ASPECTS OF A HOLISTIC APPROACH IN THE TREATMENT OF PATIENTS WITH PARKINSON’S DISEASE

Hryshunina N. Y., Totska A. V., Krapyva D. M., Oleksenko I. M., Manin M. V.

ASPECTS OF A HOLISTIC APPROACH IN THE TREATMENT OF PATIENTS WITH PARKINSON'S DISEASE


Show/Download

About the author:

Hryshunina N. Y., Totska A. V., Krapyva D. M., Oleksenko I. M., Manin M. V.

Heading:

LITERATURE REVIEWS

Type of article:

Scientific article

Annotation:

The variety of clinical manifestations of Parkinson's disease requires a comprehensive approach to therapy, taking into account the individual needs of patients. The analysis of modern information data on the impact of physical rehabilitation methods in the complex therapy of persons with Parkinson's disease showed that regular physical activity promotes to suppress the motor symptoms of the disease, helps to slow down its development. The use of compensatory strategies of the occupational therapist in everyday activities contributes to reducing the progression of non-motor disorders that appear already in the early stages of the disease: depression, cognitive impairment, apathy, visual impairment, fatigue, sleep disorders, which often appear to motor manifestations and complicate the patient's adaptation to functioning in the conditions of the development of the disease, worsen daily activities and quality of life. The problem of swallowing or salivation, speech, communication disorders need interventions therapist speech and speech - according to the modern approach. Implementation of the strategy of using auxiliary communication equipment can expand communication skills as the disease progresses (oral and written communication adapted individually). As people with Parkinson's disease may have impaired cognitive function, increased communication problems or depression, there is a need to provide counseling with other specialists multidisciplinary team – a psychologist and a psychotherapist. Systematic reviews data demonstrate the effectiveness of a patient-centric approach that takes into account syndromic features at different phases of the development of Parkinson's disease in the patient. Drawing up an individual plan of interventions by a physical therapist and ergotherapist on the basis of data from the assessment of patient dysfunction using evidence-based assessment tools, in combination with a list of interventions by other specialists, contributes to the activation of movement, motivation for physical activity and motivation for social interaction.

Tags:

ergotherapy, Parkinson's disease, physical therapy, rehabilitation

Bibliography:

