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Although the architecture and design of a PD patient\u2019s environment can hinder or facilitate full participation in daily activities, their putative role in the management of these patients has received little attention to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We conducted a systematic review to evaluate the evidence of architectural and design features in the management of people with PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An electronic database search of observational and experimental studies was conducted in MEDLINE and Embase from inception to May 2020, with two independent reviewers identifying the studies. Falls, fear of falling, postural instability, gait impairment\/disability, and functional mobility were our outcomes of interest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-six studies were included, among which nineteen were observational and seventeen were experimental studies (overall participants\u200a=\u200a2,965). Pavement characteristics, notably unstable surfaces and level differences, were found to be a major cause of falling. Ground-based obstacles and confined\/narrowed spaces were found to disturb gait, increase postural instability, and decrease functional mobility. Housing type did not appear to increase risk of falling, nor to significantly explain concerns about falling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings suggest a need to adjust architectural features of the surrounding space to ensure appropriate care and provide a safe environment to PD patients. More evidence about the impact of such modifications on PD outcomes is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jpd-202035","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T17:03:55Z","timestamp":1597165435000},"page":"1301-1314","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The Role of Architecture and Design in the Management of Parkinson\u2019s Disease: A Systematic Review"],"prefix":"10.1177","volume":"10","author":[{"given":"Joana Beisl","family":"Ramos","sequence":"first","affiliation":[{"name":"Universidade de Lisboa","place":["Portugal"]},{"name":"Centro Hospitalar Universit\u00e1rio Lisboa Norte","place":["Portugal"]}]},{"given":"Gon\u00e7alo S.","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa","place":["Portugal"]},{"name":"Instituto de Medicina Molecular Jo\u00e3o Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa.\rAvenida Professor Egas Moniz, 1649-028, Lisboa, Portugal"}]},{"given":"Raquel","family":"Bou\u00e7a-Machado","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Molecular Jo\u00e3o Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa.\rAvenida Professor Egas Moniz, 1649-028, Lisboa, Portugal"},{"name":"CNS \u2013Campus Neurol\u00f3gico S\u00e9nior, Torres Vedras, Portugal"}]},{"given":"Margherita","family":"Fabbri","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Molecular Jo\u00e3o Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa.\rAvenida Professor Egas Moniz, 1649-028, Lisboa, Portugal"},{"name":"University of Torino","place":["Italy"]}]},{"given":"Tiago A.","family":"Mestre","sequence":"additional","affiliation":[{"name":"University of Ottawa Brain and Mind Institute","place":["Canada"]}]},{"given":"Jo\u00e3o","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa","place":["Portugal"]},{"name":"Instituto de Medicina Molecular Jo\u00e3o Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa.\rAvenida Professor Egas Moniz, 1649-028, Lisboa, Portugal"}]},{"given":"T\u00e2nia Beisl","family":"Ramos","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa","place":["Portugal"]}]},{"given":"Joaquim J.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa","place":["Portugal"]},{"name":"Instituto de Medicina Molecular Jo\u00e3o Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa.\rAvenida Professor Egas Moniz, 1649-028, Lisboa, Portugal"},{"name":"CNS \u2013Campus Neurol\u00f3gico S\u00e9nior, Torres Vedras, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2020,8,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(06)70471-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(17)30299-5"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23878"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2017.3299"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2015.11.055"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25658"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(06)70373-8"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2010.08.012"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(11)70143-0"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21659"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21458"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.12.019"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2013.03.024"},{"key":"e_1_3_3_15_2","first-page":"87","article-title":"Impaired step up\/over in persons with Parkinson\u2019s disease","volume":"27","author":"Nocera JR","year":"2010","unstructured":"NoceraJR, HorvatM, RayCT (2010) Impaired step up\/over in persons with Parkinson\u2019s disease. 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