Clinical assessment of upper limb impairments and functional capacity in Parkinson's disease: a systematic review
Abstract: Background Parkinson's disease (PD) may progressively reduce the upper limb's functionality. Currently, there is no standardized upper limb functional capacity assessment in PD in the rehabilitation field. Objective To identify specific outcome measurements to assess upper limbs in PD and access functional capacity. Methods We systematically reviewed and analyzed the literature in English published from August/2012 to August/2022 according to PRISMA. The following keywords were used in our search: “upper limbs” OR “upper extremity” and “Parkinson's disease.” Two researchers searched independently, including studies accordingly to our inclusion and exclusion criteria. Registered at PROSPERO CRD42021254486. Results We found 797 studies, and 50 were included in this review (n = 2.239 participants in H&Y stage 1–4). The most common upper limbs outcome measures found in the studies were: (i) UPDRS-III and MDS-UPDRS to assess the severity and progression of PD motor symptoms (tremor, bradykinesia, and rigidity) (ii) Nine Hole Peg Test and Purdue Pegboard Test to assess manual dexterity; (iii) Spiral test and Funnel test to provoke and assess freezing of upper limbs; (iv) Technology assessment such as wearables sensors, apps, and other device were also found. Conclusion We found evidence to support upper limb impairments assessments in PD. However, there is still a large shortage of specific tests to assess the functional capacity of the upper limbs. The upper limbs' functional capacity is insufficiently investigated during the clinical and rehabilitation examination due to a lack of specific outcome measures to assess functionality.
- Alternative title
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Avaliação clínica de comprometimentos de membros superiores e capacidade funcional na doença de Parkinson: uma revisão sistemática
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Clinical assessment of upper limb impairments and functional capacity in Parkinson's disease: a systematic review ; volume:81 ; number:11 ; year:2023 ; pages:1008-1015
Arquivos de neuro-psiquiatria ; 81, Heft 11 (2023), 1008-1015
- Contributor
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Capato, Tamine T. C.
Rodrigues, Rúbia
Cury, Rubens G.
Teixeira, Manoel Jacobsen
Barbosa, Egberto R.
- DOI
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10.1055/s-0043-1772769
- URN
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urn:nbn:de:101:1-2024011810385051152364
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:32 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Capato, Tamine T. C.
- Rodrigues, Rúbia
- Cury, Rubens G.
- Teixeira, Manoel Jacobsen
- Barbosa, Egberto R.
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Evaluating upper limb impairments in multiple sclerosis by exposure to different mechanical environments
Correction to: Characterization of stroke-related upper limb motor impairments across various upper limb activities by use of kinematic core set measures
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