Deep Brain Stimulation for Parkinson Disease in Elderly Individuals

Ye, Weiyu; Norris, Joseph M.

doi:10.1001/jamaneurol.2014.4222

Cited by 1 publication

(3 citation statements)

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“…PD cases should be treated individually, including oral medicine, operations, exercise, psychotherapy, and health care as effective treatment options. Oral medicine is the main treatment choice, and surgery, such as deep brain stimulation (DBS), may be initiated as independent therapy or a complementary and alternative method to assist oral medicine [11,12]. So far, all therapies have improved the symptoms of PD, but they could not stop disease progression.…”

Section: Principle Of Treatmentmentioning

confidence: 99%

“…Surgery may be used in two situations. Firstly, with the progression of PD, motor fluctuation, dyskinesia, and even on-off phenomenon will occur, and DBS will be used to improve the movement disorders of the patients [11]. Secondly, if the patients suffer from very heavy motor symptoms such as tremor or rigidity, or the medication used shows a lack of efficacy, they may start treatment with DBS.…”

Section: Other Integrative Treatment or Exercisesmentioning

confidence: 99%

“…We emphasize that DBS is most effective against tremor and rigidity and is not the first choice for posture and balance disorders. Age and the course of the disease are the selective factors for treatment with DBS [11,12]. …”

Section: Other Integrative Treatment or Exercisesmentioning

confidence: 99%

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A Practical Consensus Guideline for the Integrative Treatment of Parkinson's Disease in Shanghai, China

Pan

Chen

et al. 2015

Integr Med Int

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Integrative medicine, including traditional Chinese medicine (TCM), is a new concept in clinical practice for the treatment of neurodegenerative and most chronic diseases. However, integrative consensus or a guideline for the management of patients with Parkinson's disease (PD) is still lacking. The aim of this paper is to provide a review of experiences in clinical practice from Chinese neurologists and physicians (including TCM doctors) in Shanghai, China, and try to provide a clinical guideline for the treatment of the complex and progressive disease of PD with integrative medicine. We included the following treatments: common Western medication, surgery, TCM decoction and patent medicines, acupuncture and Tui na, Yoga, Tai chi chuan, hyperbaric oxygenation, rehabilitation, and other complementary and alternative medicines for the integrative management of the disease. Neurologists and physicians in Shanghai, China, and all over the world should pay attention to integrative medicine, which may be a good choice of treatment for PD.

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Section: Principle Of Treatmentmentioning

confidence: 99%

Section: Other Integrative Treatment or Exercisesmentioning

confidence: 99%