Delivering Multidisciplinary Rehabilitation Care in Parkinson’s Disease: An International Consensus Statement

Journal of Parkinson s Disease, Journal Year: 2024, Volume and Issue: 14(1), P. 135 - 166

Published: Jan. 23, 2024

Background: Parkinson’s disease (PD) is a complex neurodegenerative disorder impacting everyday function and quality of life. Rehabilitation plays crucial role in improving symptoms, function, life reducing disability, particularly given the lack disease-modifying agents limitations medications surgical therapies. However, rehabilitative care under-recognized under-utilized PD often only utilized later stages, despite research guidelines demonstrating its positive effects. Currently, there consensus regarding fundamental topics related to services PD. Objective: The goal international Foundation Medicine Task Force was develop statement incorporation rehabilitation care. Methods: Force, comprised multidisciplinary experts people directly affected by PD, met virtually discuss such as services, existing therapy literature gaps needs. A systematic, interactive, iterative process used consensus-based statements on core components discipline-specific interventions. Results: expert-based outlines key tenets including approach guidance for occupational therapy, physical speech language pathology/therapy, psychology/neuropsychology across all stages. Conclusions: Rehabilitative interventions should be an essential component comprehensive treatment from diagnosis advanced disease. Greater education awareness benefits with their partners, further evidence-based scientific study are encouraged.

Language: Английский

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Older adults and individuals with Parkinson’s disease control posture along suborthogonal directions that deviate from the traditional anteroposterior and mediolateral directions

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Feb. 19, 2024

Abstract A rich and complex temporal structure of variability in postural sway characterizes healthy adaptable control. However, neurodegenerative disorders such as Parkinson’s disease, which often manifest tremors, rigidity, bradykinesia, disrupt this variability. This study examined young older adults, including individuals with under different upright standing conditions to investigate the potential connection between Parkinsonism. novel innovative method called oriented fractal scaling component analysis was employed. involves decomposing two-dimensional center pressure (CoP) planar trajectories pinpoint directions associated minimal maximal correlations sway. As a result, it facilitates comprehensive assessment directional characteristics within The results demonstrated that adults control posture along two orthogonal closely aligned traditional anatomical anteroposterior (AP) mediolateral (ML) axes. In contrast, disease controlled suborthogonal significantly deviate from AP ML These findings suggest altered is evident underlies deficits, surpassing what can be explained solely by natural aging process.

Language: Английский

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The effects of standard and modified LSVT BIG therapy protocols on balance and gait in Parkinson's disease: A randomized controlled trial

Brain and Behavior, Journal Year: 2024, Volume and Issue: 14(3)

Published: March 1, 2024

Abstract Background Lee Silverman voice treatment (LSVT) BIG is an exercise program developed for patients with Parkinson's disease (PwPD), consisting of sets exercises performed 4 consecutive days a week weeks. However, the standard protocol suggests frequency difficult to follow most who have difficulties reaching rehabilitation clinics. Our aim was compare LSVT modified (m‐LSVT) (twice in clinic weeks and twice at home weeks). Methods In this randomized controlled trial, 16 PwPD (aged 18–80 years, Hoehn Yahr stages I–III) were recruited into two groups. The group received training (four times per clinic). other given m‐LSVT exercises, but unlike group, exercised Berg Balance Scale used assess functional balance. Biodex System laboratory balance measures. Timed Up Go test G‐Walk sensor system mobility spatiotemporal gait analysis. Results Significant group‐by‐time interactions on eyes open‐firm surface score clinical sensory integration ( F = 10.138, p .007) cycle symmetry index 10.470, .010) found be favor group. Additionally, post hoc analyses revealed that both groups significantly improved postural stability, speed, motor symptoms, < .05). Conclusion results beneficial effects PwPD, as well superiority protocol. may effective intervention method, especially difficulty adapting

Language: Английский

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Cerebellar Transcranial Direct Current Stimulation in People with Parkinson’s Disease: A Pilot Study

Brain Sciences, Journal Year: 2020, Volume and Issue: 10(2), P. 96 - 96

Published: Feb. 11, 2020

People with Parkinson's disease (PwPD) often experience gait and balance problems that substantially impact their quality of life. Pharmacological, surgical, rehabilitative treatments have limited effectiveness many PwPD continue to impairment. Transcranial direct current stimulation (tDCS) may represent a viable therapeutic adjunct. The effects lower intensity tDCS (2 mA) over frontal brain areas, in unilateral bilateral montages, has previously been explored; however, the higher cerebellar mA 4 mA, respectively) on not investigated. Seven underwent five conditions (sham, 2 for 20 min. After 10 min rest, were tested. results indicated condition had significantly Berg Balance Scale score compared sham. This study provides preliminary evidence single session cerebellum, using configuration at (4 mA), improved performance. warrants future investigation larger samples repeated sessions.

