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

JPD

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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

JPD

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“…These elements of the intervention seemed to target known barriers to exercise in the PD population, including low self-efficacy [11,12]. This close monitoring at initial stages of a home-based exercise program may be even more needed for PD patients from Arab ethnicity who live in developing countries as they would usually lack informational support about exercise and lack of past ''habit'' of being active [39].…”

Section: Additionally These Care-provider Contributions Might Have Mmentioning

confidence: 99%

A Pilot Study of a Minimally Supervised Home Exercise and Walking Program for People With Parkinson’s Disease in Jordan

Khalil

Busse

Quinn

et al. 2017

Neurodegener. Dis. Manag.

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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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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

A Pilot Study of a Minimally Supervised Home Exercise and Walking Program for People With Parkinson’s Disease in Jordan

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

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