What is the evidence to support home environmental adaptation in Parkinson's disease? A call for multidisciplinary interventions

Bhidayasiri, Roongroj; Jitkritsadakul, Onanong; Boonrod, Nonglak; Sringean, Jirada; Calne, Susan; Hattori, Nobutaka; Hayashi, Atsushi

doi:10.1016/j.parkreldis.2015.08.025

Cited by 26 publications

(25 citation statements)

References 26 publications

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“…91 Although it is likely that these interventions will also reduce fall rates in people with PD, there is an urgent need for studies examining the effect of environmental modifications on falls in PD. 92 In addition, given the role of impulsiveness as a risk factor for falls in people with PD, 93 it is important to explore psychological/ behavioral modification interventions aimed at assessing risk inherent in activities, developing strategies to avoid or modify high-risk activities. Combined interventions tailored to the individual may be more effective than single interventions, but this approach remains to be tested.…”

Section: Pharma-based Interventionsmentioning

confidence: 99%

Falls in Parkinson's disease: A complex and evolving picture

et al. 2017

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Falls are a major determinant of poor quality of life, immobilization, and reduced life expectancy in people affected by Parkinson's disease (PD) and in older adults more generally. Although many questions remain, recent research has advanced the understanding of this complex problem. The goal of this review is to condense new knowledge of falls in PD from prodromal to advanced disease, taking into account risk factors, assessment, and classification as well as treatment. The fundamental steps of clinical and research-based approaches to falls are described, namely, the identification of fall risk factors, clinical and instrumental methods to evaluate and classify fall risk, and the latest evidence to reduce or delay falls in PD. We summarize recent developments, the direction in which the field should be heading, and what can be recommended at this stage. We also provide a practical algorithm for clinicians.© 2017 International Parkinson and Movement Disorder Society.

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Section: Pharma-based Interventionsmentioning

confidence: 99%

Falls in Parkinson's disease: A complex and evolving picture

et al. 2017

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“…Structuring the environment and providing reminder-cues may be useful for PwP with cognitive deficits. The effectiveness of environmental adaptations has not been studied extensively in PD [116], but it has received considerable attention in the general population of elderly. OT has been found to be effective in decreasing falls in elderly at high risk of falling [117].…”

Section: Adaptations Of the Physical Environmentmentioning

confidence: 99%

Physical therapy and occupational therapy in Parkinson's disease

Radder

Sturkenboom

Nimwegen

et al. 2017

International Journal of Neuroscience

132

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Current medical management is only partially effective in controlling the symptoms of Parkinson's disease. As part of comprehensive multidisciplinary care, physical therapy and occupational therapy aim to support people with Parkinson's disease in dealing with the consequences of their disease in daily activities. In this narrative review, we address the limitations that people with Parkinson's disease may encounter despite optimal medical management, and we clarify both the unique and shared approaches that physical therapists and occupational therapists can apply in treating these limitations.

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“…5 Achieving accessible housing for all is high on the political agenda. As recently highlighted, 8 there is limited knowledge regarding accessibility problems in people with Parkinson's disease (PD). 7 To understand the complexity of accessibility problems for older people, it is then important to take into account different diagnostic groups with specific needs.…”

Section: Introductionmentioning

confidence: 99%

“…7 To understand the complexity of accessibility problems for older people, it is then important to take into account different diagnostic groups with specific needs. As recently highlighted, 8 there is limited knowledge regarding accessibility problems in people with Parkinson's disease (PD).…”

Section: Introductionmentioning

confidence: 99%