Home-based exercises with minimal oversight in Parkinson's Disease motor function: a systematic review and meta-analysis

Aims: this study aimed to present the latest available evidence on the effects of home-based exercises with minimal oversight (HBEMO) on motor function and quality of life of Parkinson's Disease (PD) subjects. Methods: in this systematic review MEDLINE (PubMed), LILACS, PEDro, EMBASE, Cochrane and Google Scholar were searched for randomized clinical trials investigating the effects of HBEMO on PD subjects. Results: four studies were included in the meta-analysis. HBEMO was almost as beneficial as conventional therapies in lowering motor impairment through Unified Parkinson's Disease Rating Scale-III (UPDRS-III) analysis (Mean difference = -1.70 [95%CI = -4.39 to 0.99]; I2 = 88%; p < 0,01) and improving quality of life through The Parkinson's Disease Questionnaire (PDQ-39) (Mean difference = 0.39 [95%CI = -3.41 to 4.19]; I2 = 93%; p < 0,01). Conclusions: minimally assisted home-based exercises are almost as effective as the usual care to improve motor function and quality of life of Parkinson's Disease subjects.