Economic evaluation of a falls prevention exercise program among people With Parkinson's disease

Abstract

The exercise intervention appeared cost-effective with regard to fall prevention in the whole sample and cost saving in the low disease severity group, when compared with usual care.

The Parkinson Care Advocate: Integrating Care Delivery

“…Lack of integration in care delivery has potentiated numerous misconceptions among patients and providers (5, 6), including erroneous understandings of the natural course of PD and of the availability and utility of various treatment modalities (6–8). In addition, blossoming time constraints in many settings frequently limit the possibility to address the crucial roles of physical therapy, dietary therapy (9–12), and fall-prevention programs which can reduce the morbidity and the cost burden of the disease (13) and often thwart the first cause of hospitalization for PD patients.…”

“…PD patients obtain knowledge about their condition from their neurologists (20), whose abilities to engage in comprehensive disease counseling may be limited by time and resource constraints (4); from non-specialized consultants who patients may sparingly visit (13); and from the Internet, often a source of misinformation (24). Regardless of modality, acquiring accurate and actionable information about the disease is crucial.…”

“…Several mechanisms (9) explain the motor- and non-motor- benefits PD patients derive from various types of exercise (Table 1), including but not limited to the prevention of secondary complications, such as falls (13, 32). This notion might be even more salient within certain ethnicities, as data, for example, suggest that PD-carriers for pathogenic variants in LRRK2 or GBA portend greater risk for freezing of gait and a higher risk for falls (33).…”

Efeito do treinamento em circuito orientado para tarefa sobre o desempenho motor e a qualidade de vida de pacientes com doença de Parkinson: um estudo de casos.

“…A doença de Parkinson (DP) requer atenção devido à avaliação sobre o aumento significativo da sua prevalência nos próximos anos 1,2 . É uma doença neurodegenerativa progressiva que resulta em vários sintomas motores e não-motores.…”

“…Os sintomas não-motores incluem disfunção autonômica, desordens comportamentais/cognitivas e anormalidades sensitivas e do sono 1,2 . Sabe-se que tanto os sintomas motores como os não-motores interferem negativamente na qualidade de vida dos pacientes 1,2,5,6 . A reabilitação física tem papel importante no tratamento pois pode beneficiar aspectos motores e a qualidade de vida.…”