Statement* | 1st round (n = 20; RR = 95%) | 2nd round (n = 18; RR = 86%) | 3rd round (n = 16; RR = 76%) |
---|---|---|---|
Physical Therapy in PwPD implanted with STN-DBS | |||
S1. Physical therapy might help improving motor symptoms of PD in PwPD implanted with STN-DBS | 5 ± 1 | 5 ± 0–C.R | – |
S2. Physical therapy treatments suggested in literature for postural instability in not-implanted PwPD might help improving postural instability also in PwPD implanted with STN-DBS | 4 ± 0.5 | 4 ± 0 | 4 ± 0 |
S3. Physical therapy treatments suggested in literature for gait disability in not-implanted PwPD might help improving postural instability also in PwPD implanted with STN-DBS | 4 ± 1 | 4 ± 0 | 4 ± 0 |
S4. Physical therapy might help improving quality of life of PwPD implanted with STN-DBS | 5 ± 1 | 5 ± 0–C.R | – |
S5. Physical therapy might help maximizing effects of stimulation in PwPD implanted with STN-DBS | 4 ± 1 | 5 ± 0.75 | 5 ± 0–C.R |
S6. Physical therapy might help slowing pathological motor decline of PwPD implanted with STN-DBS | 4 ± 1.25 | 4 ± 1.75 | 4 ± 0.5 |
S7. Physical therapy might help alleviating caregiver burden of PwPD implanted with STN-DBS | 4 ± 1 | 4 ± 0 | 4 ± 0 |
S8. Physical therapy should be prescribed to PwPD implanted with STN-DBS as soon as the clinical conditions are stable | 5 ± 2 | 5 ± 0.75 | 5 ± 0–C.R |
S9. Physical therapy should be prescribed for chronically implanted PwPD with STN-DBS | 4 ± 1.25 | 5 ± 1 | 5 ± 0–C.R |
S10. Physical therapy should be prescribed in treatment guidelines as complementary treatment for PwPD implanted with STN-DBS | 5 ± 1.25 | 5 ± 0 | 5 ± 0–C.R |
S11. Physical therapist should be part of the multidisciplinary équipe taking care of PwPD implanted with STN-DBS | 5 ± 0.25 | 5 ± 0–C.R | – |
Physical Therapy Treatment in PwPD implanted with STN-DBS | |||
S12. Conventional physiotherapy (i.e., physiotherapist-supervised active exercise interventions targeting gait, balance, transfers or physical capacity, or a combination thereof) should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 4 ± 2 | 5 ± 1 | 5 ± 0–C.R |
S13. Conventional physiotherapy (i.e., physiotherapist-supervised active exercise interventions targeting gait, balance, transfers or physical capacity, or a combination thereof) should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 4 ± 1 | 5 ± 0.75 | 5 ± 0–C.R |
S14. Treadmill training should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 4 ± 2 | 4 ± 1.75 | 4 ± 1 |
S15. Treadmill training should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 4 ± 1.25 | 3.5 ± 1 | 3.5 ± 1 |
S16. Massage or Manual Therapy should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 3 ± 1.25 | 2 ± 1 | 2 ± 0 |
S17. Massage or Manual Therapy should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 3 ± 1 | 2 ± 1 | 2 ± 0–C.R |
S18. Cueing (visual, auditory) should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 4 ± 2 | 4 ± 1 | 4 ± 1.25 |
S19. Cueing (visual, auditory) should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 4 ± 2 | 4 ± 1 | 4 ± 1.25 |
S20. Dance-based training should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 3 ± 1.25 | 3 ± 2 | 3 ± 1 |
S21. Dance-based training should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 3 ± 1 | 3.5 ± 2 | 3 ± 0.25 |
S22. Tai Chi-based training should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 3 ± 1.25 | 3 ± 0 | 3 ± 0 |
S23. Tai Chi-based training should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 3 ± 1.25 | 3 ± 1 | 3 ± 0 |
S24. Cognitive movement strategies (e.g., stand up right; bring the weight on the heels; transfer the weight to one leg; step out with the other leg, make a large step, and keep on walking) should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 4 ± 1 | 4.5 ± 1 | 5 ± 1 |
S25. Cognitive movement strategies (e.g., stand up right; bring the weight on the heels; transfer the weight to one leg; step out with the other leg, make a large step, and keep on walking) should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 4 ± 1 | 4.5 ± 1 | 4 ± 1 |
S26. Aerobic training should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 5 ± 2.25 | 5 ± 1 | 5 ± 0.25 |
S27. Aerobic training should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 5 ± 2 | 5 ± 1 | 5 ± 0.25 |
S28. Muscle strengthening should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 4 ± 2 | 5 ± 1 | 5 ± 1 |
S29. Muscle strengthening should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 4.5 ± 2 | 5 ± 1 | 5 ± 1 |
S30. Robot-assisted gait training should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 2.5 ± 1 | 2 ± 0.75 | 2 ± 1 |
S31. Robot-assisted gait training should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 2.5 ± 1 | 2 ± 0.75 | 2 ± 1 |
S32. Aquatic exercise should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 3 ± 2 | 3 ± 1.75 | 3 ± 1 |
S33. Aquatic exercise should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 3 ± 2.25 | 3.5 ± 1.75 | 3 ± 1 |
S34. Virtual reality and exergames should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 3 ± 1.25 | 3 ± 0.75 | 3 ± 0.25 |
S35. Virtual reality and exergames should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 3 ± 2 | 3 ± 1 | 3 ± 0 |
S36. Resistance training should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 3.5 ± 1.5 | 3.5 ± 1.75 | 3 ± 1 |
S37. Resistance training should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 3.5 ± 1.25 | 4 ± 1.75 | 3 ± 1 |
S38. Exercise to improve trunk and limbs flexibility and range of motion should be suggested as PT treatment for PwPD implanted with STN-DBS, as soon as the clinical conditions are stable | 4 ± 1.25 | 4 ± 0.75 | 4 ± 0 |
S39. Exercise to improve trunk and limbs flexibility and range of motion should be suggested as PT treatment for PwPD chronically implanted with STN-DBS | 4 ± 1.25 | 5 ± 1 | 4.5 ± 1 |