Multidisciplinary Care to Optimize Functional Mobility in Parkinson Disease

Tosserams, Anouk; Vries, Nienke M. de; Bloem, Bastiaan R.; Nonnekes, Jorik

doi:10.1016/j.cger.2019.09.008

Cited by 27 publications

(19 citation statements)

References 80 publications

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“…The analysis included nine interventions implementing and evaluating a care model for PD, two guidelines for organizing PD care, 29 publications describing an implemented care model and 18 conceptual papers. Few publications described the same practical care model [ 24 , 25 , 26 , 27 ] whereas two reported the same care concept [ 28 , 29 ]. Consequently, 35 publications informed the definition of care priorities for PD care and 18 models informed the conceptualization of a PN training framework.…”

Section: Resultsmentioning

confidence: 99%

Moving towards Integrated and Personalized Care in Parkinson’s Disease: A Framework Proposal for Training Parkinson Nurses

Munster

Stümpel

Thieken

et al. 2021

JPM

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Delivering healthcare to people living with Parkinson’s disease (PD) may be challenging in face of differentiated care needs during a PD journey and a growing complexity. In this regard, integrative care models may foster flexible solutions on patients’ care needs whereas Parkinson Nurses (PN) may be pivotal facilitators. However, at present hardly any training opportunities tailored to the care priorities of PD-patients are to be found for nurses. Following a conceptual approach, this article aims at setting a framework for training PN by reviewing existing literature on care priorities for PD. As a result, six prerequisites were formulated concerning a framework for training PN. The proposed training framework consist of three modules covering topics of PD: (i) comprehensive care, (ii) self-management support and (iii) health coaching. A fourth module on telemedicine may be added if applicable. The framework streamlines important theoretical concepts of professional PD management and may enable the development of novel, personalized care approaches.

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Section: Resultsmentioning

confidence: 99%

Moving towards Integrated and Personalized Care in Parkinson’s Disease: A Framework Proposal for Training Parkinson Nurses

Munster

Stümpel

Thieken

et al. 2021

JPM

View full text Add to dashboard Cite

show abstract

“…Considering all the interventions, it is observed that PD rehabilitation needs more concentration and research. Coordination between distinctive health care professionals and multidisciplinary support teams is needed to tackle the complexity of PD and more work is needed in this area [54]. Such multidisciplinary support must be tailored keeping the desires and objectives of each individual PD patient.…”

Section: Clinical Effects Of Rehabilitation Exercises On Pd Patientsmentioning

confidence: 99%

Wearable Solutions for Patients with Parkinson’s Disease and Neurocognitive Disorder: A Systematic Review

Channa

Popescu

Ciobanu

2020

Sensors

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Prevalence of neurocognitive diseases in adult patients demands the use of wearable devices to transform the future of mental health. Recent development in wearable technology proclaimed its use in diagnosis, rehabilitation, assessment, and monitoring. This systematic review presents the state of the art of wearables used by Parkinson’s disease (PD) patients or the patients who are going through a neurocognitive disorder. This article is based on PRISMA guidelines, and the literature is searched between January 2009 to January 2020 analyzing four databases: PubMed, IEEE Xplorer, Elsevier, and ISI Web of Science. For further validity of articles, a new PEDro-inspired technique is implemented. In PEDro, five statistical indicators were set to classify relevant articles and later the citations were also considered to make strong assessment of relevant articles. This led to 46 articles that met inclusion criteria. Based on them, this systematic review examines different types of wearable devices, essential in improving early diagnose and monitoring, emphasizing their role in improving the quality of life, differentiating the various fitness and gait wearable-based exercises and their impact on the regression of disease and on the motor diagnosis tests and finally addressing the available wearable insoles and their role in rehabilitation. The research findings proved that sensor based wearable devices, and specially instrumented insoles, help not only in monitoring and diagnosis but also in tracking numerous exercises and their positive impact towards the improvement of quality of life among different Parkinson and neurocognitive patients.

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“…Schenkman et al found that changes in motor symptoms, measured with UPDRS scores, were significantly smaller for PwP using a high-intensity treadmill exercise routine than moderate-intensity exercise and control groups [ 101 ]. A significant trend is the incorporation and utilization of exercise in optimizing the care of PwP [ 9 , 102 ], and there are numerous PD-directed exercise programs/routines [ 10 , 87 , 88 , 90 , 103 , 104 , 105 , 106 ]. Expectantly, future studies will continue to compare the impact of moderate-intensity and high-intensity exercise programs on neuroplasticity in combination with the investigation into the overall health impact of exercise in PD.…”

Section: Exercise and Parkinson’s Disease Protectionmentioning

confidence: 99%

Exercise for Older Adults Improves the Quality of Life in Parkinson’s Disease and Potentially Enhances the Immune Response to COVID-19

Hall

Church

2020

Brain Sciences

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Parkinson’s disease (PD) is a progressive neurodegenerative disorder brought about due to dopaminergic neuronal cell loss in the midbrain substantia nigra pars compacta region. PD presents most commonly in older adults and is a disorder of both motor and nonmotor dysfunction. The novel SARS-CoV-2 virus is responsible for the recent COVID-19 pandemic, and older individuals, those with preexisting medical conditions, or both have an increased risk of developing COVID-19 with more severe outcomes. People-with-Parkinson’s (PwP) of advanced age can have both immune and autonomic nervous problems that potentially lead to pre-existing pulmonary dysfunction and higher infection risk, increasing the probability of contracting COVID-19. A lifestyle change involving moderate-intensity exercise has the potential to protect against SARS-CoV-2 through strengthening the immune system. In addition to a potential protective measure against SARS-CoV-2, exercise has been shown to improve quality-of-life (QoL) in PD patients. Recent studies provide evidence of exercise as both neuroprotective and neuroplastic. This article is a literature review investigating the role exercise plays in modifying the immune system, improving health outcomes in PwP, and potentially acting as a protective measure against SARS-Cov-2 infection. We conclude that exercise, when correctly performed, improves QoL and outcomes in PwP, and that the enhanced immune response from moderate-intensity exercise could potentially offer additional protection against COVID-19.

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Multidisciplinary Care to Optimize Functional Mobility in Parkinson Disease

Cited by 27 publications

References 80 publications

Moving towards Integrated and Personalized Care in Parkinson’s Disease: A Framework Proposal for Training Parkinson Nurses

Moving towards Integrated and Personalized Care in Parkinson’s Disease: A Framework Proposal for Training Parkinson Nurses

Wearable Solutions for Patients with Parkinson’s Disease and Neurocognitive Disorder: A Systematic Review

Exercise for Older Adults Improves the Quality of Life in Parkinson’s Disease and Potentially Enhances the Immune Response to COVID-19

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