Short-term effectiveness of intensive multidisciplinary rehabilitation for people with Parkinson's disease and their carers

Abstract

This intensive co-ordinated programme provided immediate benefits to people with Parkinson's disease and their carers.

Multidisciplinary care of patients with Parkinson's disease

“…11 There are several studies of multidisciplinary care in Parkinson's disease comparing outcomes before and after the intervention. Outpatient multidisciplinary care programmes have reported shortterm improvements in UPDRS motor score, 12 gait speed and stride length, [13][14] speech, depression and health-related quality of life. 13 low up) have also been reported, and the authors comment that close multidisciplinar y working was key to success.…”

“…Outpatient multidisciplinary care programmes have reported shortterm improvements in UPDRS motor score, 12 gait speed and stride length, [13][14] speech, depression and health-related quality of life. 13 low up) have also been reported, and the authors comment that close multidisciplinar y working was key to success. 15 Inpatient multidisciplinar y rehabilitation for Parkinson's disease has also been reported to be effective in studies using a trial design comparing pre-and postintervention outcomes.…”

Assessment of the construct validity and responsiveness of preference-based quality of life measures in people with Parkinson’s: a systematic review

“…Eleven studies conducted various interventions, including drugs [69,65,70,73], provision of communitybased nurse specialists [66], provision of instructions of clinical guidelines to neurologists [67], standardised pharmaceutical care [72], adherent therapy [64], deep brain stimulation (DBS) surgery [76], and multidisciplinary rehabilitation [74]. developed by Rosser and colleagues in 1970s, is comprised of eight levels of disability (loss of function and mobility) and four levels of subjective distress, describing 29 disability/distress states [77,78].…”

“…Six studies showed consistency between the EQ-5D-3L and the reference measures in terms of the evidence for whether there was a statistically significant change overtime; the reference measures included UPDRS part II ADL [65], PDQ-39 [66,67,76], PDQ-8 and H&Y [68], and HAD depression [74].…”

Efficacy of multidisciplinary treatment program on long-term outcomes of individuals with Parkinsons disease

“…Recently, investigators have advocated for a more multidisciplinary approach to the care of individuals with PD [31][32][33][34][35]. Two studies from the Royal Surrey County Hospital in the United Kingdom have demonstrated that short-term multidisciplinary services positively affect quality of life and behavioral outcomes [34][35].…”