A meta-analysis of the effect of multidisciplinary comprehensive care on health-related quality of life and Unified Parkinson’s Disease Rating Scale in Parkinson’s disease

Li, Ting; Zou, Xiumei; Kang, Yujuan; Sun, Mingwei; Huang, Xi; Duan, Xinbin

doi:10.17219/acem/157241

Cited by 3 publications

(2 citation statements)

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“…A few systematic reviews either evaluating the effect of self-management programs, [ 10 , 11 , 13 ] multidisciplinary rehabilitation programs, [ 14 , 15 ] or integrative care [ 16 ] on PwPD have been documented. The review by Tennigkeit et al [ 11 ] is the only review to date evaluating the effect of a structured self-management program on PwPD.…”

Section: Introductionmentioning

confidence: 99%

“…A review [ 14 ] reporting a multidisciplinary care model for PwPD in recent years concludes multidisciplinary care model may yield improvement in health-related QoL (HRQoL) and Unified Parkinson Disease Rating Scale while another review [ 15 ] shows no superiority between the multidisciplinary and conventional care model on disability, functionality, and QoL despite improvement in carer anxiety level following multidisciplinary care. However, the review of Li et al [ 14 ] only included 1 published article explicitly stating training in their intervention description with no inclusion of caregivers. Further, only 2 studies [ 25 , 26 ] in the review reported caregiver strain.…”

Section: Introductionmentioning

confidence: 99%

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The multifaceted impact of structured training program on persons with Parkinson disease and their adult caregiver: A protocol for a systematic review

2023

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Background: Training caregivers and persons with Parkinson Disease (PwPD) is crucial to provide them with adequate knowledge and care skills in preparation for the Parkinson disease (PD) progression. This review will systematically evaluate the effect of structured training programs on the mobility and quality of life (QoL) of PwPD. In addition, the effect of such training programs on the QoL, burden of caregiving, and knowledge of PD among adult caregivers of PwPD will also be evaluated. Methods: Systematic and comprehensive search of relevant studies will be conducted using electronic databases such as Cochrane Library, EBSCOhost, PubMed, SCOPUS, and Web of Science. The title, abstract, keywords, and full texts will be screened for eligibility. Studies to be selected are randomized controlled trials (RCT) from inception until April 2023. Studies based on structured PD training either in the form of training, education, program, multidisciplinary approach, or self-management targeted at both PwPD and their adult caregivers will be selected. Only full-text articles available in the English language will be included. Full-text articles will be inspected by 2 independent reviewers to produce the final set of articles that meet the eligibility criteria. A third reviewer will be engaged if no consensus is achieved between the first and second reviewers. Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) will be used to evaluate the quality of papers and inform the risk of bias. Results: This review will provide an outlook on the effects of structured PD training programs on mobility and QoL of PwPD. In addition, it will provide insight into the effects of such training on the caregivers’ burden, knowledge of PD, and QoL. Conclusion: This review findings may help clinicians and researchers to understand the effect of structured and comprehensive PD training programs for PwPD and their adult caregiver.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The multifaceted impact of structured training program on persons with Parkinson disease and their adult caregiver: A protocol for a systematic review

2023

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Multidisciplinary care in Parkinson’s disease

Weise,

Claus,

Dresel

et al. 2024

J Neural Transm

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Parkinson’s Disease (PD) is a multifaceted and progressive disorder characterized by a diverse range of motor and non-motor symptoms. The complexity of PD necessitates a multidisciplinary approach to manage both motor symptoms, such as bradykinesia, gait disturbances and falls, and non-motor symptoms, including cognitive dysfunction, sleep disturbances, and mood disorders, which significantly affect patients’ quality of life. Pharmacotherapy, particularly dopaminergic replacement therapy, has advanced to alleviate many symptoms. However, these medications can also induce side effects or aggravate symptoms like hallucinations or orthostatic dysfunction, highlighting the need for comprehensive patient management. The optimal care for PD patients involves a team of specialists, including neurologists, physical and occupational therapists, speech-language pathologists, psychologists, and other medical professionals, to address the complex and individualized needs of each patient. Here, we illustrate the necessity of such a multidisciplinary approach in four illustrative PD cases with different disease stages and motor and non-motor complications. The patients were treated in different treatment settings (specialized outpatient clinic, day clinic, inpatient care including neurorehabilitation). The biggest challenge lies in organizing and implementing such comprehensive care effectively across different clinical settings.

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Customized treatment for Parkinson’s disease: extending lifespan and improving symptoms

Indu,

Dimri

2024

Egypt J Neurol Psychiatry Neurosurg

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Background Parkinson's disease (PD) is the second most prevalent neurodegenerative ailment affecting aged people. Several motor and non-motor symptoms appearing with this disease are linked to reduction in dopamine levels. Parkinson’s disease manifested by a wide range of symptoms, including gait instability, voice impairments, bradykinesia, hypomimia, tremors, and cognitive dysfunctions, where the concern is its steady global progression. Therefore, by evaluating the stage-specific retention and transition thresholds, the suggested work attempts to detect the progression of PD. Similarly, the assessment of the annual rate of deterioration of symptoms aids in assessing the influence of medications on four stages and six prime symptoms. Results During the 9-year period following clinical diagnosis, a symptomatic deterioration of 34.995% is observed in untreated patients compared to treated patients. Furthermore, the experimental analysis illustrates that medicines assist in regulating only bradykinesia, tremors, hypomimia, and speech impairment, which lasts for 4.8 years on average. A saturation period is also identified during the moderate phase, where the computed average depreciation in the Unified Parkinson’s Disease Rating Scale (UPDRS) is the least. Similarly, from stages 1 to 4, medicines might improve stage retention by 4.44, 3.5, 2.72, and 1.6 years, respectively. It demonstrates that, despite transient advantages and adverse effects, medications also have an optimistic impact on PD patients. Conclusions Here, we show that medication can extend the lifespan of PD patients up to 12 years cumulatively. Furthermore, the proposed work suggests that stagewise alternative remedies for improving quality of life, boosting the benefits of medicines, and eliminating their side effects. These include counselling, diet changes, yoga asanas, herbal medicines, bio-cleansing and other therapies. The current work does not consider the temporary transition among stages; nonetheless, further investigation regarding PD could open avenues for more worthy treatments with fewer side effects.

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A meta-analysis of the effect of multidisciplinary comprehensive care on health-related quality of life and Unified Parkinson’s Disease Rating Scale in Parkinson’s disease

Abstract: Medicine Project Name: To explore the effect of auricular acupoint pressing on improvement of sleep disorder in patients with Parkinson's disease based on meridian flow theory (project No. 2022LCJD004).

Cited by 3 publications

References 64 publications

The multifaceted impact of structured training program on persons with Parkinson disease and their adult caregiver: A protocol for a systematic review

The multifaceted impact of structured training program on persons with Parkinson disease and their adult caregiver: A protocol for a systematic review

Multidisciplinary care in Parkinson’s disease

Customized treatment for Parkinson’s disease: extending lifespan and improving symptoms

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