Advanced

Systematic Review of the Benefits of Physical Therapy Within a Multidisciplinary Care Approach for People With Schizophrenia

Vancampfort, Davy; Probst, Michel; Skjaerven, Liv Helvik; Catalan-Matamoros, Daniel; Lundvik Gyllensten, Amanda LU ; Gomez-Conesa, Antonia; Ijntema, Rutger and De Hert, Marc (2012) In Physical Therapy 92(1). p.11-23
Abstract
Background. Although schizophrenia is the fifth leading cause of disability-adjusted life years worldwide in people aged 15 to 44 years, the clinical evidence of physical therapy as a complementary treatment remains largely unknown. Purpose. The purpose of this study was to systematically review randomized controlled trials (RCTs) evaluating the effectiveness of physical therapy for people with schizophrenia. Data Sources. EMBASE, PsycINFO, PubMed, ISI Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), and the Cochrane Library were searched from their inception until July 1, 2011, for relevant RCTs. In addition, manual search strategies were used. Study Selection. Two... (More)
Background. Although schizophrenia is the fifth leading cause of disability-adjusted life years worldwide in people aged 15 to 44 years, the clinical evidence of physical therapy as a complementary treatment remains largely unknown. Purpose. The purpose of this study was to systematically review randomized controlled trials (RCTs) evaluating the effectiveness of physical therapy for people with schizophrenia. Data Sources. EMBASE, PsycINFO, PubMed, ISI Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), and the Cochrane Library were searched from their inception until July 1, 2011, for relevant RCTs. In addition, manual search strategies were used. Study Selection. Two reviewers independently determined study eligibility on the basis of inclusion criteria. Data Extraction. Reviewers rated study quality and extracted information about study methods, design, intervention, and results. Data Synthesis. Ten RCTs met all selection criteria; 6 of these studies addressed the use of aerobic and strength exercises. In 2 of these studies, yoga techniques also were investigated. Four studies addressed the use of progressive muscle relaxation. There is evidence that aerobic and strength exercises and yoga reduce psychiatric symptoms, state anxiety, and psychological distress and improve health-related quality of life, that aerobic exercise improves short-term memory, and that progressive muscle relaxation reduces state anxiety and psychological distress. Limitations. The heterogeneity of the interventions and the small sample sizes of the included studies limit overall conclusions and highlight the need for further research. Conclusions. Physical therapy offers added value in the multidisciplinary care of people with schizophrenia. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Physical Therapy
volume
92
issue
1
pages
11 - 23
publisher
Amer Physical Therapy Assoc
external identifiers
  • wos:000298642100002
  • scopus:84855229363
ISSN
0031-9023
DOI
10.2522/ptj.20110218
language
English
LU publication?
yes
id
e0d4cdeb-3188-4e28-89dd-4fc6d1ff00c2 (old id 2333611)
date added to LUP
2012-02-01 07:39:40
date last changed
2017-10-01 03:30:54
@article{e0d4cdeb-3188-4e28-89dd-4fc6d1ff00c2,
  abstract     = {Background. Although schizophrenia is the fifth leading cause of disability-adjusted life years worldwide in people aged 15 to 44 years, the clinical evidence of physical therapy as a complementary treatment remains largely unknown. Purpose. The purpose of this study was to systematically review randomized controlled trials (RCTs) evaluating the effectiveness of physical therapy for people with schizophrenia. Data Sources. EMBASE, PsycINFO, PubMed, ISI Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), and the Cochrane Library were searched from their inception until July 1, 2011, for relevant RCTs. In addition, manual search strategies were used. Study Selection. Two reviewers independently determined study eligibility on the basis of inclusion criteria. Data Extraction. Reviewers rated study quality and extracted information about study methods, design, intervention, and results. Data Synthesis. Ten RCTs met all selection criteria; 6 of these studies addressed the use of aerobic and strength exercises. In 2 of these studies, yoga techniques also were investigated. Four studies addressed the use of progressive muscle relaxation. There is evidence that aerobic and strength exercises and yoga reduce psychiatric symptoms, state anxiety, and psychological distress and improve health-related quality of life, that aerobic exercise improves short-term memory, and that progressive muscle relaxation reduces state anxiety and psychological distress. Limitations. The heterogeneity of the interventions and the small sample sizes of the included studies limit overall conclusions and highlight the need for further research. Conclusions. Physical therapy offers added value in the multidisciplinary care of people with schizophrenia.},
  author       = {Vancampfort, Davy and Probst, Michel and Skjaerven, Liv Helvik and Catalan-Matamoros, Daniel and Lundvik Gyllensten, Amanda and Gomez-Conesa, Antonia and Ijntema, Rutger and De Hert, Marc},
  issn         = {0031-9023},
  language     = {eng},
  number       = {1},
  pages        = {11--23},
  publisher    = {Amer Physical Therapy Assoc},
  series       = {Physical Therapy},
  title        = {Systematic Review of the Benefits of Physical Therapy Within a Multidisciplinary Care Approach for People With Schizophrenia},
  url          = {http://dx.doi.org/10.2522/ptj.20110218},
  volume       = {92},
  year         = {2012},
}