Barriers and Facilitators in Physical Rehabilitation for Parkinson's Disease in the Arabian World

Khalil, Hanan; Bajwa, Jawad A.

doi:10.1002/mdc3.12200

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…Moreover, knowing that gait impairments can be affected by constraints in the physical environment, living circumstances (e.g., furnishing requiring narrow turns) should be evaluated. A final element is cultural background, as this may also impact the effect of non-pharmacological interventions [22].…”

Section: How May Personalized Rehabilitation Be Delivered?mentioning

confidence: 99%

Towards Personalized Rehabilitation for Gait Impairments in Parkinson’s Disease

Nonnekes¹,

Nieuwboer

2018

Journal of Parkinson’s Disease

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Non-pharmacological interventions are essential in the management of gait impairments in Parkinson's disease. The evidence for these interventions is growing rapidly. However, studies evaluating these interventions do generally evaluate a one-size-fits-all concept, and do usually not distinguish between subgroups, treatment dose and delivery mode. For two main reasons, this approach will not reach the full potential of gait rehabilitation. First, non-pharmacological interventions (e.g., external cueing) can improve gait in certain patients, but have no effect or sometimes even exacerbate gait deficits in others. Second, the success and benefit of gait rehabilitation relies on therapy adherence and training intensity achieved, and multitarget therapy not tailored to the individual runs the risk of hitting nothing. Hence, to apply non-pharmacological interventions in an individualized and evidence-based manner, clinicians and therapists need to know which patient characteristics predict the efficacy of various training modes and what type of training delivery works best. Current evidence is not sufficient to develop such personalized rehabilitation programs. In this viewpoint, however, we describe how tailored use of gait rehabilitation can be reached within a 20-year time frame.

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Section: How May Personalized Rehabilitation Be Delivered?mentioning

confidence: 99%

Towards Personalized Rehabilitation for Gait Impairments in Parkinson’s Disease

Nonnekes¹,

Nieuwboer

2018

Journal of Parkinson’s Disease

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“…Extrinsic factors such as care‐giver support, resource availability, access to facilities and transportation, and cost can all be barriers or facilitators to falls prevention. Such factors may vary in different geographical locations and cultures 116 . Access to informational resources may not be equally available in all languages and referral to physiotherapy and other therapists is variable 117 .…”

Section: Resultsmentioning

confidence: 99%

“…Such factors may vary in different geographical locations and cultures. 116 Access to informational resources may not be equally available in all languages and referral to physiotherapy and other therapists is variable. 117 Technology can sometimes facilitate improved dissemination of information and improved access to programs, although these resources currently appear to be underdeveloped.…”

Section: Resultsmentioning

confidence: 99%

Prevention of Falls in Parkinson's Disease: Guidelines and Gaps

Camicioli

Morris

Pieruccini‐Faria

et al. 2023

Movement Disord Clin Pract

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BackgroundPeople living with Parkinson's disease (PD) have a high risk for falls.ObjectiveTo examine gaps in falls prevention targeting people with PD as part of the Task Force on Global Guidelines for Falls in Older Adults.MethodsA Delphi consensus process was used to identify specific recommendations for falls in PD. The current narrative review was conducted as educational background with a view to identifying gaps in fall prevention.ResultsA recent Cochrane review recommended exercises and structured physical activities for PD; however, the types of exercises and activities to recommend and PD subgroups likely to benefit require further consideration. Freezing of gait, reduced gait speed, and a prior history of falls are risk factors for falls in PD and should be incorporated in assessments to identify fall risk and target interventions. Multimodal and multi‐domain fall prevention interventions may be beneficial. With advanced or complex PD, balance and strength training should be administered under supervision. Medications, particularly cholinesterase inhibitors, show promise for falls prevention. Identifying how to engage people with PD, their families, and health professionals in falls education and implementation remains a challenge. Barriers to the prevention of falls occur at individual, environmental, policy, and health system levels.ConclusionEffective mitigation of fall risk requires specific targeting and strategies to reduce this debilitating and common problem in PD. While exercise is recommended, the types and modalities of exercise and how to combine them as interventions for different PD subgroups (cognitive impairment, freezing, advanced disease) need further study.This article is protected by copyright. All rights reserved.

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“…In MENASA countries there is a lack of rehabilitation centers specialized to offer care to patients with PD, which adds to the burden of the disease. Where a few centers exist to provide comprehensive care [ 75 ] and physical rehabilitation, several barriers reduce patient access to them [ 76 ].…”

Section: Discussionmentioning

confidence: 99%

Parkinson’s Disease in the Middle East, North Africa, and South Asia: Consensus from the International Parkinson and Movement Disorder Society Task Force for the Middle East

Khalil

Chahine

Siddiqui

et al. 2020

JPD

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Background: Understanding the regional needs and available healthcare resources to treat Parkinson’s disease (PD) is essential to plan appropriate future priorities. The International Parkinson and Movement Disorder Society (MDS) Task Force for the Middle East was established to raise awareness and promote education across the region on PD and other movement disorders. Broadly, the task force encompasses the countries of the Middle East but has included North Africa and South Asia as well (MENASA). Objective: To create a list of needs and priorities in the advancement of PD in MENASA countries based on consensuses generated by the MDS task force for the Middle East. Methods: A Strengths Weaknesses-Opportunities-Threats (SWOT) analysis was conducted by the task force members to generate consensus about PD care this region. Results: Eight overarching principles emerged for the consensus statement on current needs: more movement disorders specialists, multidisciplinary care, accurate epidemiologic data, educational programs, availability of drugs, and availability of more advanced therapy, enhanced health care resources and infrastructure, and greater levels of awareness within the general population and among health care professionals. Conclusion: This pilot study sheds light on unmet needs for providing care to people with PD in the MENASA region. These data offer directions on priorities to increase awareness of PD, to develop better infrastructure for research and management of PD, to foster healthcare policy discussions for PD and to provide educational opportunities within these countries.

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Barriers and Facilitators in Physical Rehabilitation for Parkinson's Disease in the Arabian World

Cited by 5 publications

References 25 publications

Towards Personalized Rehabilitation for Gait Impairments in Parkinson’s Disease

Towards Personalized Rehabilitation for Gait Impairments in Parkinson’s Disease

Prevention of Falls in Parkinson's Disease: Guidelines and Gaps

Parkinson’s Disease in the Middle East, North Africa, and South Asia: Consensus from the International Parkinson and Movement Disorder Society Task Force for the Middle East

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