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Table 2 Five-point Likert questionnaire with the results (median ± IQR) for each round

From: Is physical therapy recommended for people with parkinson’s disease treated with subthalamic deep brain stimulation? a delphi consensus study

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

  1. *Delphi Panel members were asked to rate their agreement with the statement (1 = strongly disagree; 2 = disagree; 3 = undecided; 4 = agree; 5 = strongly agree); R.R. = response rate; C.R. = consensus reached; PD = Parkinson’s disease; PwPD = people with Parkinson’s disease; STN-DBS = subthalamic nucleus deep brain stimulation