  1. Lee J, Choi M, Yoo Y. A Meta-analysis of nonpharmacological Interventions for People With Parkinson’s. Clinical nursing research. 2017;26(5):608-631.
  2. Waller S, Williams L, Morales-Briceño H, Fung VS. The initial diagnosis and management of Parkinson’s disease. AJGP. 2021;50(11):793- 800.
  3. Zhuang J, Jia J. Effects of respiratory muscle strength training on respiratory-related impairments of Parkinson’s disease. Frontiers in Aging Neuroscience. 2022;14:929923. DOI: https://doi.org/10.3389/fnagi.2022.929923.
  4. Grimes D, Fitzpatrick M, Gordon J, Miyasaki J, Fon EA, Schlossmacher M, et al. Canadian guideline for Parkinson diseas. Canadian Medical Association Journal. 2019;191(36):E989-E1004. Avaible from: .
  5. Voloshyna N, Bohdanova I, Voloshyn-Haponov I, Fedosieiev S, Tereshchenko L, Bohdanova T. Zastosuvannia prohram rukhovoi reabilitatsii u normalizatsii psykhoemotsiinoi sfery patsiientiv z khvoroboiu Parkinsona. PMGP. June 10, 2022;7(1):e0701358. Dostupno: https://uk.emedjournal.com/index.php/psp/ article/view/358. [in Ukrainian].
  6. Luo S, Zou H, Stebbins GT, Schwarzschild MA, Macklin EA, Chan J, et al. Dissecting the domains of Parkinson’s disease: Insights from longitudinal item response theory modeling. Mov Disord. 2022;37(9):1904-1914.
  7. Montero Ferro A, P Basso-Vanelli R, Moreira Mello RL, Sanches Garcia-Araujo A, Gonçalves Mendes R, Costa D, et al. Effects of inspiratory muscle training on respiratory muscle strength, lung function, functional capacity and cardiac autonomic function in Parkinson’s disease: Randomized controlled clinical trial protocol. Physiother Res Int. 2019;24(3):e1777.
  8. Lee DH, Woo BS, Park YH, Lee JH. General Treatments Promoting Independent Living in Parkinson’s Patients and Physical Therapy Approaches for Improving Gait-A Comprehensive Review. 2024;60(5):711. DOI: 10.3390/medicina60050711.
  9. Peterka M, Odorfer T, Schwab M, Volkmann J, Zeller D. LSVT-BIG therapy in Parkinson’s disease: physiological evidence for proprioceptive recalibration. BMC Neurol. 2020;20(1):276.
  10. Bek J, Arakaki AI, Lawrence A, Sullivan M, Ganapathy G, Poliakoff E. Dance and Parkinson’s: A review and exploration of the role of cognitive representations of action. Neurosci Biobehav Rev. 2020;109:16-28.
  11. Makizako H, Tsutsumimoto K, Makino K, Nakakubo S, Liu-Ambrose T, Shimada H. Exercise and Horticultural Programs for Older Adults with Depressive Symptoms and Memory Problems: A Randomized Controlled Trial. Journal of Clinical Medicine. 2020;9(1):99.
  12. Zhou Z, Zhou R, Wei W, Luan R, Li K. Effects of music-based movement therapy on motor function, balance, gait, mental health, and quality of life for patients with Parkinson’s disease: A systematic review and meta-analysis. Clinical Rehabilitation. 2021;35(7):937-51.
  13. de Moraes Filho AV, Chaves SN, Martins WR, Tolentino GP, Homem RD, de Farias GL, et al. Progressive Resistance Training Improves Bradykinesia, Motor Symptoms and Functional Performance in Patients with Parkinson’s Disease. Clinical Interventions in Aging. 2020;15:87.
  14. Osborne JA, Botkin R, Colon-Semenza C, DeAngelis TR, Gallardo OG, Kosakowski H, et al. Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American. Physical Therapy Association. Physical Therapy. 2022;102(4):pzab302. DOI: .
  15. Sohail B, Iqbal MA, Razzaq A, Wasay Nafe A, Malik R. Recent advances in the role of rehabilitative therapies for Parkinson’s disease: A literature Physical therapy and occupational therapy in Parkinson’s disease. J Neurosci. 2017;127(10):930-943. DOI: 10.1080/00207454.2016.1275617.
  16. Wu PL, Lee M, Huang TT. Effectiveness of physical activity on patients with depression and Parkinson’s: a systematic review. PloS One. 2017:12(7):eo181515.
  17. Australian Government Department of Health and Aged Care. Transition Care Programme. Aging and aged care. Canberra: Australian Government Department of Health and Aged Care; 2019. Available from: .
  18. Wollesen B, Rudnik S, Gulberti A, Cordes T, Gerloff C, Poetter-Nerger M. A feasibility study of dual-task strategy training to improve gait performance in patients with Parkinson’s disease. Scientific Reports. 2021;11(1):12416.
  19. Yau CE, Ho ECK, Ong NY, Loh CJK, Mai AS, Tan EK. Innovative technology-based interventions in Parkinson’s disease: A systematic review and meta-analysis. Ann Clin Transl Neurol. 2024;11(10):2548-2562. DOI: 10.1002/acn3.52160.
  20. Brushko V, Bannikova R, Kovelska A. Analiz naiavnykh instrumentiv otsiniuvannia vplyvu fizychnoi terapii na osib z khvoroboiu Parkinsona. Sportyvna medytsyna fizychna terapiia ta erhoterapiia. 2021;2:84-91. Dostupno: http://sportmedicine.uni-sport.edu.ua/article/view/247930. [in Ukrainian].
  21. de Siqueira Tosin MH, Goetz CG, Luo S, Choi D, Stebbins GT. Item response theory analysis of the MDS-UPDRS motor examination: Tremor vs. Nontremor Items. Movement Disorders. 2020;35:1587-1595.
  22. Bloem BR, Okun MS, Klein C. Transition Care Programme. Aging and aged care. Parkinson’s Disease. The Lancet 2021;397(10291):2284- 2303.
  23. NICE. NICE Parkinson’s disease quality standard [QS164]. UK: NICE; 2019.
  24. Sangarapillai K, Norman BM, Almeida QJ. Boxing vs Sensory Exercise for ParkinsonўWood J, Henderson W, Foster ER. Occupational Therapy Practice Guidelines for People With Parkinson’s Disease. Am J Occup Ther. 2022;76(3):7603397010. DOI: https://doi.org/10.5014/ ajot.2022.763001.
  25. Cosentino C, Baccini M, Putzolu M, Ristori D, Avanzino L, Pelosin E. Effectiveness of Physiotherapy on Freezing of Gait in Parkinson’s Disease: A Systematic Review and Meta-Analyses. Movement Disorders. 2020;35(4):523-536.
  26. van de Wetering-van Dongen VA, Kalf JG, van der Wees PJ, Bloem BR, Nijkrake MJ. The Effects of Respiratory Training in Parkinson’s Disease: A Systematic Review. J Parkinsons Dis. 2020;10(4):1315-1333.
  27. Buhmann C, Kassubek J, Jost WH. Management of pain in Parkinson’s disease. J Parkinson’s Dis. 2020;10(1):37-48.
  28. Zarotti N, Eccles FJR, Foley JA, Paget A, Gunn S, Leroi I, et al. Psychological interventions for people with Parkinson’s disease in the early 2020s: Where do we stand? Psychol Psychother. 2021;94(3):760-797. DOI: 10.1111/papt.12321.
  29. López-Liria R, Parra-Egeda J, Vega-Ramírez FA, Aguilar-Parra JM, Trigueros-Ramos R, Morales-Gázquez MJ, et al. Treatment of Dysphagia in Parkinson’s Disease: A Systematic Review. Int J Environ Res Public Health. 2020;17(11):4104. DOI: 10.3390/ijerph17114104.
  30. Lihala S, Mitra S, Neogy S, Datta N, Choudhury S, Chatterjee K, et al. Dance movement therapy in rehabilitation of Parkinson’s disease – A feasibility study. J. Bodywork a. Mov. Ther. 2021;26:12-17.

Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 12-18 pages, index UDC 616.858-07-036.82:615.8.

DOI:

10.29254/2077-4214-2024-4-175-12-18

Was this article helpful?

Leave a Reply

Your email address will not be published. Required fields are marked *


The reCAPTCHA verification period has expired. Please reload the page.