Physiotherapy improves motor function in patients with the Parkinson variant of multiple system atrophy: A prospective trial

Raccagni, Cecilia; Goebel, Georg; Gaßner, Heiko; Granata, Roberta; Ndayisaba, Jean‐Pierre; Seebacher, Barbara; Schoenherr, Gudrun; Mitterhuber, Jakob; Hendriks, P.J.H.; Kaindlstorfer, Christine; Eschlboeck, Sabine; Fanciulli, Alessandra; Krismer, Florian; Seppi, Klaus; Poewe, Werner; Bloem, Bastiaan R.; Klucken, Jochen; Wenning, Gregor K.

doi:10.1016/j.parkreldis.2019.09.026

Cited by 28 publications

(23 citation statements)

References 15 publications

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“…Anxiety was also frequent among caregivers, probably due to the burden of caregiving and social isolation. The fact that more than 50% of PwMSA perceived that the lockdown was harmful due to interruption of physiotherapy and speech therapy is in line with a recently published study where physiotherapy was helpful in MSA[ 5 ].…”

supporting

confidence: 66%

Effects of COVID -19 pandemic and lockdown on people with multiple system atrophy participating in a therapeutic education program

Cámara

Compta

Pérez‐Soriano

et al. 2021

Parkinsonism & Related Disorders

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supporting

confidence: 66%

Effects of COVID -19 pandemic and lockdown on people with multiple system atrophy participating in a therapeutic education program

Cámara

Compta

Pérez‐Soriano

et al. 2021

Parkinsonism & Related Disorders

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“…However, clinical trials have been unsuccessful in identifying which motion oriented gait exercise method can give the best results. In this systematic review, one of our objectives is to compare the results of different training activities [44][45][46][47][48][49][50][51][52] as elaborated in Table 8, and to assess the overall changes in movement related disorders and QoL.…”

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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“…In addition to evaluation and therapy protocols for motor problems such as ataxia, physiatrist involvement along with physical therapists and occupational therapists can improve motor function in patients with MSA. 40,58 Physical medicine and rehabilitation and occupational therapists can play invaluable roles in evaluating for assistive devices to reduce the risk of falls and adapting devices for the individual patient's needs.…”

Section: Pseudobulbar Affectmentioning

confidence: 99%

My Treatment Approach to Multiple System Atrophy

Coon

Ahlskog

2021

Mayo Clinic Proceedings

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Multiple system atrophy (MSA) is a neurodegenerative disorder primarily characterized by autonomic failure plus parkinsonism or cerebellar ataxia. The diagnosis may be challenging and is usually made at a tertiary care center. The long-term management issues are equally challenging and frequently require collaboration with the patient's local care providers. Whereas there is currently no cure for MSA, treatment focuses on the most problematic symptoms experienced by the patient. Autonomic symptoms may include severe orthostatic hypotension with syncope, urinary symptoms culminating in incontinence, constipation, anhidrosis, and erectile dysfunction. Motor symptoms include parkinsonism, cerebellar ataxia, and falls. Although certain motor symptoms may respond partially to medications, some of these medications may exacerbate autonomic problems. In this manuscript, we seek to bridge the gap between tertiary care providers and the patient's local care providers to provide multidisciplinary care to the MSA patient. Patients are often best served by management of their chronic and evolving complex problems with a team approach involving their primary care providers and subspecialists. Treatment guidelines typically list myriad therapeutic options without clarifying the most efficacious and simplest treatment strategies. Herein, we provide a guideline based on what has worked in our MSA clinic, a clinic designed to provide care throughout the disease course with subspecialty integration with the goal of empowering a partnership with the patient's home primary care providers.

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Physiotherapy improves motor function in patients with the Parkinson variant of multiple system atrophy: A prospective trial

Cited by 28 publications

References 15 publications

Effects of COVID -19 pandemic and lockdown on people with multiple system atrophy participating in a therapeutic education program

Effects of COVID -19 pandemic and lockdown on people with multiple system atrophy participating in a therapeutic education program

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

My Treatment Approach to Multiple System Atrophy

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