Hoskovcová Martina, Růžička Evžen, Gál Ota
Department of Neurology, Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University, General University Hospital in Prague, 128 21 Prague, Czech Republic.
J Pers Med. 2022 Apr 30;12(5):730. doi: 10.3390/jpm12050730.
This opinion paper reviews the use of the category of "conventional physiotherapy" (CPT) in Parkinson's disease (PD)-relevant reviews and meta-analyses and points out serious inconsistencies within and among them. These are first discussed in general, leading to the conclusion that, in most cases, the category of CPT encompasses a range of incompatible interventions. This undermines previous conclusions about their superiority or inferiority relative to various other treatment modalities. Next, the update to the European Physiotherapy Guidelines is discussed in detail, since it treats CPT as a global and time-independent category per se, ascribing effects in various domains to it. This introduces several important biases into the findings presented in this publication. These are subsequently discussed, and it is concluded that the categorisation of various physiotherapy techniques under the umbrella term of CPT is empty, or even dangerous, and should be abandoned. Other categories are suggested as a replacement, including "Other Physiotherapy Techniques" and "Multimodal Training".
这篇观点论文回顾了“传统物理治疗”（CPT）类别在帕金森病（PD）相关综述和荟萃分析中的使用情况，并指出了其中以及它们之间存在的严重不一致性。首先对这些情况进行了总体讨论，得出的结论是，在大多数情况下，CPT类别包含一系列不兼容的干预措施。这削弱了先前关于它们相对于其他各种治疗方式的优越性或劣势的结论。接下来，详细讨论了欧洲物理治疗指南的更新情况，因为该指南将CPT本身视为一个整体且与时间无关的类别，并将各个领域的效果归因于它。这给该出版物中呈现的研究结果引入了几个重要的偏差。随后对这些偏差进行了讨论，得出的结论是，将各种物理治疗技术归类在CPT这一统称之下是空洞的，甚至是危险的，应该予以摒弃。建议用其他类别取而代之，包括“其他物理治疗技术”和“多模式训练”。
