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Erschienen in: Current Neurology and Neuroscience Reports 3/2021

01.03.2021 | Movement Disorders (T. Simuni, Section Editor)

Frameworks for Parkinson’s Disease Rehabilitation Addressing When, What, and How

verfasst von: Miriam R. Rafferty, Ella Nettnin, Jennifer G. Goldman, Jillian MacDonald

Erschienen in: Current Neurology and Neuroscience Reports | Ausgabe 3/2021

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Abstract

Purpose of Review

This review summarizes the evidence on rehabilitation for people with Parkinson’s disease, including when to refer, what rehabilitation professionals should address, and how to deliver rehabilitation care.

Recent Findings

Clinical practice guidelines support physical therapy, occupational therapy, and speech-language pathology for Parkinson’s disease. However, integrating guidelines into practice may be difficult. Implementation studies take into account patient and clinician perspectives. Synthesizing guidelines with implementation research can improve local delivery.

Summary

There is moderate to strong evidence supporting physical therapy, occupational therapy, and speech-language pathology soon after diagnosis and in response to functional deficits. We propose a framework of three pathways for rehabilitation care: (1) consultative proactive rehabilitation soon after diagnosis for assessment, treatment of early deficits, and promotion meaningful activities; (2) restorative rehabilitation to promote functional improvements; and (3) skilled maintenance rehabilitation for long-term monitoring of exercise, meaningful activities, safety, contractures, skin integrity, positioning, swallowing, and communication.
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Metadaten
Titel
Frameworks for Parkinson’s Disease Rehabilitation Addressing When, What, and How
verfasst von
Miriam R. Rafferty
Ella Nettnin
Jennifer G. Goldman
Jillian MacDonald
Publikationsdatum
01.03.2021
Verlag
Springer US
Erschienen in
Current Neurology and Neuroscience Reports / Ausgabe 3/2021
Print ISSN: 1528-4042
Elektronische ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-021-01096-0

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