Abstract
Background
Although most patients with Parkinson’s disease (PD) experience difficulties in bed mobility, evidence on the suitability of the methods for assessing impaired bed mobility in PD are lacking.
Objectives
To identify objective methods for assessing impaired bed mobility in PD and to discuss their clinimetric properties and feasibility for use in clinical practice.
Data sources
PubMed, Web of Science, and Cochrane Library were searched between 1995 and 2022.
Selection criteria
Studies were included if they described an objective assessment method for assessing impaired bed mobility in PD.
Data extraction and data synthesis
Characteristics of the identified measurement methods such as clinimetric properties and feasibility were extracted by two authors. The methodological quality of studies was evaluated using the Appraisal of studies tool.
Results
Twenty-three studies were included and categorised into three assessment methods: sensor-based assessments (48%), rating scales (39%), and timed-tests (13%). The risk of bias was low for all but one study, which was medium.
Limitations
Despite applying wide selection criteria, a relatively small number of studies were identified in our results.
Conclusion
Rating scales may be the most preferred for assessing impaired bed mobility in PD in clinical practice, until clinimetric validity are adequately demonstrated in the other assessment methods.
Contribution of Paper
- No consensus exists on objective assessment methods for impaired bed mobility in PD.
- This review revealed that bed mobility in PD can be objectively evaluated using rating scales, sensor-based assessments, and timed-tests.
- Rating scales may be the most suitable for assessing impaired bed mobility for PD in clinical practice.