Meta-analysis: The Effect of Muscle Strength Training on Walking Ability of Patients with Parkinson's Disease
Meng Zhaoli,
Zhi Xiao,
Li Beibei,
Zheng Yanpei,
Li Lin,
Du Fei,
Li Tong,
Yan Zhi,
Liang Zhanghua
Issue:
Volume 6, Issue 1, March 2021
Pages:
1-9
Received:
29 December 2020
Accepted:
14 January 2021
Published:
22 January 2021
Abstract: Objective: This Meta-analysis was aimed to systematically studying the effects of muscle strength training on the walking ability like balance ability, mobility ability of Parkinson's disease patients and then provide useful theoretical reference to further researches on exercise treatments on Parkinson’s disease by retrieving and collecting articles about muscle strength training. Methods This literature review was finally determined on searching PubMed, Elsevier, Web of science, China Journal Full-text Database (CNKI), WanFang Data and other Chinese and foreign databases and combined with manual search. The limit of the search time was from the date when the literature was recorded to 2019. A comprehensive collection of randomly controlled trials of muscle strength training on the walking ability of Parkinson's patients was done. Researchers used the Cochrance risk assessment tool to evaluate the methodological quality of the selected articles, and the ReMan 5.3.5 software to statistically process the obtained data. Results A total of 13 RCTs and 627 samples were included in this study. Meta-analysis of BBS balance scale show that MD=4.67 (95%CI, I2=97%, P=0.52) between muscle strength training group and non-exercise intervention group; MD=-2.67 between muscle strength training group and exercise intervention control group (95%CI, I2=7%, P<0.00001); TUGT Meta-analysis show that MD=-1.06 (95%CI, I2=75%, P=0.10) between muscle strength training group and non-exercise intervention group; MD=0.09 (95%CI, I2=0%, P=0.31) between the muscle strength training group and the control group with exercise intervention; 10MWT Meta-analysis show MD=-0.28 (95%CI), I2=98%, P<0.29) between the muscle strength training group and the control group with exercise intervention; Stride length Meta-analysis show MD=-1.85 (95%CI, I2=68%, P=0.63) between the muscle strength training group and the control group without exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56) between the muscle strength training group and the control group with exercise intervention; MD=-1.75 (95%CI, I2=32%, P=0.56). Meta-analysis of stride speed show MD=-0.02 (95%CI, I2=0%, P=0.46) between muscle strength training group and control group without exercise intervention; MD=-0.03 (95%CI, I2=35%, P=0.52) between the muscle strength training group and control group with exercise intervention. Conclusion Muscle strength training can significantly improve the balance ability, mobility, and walking ability of Parkinson's disease patients, but it has no significant benefits on improving stride length and walking speed.
Abstract: Objective: This Meta-analysis was aimed to systematically studying the effects of muscle strength training on the walking ability like balance ability, mobility ability of Parkinson's disease patients and then provide useful theoretical reference to further researches on exercise treatments on Parkinson’s disease by retrieving and collecting articl...
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Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia
Issue:
Volume 6, Issue 1, March 2021
Pages:
10-19
Received:
12 October 2020
Accepted:
26 October 2020
Published:
16 April 2021
Abstract: Background: Patient centered care has become a central for the nation’s healthcare system all over the world. However the major issues facing healthcare systems around the world was not well explored. Therefore this study aims to identify facilitator and barriers to implement patient centered care practice in public hospitals in Benishangul Gumuze regional state, South West Ethiopia, 2019. Methods: Institution based Qualitative case study design was employed. Thirty two purposively selected participants from different category were interviewed. Ethical clearance sheet was obtained from Pawe health science college ethical review board. Seventeen face to face in depth interview, two focused group interview and systematic observation was conducted. Deductive analysis was employed manually to analyze text data. Results: The analysis result yields multiple driving and hindering factors of patient centered care practice. Information related factor, service expansion, feedback mechanism and health policy were identified as facilitators. In contrast patients’ health literacy level, health care provider characteristics, patient empowerment, shortage of resource, organizational capacity, shortage of specialty care, managerial skill, legislation related factor and organizational culture are identified as a barrier to practice patient centered care. Conclusion: Patient centered care practice in public hospitals had cheaply driven or hindered by multiple factors. Patient health literacy level, patient empowerment, and family and friend involvement in patient care were perceived as a tough barriers. Investing on the improvement of patient health literacy and patient empowerment may fasten the transformation of the current health care practice in to patient centered care practice in the healthcare setting.
Abstract: Background: Patient centered care has become a central for the nation’s healthcare system all over the world. However the major issues facing healthcare systems around the world was not well explored. Therefore this study aims to identify facilitator and barriers to implement patient centered care practice in public hospitals in Benishangul Gumuze ...
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