[Physical therapy for parkinson's disease].
Identifieur interne : 000195 ( Main/Exploration ); précédent : 000194; suivant : 000196[Physical therapy for parkinson's disease].
Auteurs : M. Hubert [Belgique]Source :
- Revue médicale de Bruxelles [ 0035-3639 ] ; 2011.
Descripteurs français
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- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
Parkinson's disease is a complex neurologic and progressive incapacitating disease. Parkinson's disease severely threatens the quality of live and the number of patients worldwide is expected to rise considerably in the coming decade due to aging of the population. Even with optimal medical management using drugs or neurosurgery, patients are faced with progressively increasing impairments (e.g. in speech, mental and movement related functions), and restrictions in participation (e.g. domestic life and social activities). Physical therapy is often prescribed next to medical treatment but there is a lack of uniform treatment. A systematic literature search for guidelines, systematic reviews, trials, and expert opinions lead to a better understanding. The key question: Is physiotherapy able to optimally treat the Parkinson's disease symptoms? In which way, how and on which scientific bases can the physiotherapist participate to improve autonomy and to help them living independently and avoid, as long as possible, institutionalization? This article has integrated clinical research findings to provide clinicians with an overview to physical therapist management of disorders in people with Parkinson's disease. An Evidence-Based Physical Therapy Guideline providing practice recommendations was developed by the Royal Dutch Society for Physical Therapy (KNGF). Evidence from research was supplemented with clinical expertise and patients values. Randomized clinical trials reflect specific core areas of physical therapy, that is, transfer, posture, balance, reaching and grasping, gait and physical condition. Another aspect is that of educating patients (as well as their partners and family) about the disease process and the benefits of exercise therapy. Alternative therapies can be helpful like Tai Chi, virtual games, dancing, yoga, ball games for example.
PubMed: 22034770
Affiliations:
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Le document en format XML
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Hubert</name><affiliation wicri:level="3"><nlm:affiliation>Service de Kinésithérapie neurologique, Hôpital Erasme, Bruxelles. marcelle.hubert@ulb.ac.be</nlm:affiliation><country>Belgique</country><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><wicri:orgArea>Service de Kinésithérapie neurologique, Hôpital Erasme</wicri:orgArea></affiliation></author></analytic><series><title level="j">Revue médicale de Bruxelles</title><idno type="ISSN">0035-3639</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Gait Disorders, Neurologic (therapy)</term><term>Humans (MeSH)</term><term>Parkinson Disease (therapy)</term><term>Patient Education as Topic (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Practice Guidelines as Topic (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Maladie de Parkinson (thérapie)</term><term>Techniques de physiothérapie (MeSH)</term><term>Troubles neurologiques de la marche (thérapie)</term><term>Éducation du patient comme sujet (MeSH)</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladie de Parkinson</term><term>Troubles neurologiques de la marche</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Patient Education as Topic</term><term>Physical Therapy Modalities</term><term>Practice Guidelines as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Techniques de physiothérapie</term><term>Éducation du patient comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Parkinson's disease is a complex neurologic and progressive incapacitating disease. Parkinson's disease severely threatens the quality of live and the number of patients worldwide is expected to rise considerably in the coming decade due to aging of the population. Even with optimal medical management using drugs or neurosurgery, patients are faced with progressively increasing impairments (e.g. in speech, mental and movement related functions), and restrictions in participation (e.g. domestic life and social activities). Physical therapy is often prescribed next to medical treatment but there is a lack of uniform treatment. A systematic literature search for guidelines, systematic reviews, trials, and expert opinions lead to a better understanding. The key question: Is physiotherapy able to optimally treat the Parkinson's disease symptoms? In which way, how and on which scientific bases can the physiotherapist participate to improve autonomy and to help them living independently and avoid, as long as possible, institutionalization? This article has integrated clinical research findings to provide clinicians with an overview to physical therapist management of disorders in people with Parkinson's disease. An Evidence-Based Physical Therapy Guideline providing practice recommendations was developed by the Royal Dutch Society for Physical Therapy (KNGF). Evidence from research was supplemented with clinical expertise and patients values. Randomized clinical trials reflect specific core areas of physical therapy, that is, transfer, posture, balance, reaching and grasping, gait and physical condition. Another aspect is that of educating patients (as well as their partners and family) about the disease process and the benefits of exercise therapy. Alternative therapies can be helpful like Tai Chi, virtual games, dancing, yoga, ball games for example.</div></front></TEI><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement></list><tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Hubert, M" sort="Hubert, M" uniqKey="Hubert M" first="M" last="Hubert">M. Hubert</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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