RT journal article T1 Additional Physical Interventions to Conventional Physical Therapy in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Randomized Clinical Trials A1 Hidalgo Agudo, Ruben D. A1 Lucena Antón, David Manuel A1 Luque-Moreno, Carlos A1 Heredia Rizo, Alberto-Marcos A1 Moral Muñoz, José Antonio A2 Enfermería y Fisioterapia K1 Parkinson's disease K1 Movement disorders K1 Physical therapy K1 Dance therapy K1 Aquatic therapy K1 Meta-analysis K1 Older adults AB Parkinson's disease (PD) represents the second most common neurodegenerative disease. Currently, conventional physical therapy is complemented by additional physical interventions with recreational components, improving different motor conditions in people with PD. This review aims to evaluate the effectiveness of additional physical interventions to conventional physical therapy in Parkinson's disease. A systematic review and meta-analysis of randomized controlled trials were performed. The literature search was conducted in PubMed, Physiotherapy Evidence Database (PEDro), Scopus, SciELO and Web of Science. The PEDro scale was used to evaluate the methodological quality of the studies. A total of 11 randomized controlled trials were included in this review. Five of them contributed information to the meta-analysis. The statistical analysis showed favorable results for dance-based therapy in motor balance: (Timed Up and Go: standardized mean difference (SMD) = −1.16; 95% Confidence Interval (CI):(−2.30 to −0.03); Berg Balance Scale: SMD = 4.05; 95%CI:(1.34 to 6.75)). Aquatic interventions showed favorable results in balance confidence (Activities-Specific Balance Confidence: SMD=10.10; 95%CI:(2.27 to 17.93)). The results obtained in this review highlight the potential benefit of dance-based therapy in functional balance for people with Parkinson's disease, recommending its incorporation in clinical practice. Nonetheless, many aspects require clarification through further research and high-quality studies on this subject. SN 2077-0383 YR 2020 FD 2020 LK http://hdl.handle.net/10498/22855 UL http://hdl.handle.net/10498/22855 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 09-nov-2026