Nivel de evidencia según metodología Grade de la estimulación rítmica auditiva como método de rehabilitación de marcha en personas con enfermedad de Parkinson : rapid review
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Archivos
Fecha
2024
Profesor/a Guía
Facultad/escuela
Idioma
es
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Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Introducción: La Enfermedad de Parkinson (EP) es una enfermedad neurodegenerativa de etiología desconocida y de carácter crónico-progresivo, que
causa principalmente trastornos del movimiento, afectando de forma directa la marcha y provocando discapacidad. La Estimulación Rítmica Auditiva (RAS) es
una técnica de la musicoterapia que facilita los movimientos intrínsecos y biológicamente rítmicos, utilizada de forma exclusiva en el entrenamiento,
reeducación y rehabilitación de la marcha. Si bien el uso de esta terapia es recomendada, el nivel de evidencia de aquello es desconocido.
Objetivo general: Determinar el nivel de evidencia de la Estimulación Rítmica Auditiva como método de rehabilitación de marcha en personas con Enfermedad
de Parkinson. Metodología: Se realizó la búsqueda sistemática en las bases de datos PubMed y Web of Science. Se incluyeron en la búsqueda ensayos clínicos aleatorizados (ECA) que estudiaran el efecto de la RAS en la rehabilitación de marcha de personas con EP. La revisión se realizó e informó de acuerdo con la declaración de PRISMA, asimismo, se evaluó la calidad metodológica de los artículos seleccionados con el sistema GRADE.
Resultados: La evidencia muestra que los participantes de los estudios manifestaron mejoras en distintos parámetros cinemáticos de la marcha,
reduciendo considerablemente los episodios de congelación y deterioro de dichas variables durante esta, lo que se refleja en el alto nivel de certeza en los estudios
analizados.
Conclusión: Es importante fomentar e implementar estudios que realicen entrenamientos más prolongados en el tiempo, para corroborar y estandarizar el
beneficio que aporta la RAS en la marcha de las personas con EP.
Introduction: Parkinson's Disease (PD) is a neurodegenerative disease of unknown etiology and chronic progressive character, which mainly causes movement disorders, directly affecting walking and causing disability. Auditory Rhythmic Stimulation (RAS) is a music therapy technique that facilitates intrinsic and biologically rhythmic movements, used exclusively in gait training, re-education and rehabilitation. Although the use of this therapy is recommended, the level of evidence for this is unknown. Objective: To determine the level of evidence of Auditory Rhythmic Stimulation as a method of gait rehabilitation in people with Parkinson's Disease. Methods: The systematic search was carried out in the PubMed and Web of Science databases. Randomized clinical trials (RCTs) that studied the effect of RAS on the gait rehabilitation of people with PD were included in the search. The review was conducted and reported in accordance with the PRISMA statement, and the methodological quality of the selected articles was evaluated with the GRADE system. Results: The evidence shows that study participants showed improvements in different kinematic gait parameters, considerably reducing freezing episodes during gait, which is reflected in the high level of certainty in the studies analyzed. Conclusion: It is important to encourage and implement studies that carry out training for longer periods of time, to corroborate and standardize the benefit that the RAS provides in the gait of people with PD.
Introduction: Parkinson's Disease (PD) is a neurodegenerative disease of unknown etiology and chronic progressive character, which mainly causes movement disorders, directly affecting walking and causing disability. Auditory Rhythmic Stimulation (RAS) is a music therapy technique that facilitates intrinsic and biologically rhythmic movements, used exclusively in gait training, re-education and rehabilitation. Although the use of this therapy is recommended, the level of evidence for this is unknown. Objective: To determine the level of evidence of Auditory Rhythmic Stimulation as a method of gait rehabilitation in people with Parkinson's Disease. Methods: The systematic search was carried out in the PubMed and Web of Science databases. Randomized clinical trials (RCTs) that studied the effect of RAS on the gait rehabilitation of people with PD were included in the search. The review was conducted and reported in accordance with the PRISMA statement, and the methodological quality of the selected articles was evaluated with the GRADE system. Results: The evidence shows that study participants showed improvements in different kinematic gait parameters, considerably reducing freezing episodes during gait, which is reflected in the high level of certainty in the studies analyzed. Conclusion: It is important to encourage and implement studies that carry out training for longer periods of time, to corroborate and standardize the benefit that the RAS provides in the gait of people with PD.
Notas
Actividad final (Magíster en Neurorrehabilitación)
Palabras clave
Enfermedad de Parkinson, Rehabilitación, Estimulación Rítmica Auditiva