Multidisciplinary intensive outpatient rehabilitation program for patients with moderate-to-advanced Parkinson’s disease
-
Published:2021-08-14
Issue:1
Volume:49
Page:47-55
-
ISSN:1053-8135
-
Container-title:NeuroRehabilitation
-
language:
-
Short-container-title:NRE
Author:
Cohen Noa1, Manor Yael23, Green Yitzhak1, Tahel Gail1, Badichi Inbal1, Ben-Or Galit1, shtainshlaifer Neta1, Shiffer Asaf1, Gabso-Rajuan Maayan1, Kurtzman Hadar1, Shtraifler Liat1, Furst Tova1, Shtein Shlomi1, Shulman Juli1, Hyute Anat1, Levin Issachar1, Inbar Noit2, Ariela Hilel2, Peled Roni12, Gheriani Nurit2, Ezra Adi2, Messer Stav2, Geva Noya2, Giladi Nir24, Gurevich Tanya24
Affiliation:
1. Ezra Lemarpe Rehabilitation Center, Bnei-Brak, Tel-Aviv, Israel 2. Movement Disorders Unit, Neurological Institute, Tel-Aviv Medical Center, Tel-Aviv, Israel 3. Ono Academic College, Kiryat Ono, Israel 4. Sackler School of Medicine, Sagol School of Neuroscience, Tel-Aviv University, Tel-Aviv, Israel
Abstract
BACKGROUND: Intensive, multi-disciplinary, rehabilitation programs for patients with Parkinson’s disease (PWPs) have shown to be effective. However, most programs are based on in-patient service, which is expensive. OBJECTIVE: To demonstrate the feasibility of a multidisciplinary, intensive, outpatient rehabilitation program (MIOR) for moderate to advanced Parkinson’s Disease (H&Y≥2). METHOD: The MIOR program takes place at a community rehabilitation center (‘Ezra Le’Marpe’), 3 times a week, 5 hours, 8 weeks, and includes 20 PWPs in each cycle. The multi-disciplinary team includes physical, occupational, speech and hydro therapists. Additional activities include, social work groups, boxing, dancing and bridge. RESULTS: Data was collected retroactively for the first two years. Data analysis includes 158 patient files who completed the program (mean disease duration 10.1±6 and mean H&Y stage 2.8±0.67). Assessments were performed at the beginning and end of the intervention. Positive results were collected: improvement in number of falls (p < 0.0001), Functional Independence Measure (p < 0.0001), quality of life (p < 0.01), balance (p < 0.0001), upper limb function (p < 0.0001) and paragraph reading vocal intensity (p < 0.01). CONCLUSIONS: MIOR is a feasible program, showing positive results in moderate to advanced PWP’s, improving quality of life, daily function, and motor performance. The current outcomes demonstrate feasibility of MIOR in addition to medical treatment.
Subject
Neurology (clinical),Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation
Reference30 articles.
1. Assessing Timed Up and Go in Parkinson’s disease: Reliability and validity of Timed Up and Go Assessment of biomechanical strategies;Ba,;Journal of Rehabilitation Medicine,2017 2. Attentional deficits affect activities of daily living in dementia-associated with Parkinson’s disease;Bronnick,;Journal of Neurology, Neurosurgery & Psychiatry,2006 3. Comparison of the sensitivity to change of the functional independence measure with the assessment of motor and process skills within different rehabilitation populations;Choo,;Disability and Rehabilitation,2018 4. Ciortea, V. M. , Ciubean, A. D. , Ungur, R. A. , Borda, I. M. , Constantin, A.-M. , & Irsay, L. (2020). Effects of group physical therapy on the walking speed in patients with Parkinson’s disease. Palestrica of the Third Millennium Civilization & Sport, 21(3). 5. Cognitive Functional Abilities in Parkinson’s Disease: Agreement Between Patients and Informants;Deck,;Movement Disorders Clinical Practice,2019
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|