait. However, disagreements among authors exist, mainly due to the heterogeneity of the intervention features. In overall, AO improves functional abilities and motor control in PD patients, with the intervention dose and the characteristics of the stimulus playing a decisive role in its efficacy.

Suggested Citation

  • Ioannis Giannakopoulos & Panagiota Karanika & Charalambos Papaxanthis & Panagiotis Tsaklis, 2022. "The Effects of Action Observation Therapy as a Rehabilitation Tool in Parkinson’s Disease Patients: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3311-:d:769019
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    References listed on IDEAS

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    1. Bingbing Zhang & Laidi Kan & Anqin Dong & Jiaqi Zhang & Zhongfei Bai & Yi Xie & Qianhao Liu & Yuzhong Peng, 2019. "The effects of action observation training on improving upper limb motor functions in people with stroke: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-13, August.
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