Physiotherapy treatment on Balance impairment in patients with Parkinson's Disease : A systematic review”

Authors

  • Rutuja P. Gawande
  • Mahima Chakwate
  • Pooja Acharya
  • Harshada Chavan
  • Firdous Imandar

Keywords:

Parkinson’s Disease, Physiotherapy, Virtual Reality, Rehabilitation, Balance Training, Postural Control, Sensor-Based Assessment, Multidisciplinary Therapy, Motor Function, Fall Prevention

Abstract

Parkinson's disease (PD) is a progressive neurological condition that significantly affects balance, movement, and total motor function, heightening the risk of falls and diminishing quality of life. Physiotherapy has become an essential intervention for alleviating balance deficits in people with Parkinson's disease, with numerous treatment modalities investigated to improve motor control and stability. This systematic study evaluates the efficacy of physiotherapy-based rehabilitation treatments, encompassing sensor-based training, virtual reality (VR) therapy, multidisciplinary rehabilitation strategies, and traditional physiotherapy methods. This review synthesizes many research to elucidate the impact of various therapies on enhancing postural control, gait stability, and functional mobility in people with Parkinson's disease. The results indicate that technology-assisted physiotherapy, cognitive-motor training, and task-specific exercises significantly enhance neuromuscular coordination and mitigate fall risk. Furthermore, the incorporation of contemporary therapeutic approaches, including vestibular stimulation, dynamic weight support, and mirror neuron therapy, has demonstrated favorable results in rehabilitation programs. Although traditional physiotherapy is fundamental in Parkinson's disease management, the integration of innovative rehabilitation methods has shown enhanced efficacy in mitigating balance deficits. This study emphasizes the necessity of a tailored and interdisciplinary rehabilitation strategy, arguing for additional clinical research to enhance physiotherapy protocols and improve patient-centered care.

Categories:Neurological Rehabilitation, Physiotherapy & Rehabilitation Sciences

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References

López-Liria, R., Vega-Tirado, S., Valverde-Martínez, M. Á., Calvache-Mateo, A., Martínez-Martínez, A. M., & Rocamora-Pérez, P. (2023). Efficacy of Specific Trunk Exercises in the Balance Dysfunction of Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis. Sensors, 23(4), 1817.

Wang, W., Wong, S. S.-l., & Lai, F. H.-y. (2021). The Effect of Virtual Reality Rehabilitation on Balance in Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis. Electronics, 10(9), 1003.

Iravani-Naeeni, A., & Mohagheghi, A. (2024). Effect of Vestibular Stimulation on Balance and Gait in Parkinson’s Disease: A Systematic Review. Journal of Functional Morphology and Kinesiology, 9(4), 206.

Hidalgo-Agudo, R. D., Lucena-Anton, D., Luque-Moreno, C., Heredia-Rizo, A. M., & Moral-Munoz, J. A. (2020). Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Journal of Clinical Medicine, 9(4), 1038.

Giorgi, F., Donati, D., & Tedeschi, R. (2024). Cueing Interventions for Gait and Balance in Parkinson’s Disease: A Scoping Review of Current Evidence. Applied Sciences, 14(24), 11781.

Varalta, V., Poiese, P., Recchia, S., Montagnana, B., Fonte, C., Filippetti, M., Tinazzi, M., Smania, N., & Picelli, A. (2021). Physiotherapy versus Consecutive Physiotherapy and Cognitive Treatment in People with Parkinson’s Disease: A Pilot Randomized Cross-Over Study. Journal of Personalized Medicine, 11(8), 687.

Papamichail, P., Michalas, M., Krokos, D., Balamoutsou, M., Karkoula, P., Lyros, E., Sakellari, V., & Christakou, A. (2024). The Effectiveness of Exercise Programs on Balance, Functional Ability, Quality of Life, and Depression in Progressive Supranuclear Palsy: A Case Study. Applied Sciences, 14(18), 8368.

Ferrara, P. E., Gatto, D. M., Codazza, S., Zordan, P., Stefinlongo, G., Coraci, D., Lo Monaco, M. R., Ricciardi, D., & Ronconi, G. (2022). Effects of Focal Muscle Vibration on Gait and Balance in Parkinson Patients: Preliminary Results. Applied Sciences, 12(20), 10486.

Rodríguez-Mansilla, J., Bedmar-Vargas, C., Garrido-Ardila, E. M., Torres-Piles, S. T., González-Sánchez, B., Rodríguez-Domínguez, M. T., Ramírez-Durán, M. V., & Jiménez-Palomares, M. (2023). Effects of Virtual Reality in the Rehabilitation of Parkinson’s Disease: A Systematic Review. Journal of Clinical Medicine, 12(15), 4896.”

Lee, D.-H., Woo, B.-S., Park, Y.-H., & Lee, J.-H. (2024). General Treatments Promoting Independent Living in Parkinson’s Patients and Physical Therapy Approaches for Improving Gait—A Comprehensive Review. Medicina, 60(5), 711

Mylius, V., Zenev, E., Brook, C. S., Brugger, F., Maetzler, W., Gonzenbach, R., & Paraschiv-Ionescu, A. (2024). Imbalance and Falls in Patients with Parkinson’s Disease: Causes and Recent Developments in Training and Sensor-Based Assessment. Brain Sciences, 14(7), 625. https://doi.org/10.3390/brainsci14070625

Rodríguez-Mansilla, J., Bedmar-Vargas, C., Garrido-Ardila, E. M., Torres-Piles, S. T., González-Sánchez, B., Rodríguez-Domínguez, M. T., Ramírez-Durán, M. V., & Jiménez-Palomares, M. (2023). Effects of Virtual Reality in the Rehabilitation of Parkinson’s Disease: A Systematic Review. Journal of Clinical Medicine, 12(15), 4896. https://doi.org/10.3390/jcm12154896

