Research Article  |   January 2014
Systematic Review of the Effectiveness of Occupational Therapy–Related Interventions for People With Parkinson’s Disease
Author Affiliations
  • Erin R. Foster, OTD, MSCI, OTR/L, is Assistant Professor, Program in Occupational Therapy, Departments of Neurology and Psychiatry, Washington University School of Medicine, St. Louis, MO
  • Mayuri Bedekar, MS, OTR/L, is Occupational Therapist, HCR ManorCare, Roselle, IL
  • Linda Tickle-Degnen, PhD, OTR/L, FAOTA, is Professor and Chair, Department of Occupational Therapy, Tufts University, 26 Winthrop Street, Medford, MA 02155; linda.tickle_degnen@tufts.edu
Article Information
Complementary/Alternative Approaches / Evidence-Based Practice / Neurologic Conditions / Parkinson's Disease / Special Issue on Effectiveness of Occupational Therapy—Related Interventions for Neurodegenerative Diseases
Research Article   |   January 2014
Systematic Review of the Effectiveness of Occupational Therapy–Related Interventions for People With Parkinson’s Disease
American Journal of Occupational Therapy, January/February 2014, Vol. 68, 39-49. doi:10.5014/ajot.2014.008706
American Journal of Occupational Therapy, January/February 2014, Vol. 68, 39-49. doi:10.5014/ajot.2014.008706
Abstract

We describe the results of a systematic review of the literature on occupational therapy–related interventions for people with Parkinson’s disease (PD). Three broad categories of intervention emerged: (1) exercise or physical activity; (2) environmental cues, stimuli, and objects; and (3) self-management and cognitive–behavioral strategies. Moderate to strong evidence exists for task-specific benefits of targeted physical activity training on motor performance, postural stability, and balance. Low to moderate evidence indicates that more complex, multimodal activity training supports improvement in functional movement activities. The evidence is moderate that the use of external supports during functional mobility or other movement activities has positive effects on motor control. In addition, moderate evidence is available that individualized interventions focused on promoting participant wellness initiatives and personal control by means of cognitive–behavioral strategies can improve targeted areas of quality of life. The implications for practice, education, and research are discussed.