Publicação
Is there a role for architecture and design in the management of Parkinson’s disease? : a systematic review
| Resumo: | Background: Parkinson’s disease (PD) is a neurological disease whose incidence is expected to increase substantially within the next decades and for which only symptomatic treatment exists. Given the motor manifestations of this condition, there may be a putative role for architecture and design of the built environment in the management of these patients, though it has received little attention to date. We conducted a systematic review to better understand the potential contributions of such architecture and design for people with PD. Methods: We conducted an electronic database search from inception to November 2017, having found 31 observational studies reporting qualitative data, which we report in a qualitative evidence synthesis. Postural instability, falls, fear of falling, gait impairment/disability, and functional mobility were our outcomes of interest. Discussion: Pavement characteristics were a major cause of falling, particularly unstable surfaces (carpets) and level differences (steps, stairs, curbs). Ground based obstacles (furniture), confined and narrowed spaces (particularly doorways) were reported to disturb gait, postural stability, and decrease functional mobility. We found conflicting evidence regarding the impact of housing type on the risk of falling. Conclusion: Although findings may suggest a need for adjustments of architectural and design features of the surrounding space to maintain appropriate care and provide a safe environment to PD patients, there is limited evidence about the impact of such modifications on health outcomes. |
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| Autores principais: | Ramos, Joana Liani Beisl |
| Assunto: | Doença de Parkinson Revisão sistemática Síntese qualitativa de evidência |
| Ano: | 2018 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | Background: Parkinson’s disease (PD) is a neurological disease whose incidence is expected to increase substantially within the next decades and for which only symptomatic treatment exists. Given the motor manifestations of this condition, there may be a putative role for architecture and design of the built environment in the management of these patients, though it has received little attention to date. We conducted a systematic review to better understand the potential contributions of such architecture and design for people with PD. Methods: We conducted an electronic database search from inception to November 2017, having found 31 observational studies reporting qualitative data, which we report in a qualitative evidence synthesis. Postural instability, falls, fear of falling, gait impairment/disability, and functional mobility were our outcomes of interest. Discussion: Pavement characteristics were a major cause of falling, particularly unstable surfaces (carpets) and level differences (steps, stairs, curbs). Ground based obstacles (furniture), confined and narrowed spaces (particularly doorways) were reported to disturb gait, postural stability, and decrease functional mobility. We found conflicting evidence regarding the impact of housing type on the risk of falling. Conclusion: Although findings may suggest a need for adjustments of architectural and design features of the surrounding space to maintain appropriate care and provide a safe environment to PD patients, there is limited evidence about the impact of such modifications on health outcomes. |
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