Maggio, M. G., Bonanno, M., Manuli, A., De Luca, R., Di Lorenzo, G., Quartarone, A., & Calabrò, R. S. (2024). Advances in the Neuro-Rehabilitation of Parkinson’s Disease: Insights from a Personalized Multidisciplinary Innovative Pathway. Biomedicines, 12(11), 2426. https://doi.org/10.3390/biomedicines12112426

Papageorgiou, D., Sakellari, V., Koumantakis, G. A., Gkoraki, V., & Chrysagis, N. (2025). Physiotherapy Management and Technology Use for Parkinson’s Disease: A Survey Among Greek Physiotherapists. Applied Sciences, 15(2), 629. https://doi.org/10.3390/app15020629

Hoskovcová, M., Růžička, E., Gál, O., & on behalf of the iCARE-PD Consortium. (2022). The Category of Conventional Physiotherapy: The Case of Parkinson’s Disease Guidelines. Journal of Personalized Medicine, 12(5), 730. https://doi.org/10.3390/jpm12050730

Bacanoiu, M. V., Mititelu, R. R., Danoiu, M., Olaru, G., & Buga, A. M. (2020). Functional Recovery in Parkinson’s Disease: Current State and Future Perspective. Journal of Clinical Medicine, 9(11), 3413. https://doi.org/10.3390/jcm9113413

Ciatto, L., Pullia, M., Tavilla, G., Dauccio, B., Messina, D., De Cola, M. C., Quartarone, A., Cellini, R., Bonanno, M., & Calabrò, R. S. (2023). Do Patients with Parkinson’s Disease Benefit from Dynamic Body Weight Support? A Pilot Study on the Emerging Role of Rysen. Biomedicines, 11(8), 2148. https://doi.org/10.3390/biomedicines11082148

García-López, H., Obrero-Gaitán, E., Castro-Sánchez, A. M., Lara-Palomo, I. C., Nieto-Escamez, F. A., & Cortés-Pérez, I. (2021). Non-Immersive Virtual Reality to Improve Balance and Reduce Risk of Falls in People Diagnosed with Parkinson’s Disease: A Systematic Review. Brain Sciences, 11(11), 1435. https://doi.org/10.3390/brainsci11111435

Maranesi, E., Di Donna, V., Pelliccioni, G., Cameriere, V., Casoni, E., Baldoni, R., Benadduci, M., Rinaldi, N., Fantechi, L., Giammarchi, C., Luzi, R., Pelliccioni, P., Di Rosa, M., Scendoni, P., Riccardi, G. R., & Bevilacqua, R. (2022). Acceptability and Preliminary Results of Technology-Assisted Balance Training in Parkinson’s Disease. International Journal of Environmental Research and Public Health, 19(5), 2655. https://doi.org/10.3390/ijerph19052655

Amadio, E., Cimini, L., Ruotolo, I., Carlizza, A., Berardi, A., Marini Padovani, A., Sellitto, G., Fabbrini, G., & Galeoto, G. (2025). Rehabilitation Treatment for Shoulder Pain in Parkinson’s Disease: A Pilot Study. Journal of Clinical Medicine, 14(4), 1127. https://doi.org/10.3390/jcm14041127

Djawas, F. A., Prasasti, V. R., Pahlawi, R., Noviana, M., & Pratama, A. D. (2022). The Effectiveness of Virtual Reality Exercises to Reduce Fall Risk in Parkinson’s Disease: A Literature Review. Proceedings, 83(1), 33. https://doi.org/10.3390/proceedings2022083033

Lahuerta-Martín, S., Llamas-Ramos, R., & Llamas-Ramos, I. (2022). Effectiveness of Therapies Based on Mirror Neuron System to Treat Gait in Patients with Parkinson’s Disease—A Systematic Review. Journal of Clinical Medicine, 11(14), 4236. https://doi.org/10.3390/jcm11144236

Dallaire, M., Gagnon, G., Fortin, É., Nepton, J., Severn, A.-F., Côté, S., Smaili, S. M., Gonçalves de Oliveira Araújo, H. A., de Oliveira, M. R., Ngomo, S., Bouchard, J., & da Silva, R. A. (2021). The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review. Geriatrics, 6(4), 105. https://doi.org/10.3390/geriatrics6040105

Dallaire, M., Gagnon, G., Fortin, É., Nepton, J., Severn, A.-F., Côté, S., Smaili, S. M., Gonçalves de Oliveira Araújo, H. A., de Oliveira, M. R., Ngomo, S., Bouchard, J., & da Silva, R. A. (2021). The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review. Geriatrics, 6(4), 105. https://doi.org/10.3390/geriatrics6040105

Machado Sotomayor, M. J., Arufe-Giráldez, V., Ruíz-Rico, G., & Navarro-Patón, R. (2021). Music Therapy and Parkinson’s Disease: A Systematic Review from 2015–2020. International Journal of Environmental Research and Public Health, 18(21), 11618. https://doi.org/10.3390/ijerph182111618

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Published

2025-06-25

How to Cite

1.
P. Gawande R, Chakwate M, Acharya P, Chavan H, Imandar F. Physiotherapy treatment on Balance impairment in patients with Parkinson’s Disease : A systematic review”. J Neonatal Surg [Internet]. 2025Jun.25 [cited 2025Jul.15];14(32S):2047-5. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7700

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

Section

Original Article

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