Language: Английский

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Virtual reality balance training to improve balance and mobility in Parkinson’s disease: a systematic review and meta-analysis

Journal of Neurology, Journal Year: 2021, Volume and Issue: 269(4), P. 1873 - 1888

Published: Oct. 28, 2021

Language: Английский

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Reaching and Grasping Movements in Parkinson’s Disease: A Review

Journal of Parkinson s Disease, Journal Year: 2022, Volume and Issue: 12(4), P. 1083 - 1113

Published: March 4, 2022

Parkinson’s disease (PD) is known to affect the brain motor circuits involving basal ganglia (BG) and induce, among other signs, general slowness paucity of movements. In upper limb movements, PD patients show a systematic prolongation movement duration while maintaining sufficient level endpoint accuracy. appears cause impairments not only in execution, but also initiation planning, as revealed by abnormal preparatory activity motor-related areas. Grasping affected well, particularly coordination hand aperture with transport phase. last fifty years, numerous behavioral studies attempted clarify mechanisms underlying these anomalies, speculating on plausible role that BG-thalamo-cortical circuitry may play normal pathological control. Still, many questions remain open, especially concerning management speed-accuracy tradeoff online feedback this review, we summarize literature results reaching grasping parkinsonian patients. We analyze relevant hypotheses origins dysfunction, focusing control aspects involved different phases corresponding played BG. conclude an insight into innovative stimulation techniques computational models recently proposed, which might be helpful further clarifying through affects

Language: Английский

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Muscle Synergies in Parkinson’s Disease

Sensors, Journal Year: 2020, Volume and Issue: 20(11), P. 3209 - 3209

Published: June 5, 2020

Over the last two decades, experimental studies in humans and other vertebrates have increasingly used muscle synergy analysis as a computational tool to examine physiological basis of motor control. The theoretical background synergies is based on potential ability system coordinate muscles groups single unit, thus reducing high-dimensional data low-dimensional elements. Muscle may represent new framework pathophysiological specific symptoms Parkinson's disease (PD), including balance gait disorders that are often unresponsive treatment. precise mechanisms contributing these PD remain largely unknown. A better understanding pathophysiology necessary develop therapeutic strategies. This narrative review discusses evaluation PD. We first discuss methods for extraction from data. then critically assessing during different tasks balance, upper limb movements. Finally, we speculate about prospects challenges order promote future research protocols

Language: Английский

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Are movement-based mindful exercises (QIGONG, TAI CHI, AND YOGA) beneficial for stroke and Parkinson’s disease? A scoping review

Complementary Therapies in Medicine, Journal Year: 2022, Volume and Issue: 72, P. 102912 - 102912

Published: Dec. 21, 2022

To synthesize evidence from systematic reviews on the effects of qigong, tai chi, and yoga in people with neurological diseases.A search was conducted PubMed, PsycINFO, Embase, CINAHL Cochrane Library until September 2022. Methodological quality assessed using AMSTAR 2 tool. A qualitative synthesis included meta-analyses performed. Citation matrices corrected covered area were used to explore overlap randomized controlled trials among reviews.Nineteen (containing 74 80 meta-analyses) Parkinson's disease (PD) or stroke included. The critical domains not satisfied more than half reviews, only 4 evaluated certainty evidence. very high (21.7%) (11%) for chi studies PD stroke, respectively. In PD, yoga, can improve balance, being beneficial increase functional mobility. For patients, better controls enhance motor function independence, but health-related life sleep. Findings walking ability depression inconclusive population.Qigong, appear be effective balance performance PD. Tai practice enhances independency patients.

Language: Английский

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Postural control of Parkinson’s disease: A visualized analysis based on Citespace knowledge graph

Frontiers in Aging Neuroscience, Journal Year: 2023, Volume and Issue: 15

Published: March 24, 2023

Postural control impairment is one of the primary motor symptoms in patients with Parkinson’s disease, leading to an increased risk falling. Several studies have been conducted on postural disorders disease patients, but no relevant bibliometric analysis has found. In this paper, Web Science Core Collection database was searched for 1,295 papers from December 2011 2021. Based Citespace knowledge graph, these over last decade were analyzed perspectives annual publication volume, countries and institutes cooperation, authors dual-map overlay journals, co-citation literature, keywords. The purpose study explore current research status, hotspots, frontiers field, provide a reference further promoting patients.

Language: Английский

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Effect of long-term Tai Chi training on Parkinson’s disease: a 3.5-year follow-up cohort study

Journal of Neurology Neurosurgery & Psychiatry, Journal Year: 2023, Volume and Issue: 95(3), P. 222 - 228

Published: Oct. 24, 2023

Background Tai Chi has shown beneficial effects on the motor and non-motor symptoms of Parkinson’s disease (PD), but no study reported effect long-term training. Objective To examine whether training can maintain improvement in patients with PD. Methods Cohorts PD (n=143) without exercise as a control group (n=187) were built from January 2016. All subjects assessed at baseline November 2019, October 2020 June 2021. A logarithmic linear model was used to analyse rating scales for symptoms. The need increase antiparkinsonian therapies presented Kaplan–Meier plot box plot. bootstrap method resample statistical estimation. Results reduced annual changes deterioration Unified Disease Rating Scale delayed increasing therapies. levodopa equivalent daily dosage significantly lower group. Moreover, benefited symptoms, complications. Conclusion PD, an Trial registration number NCT05447975 .

Language: Английский

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