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Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
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Multidisciplinary Care to Optimize Functional Mobility in Parkinson Disease.

Anouk Tosserams1, Nienke M de Vries2, Bastiaan R Bloem2

  • 1Department of Rehabilitation, Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Reinier Postlaan 4, PO Box 9101, Nijmegen 6500 HB, The Netherlands; Department of Neurology, Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Reinier Postlaan 4, PO Box 9101, Nijmegen 6500 HB, The Netherlands.

Clinics in Geriatric Medicine
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PubMed
Summary

This review highlights how multidisciplinary care, integrating various professionals, is essential for managing Parkinson disease, particularly gait and balance impairments. It emphasizes a holistic approach to improve functional mobility and rehabilitation outcomes.

Keywords:
BalanceFunctional mobilityGaitMultidisciplinary careParkinson disease

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Geriatrics

Background:

  • Parkinson disease presents complex challenges impacting mobility.
  • Gait and balance impairments are significant, treatable issues in Parkinson disease.
  • A multidisciplinary approach is crucial for effective management.

Purpose of the Study:

  • To elaborate on multidisciplinary care for Parkinson disease using gait and balance impairments as a model.
  • To discuss the assessment and management of reduced functional mobility within a multidisciplinary framework.
  • To highlight the interplay of motor/non-motor symptoms and their impact on rehabilitation.

Main Methods:

  • Review of current literature and best practices in Parkinson disease care.
  • Application of the International Classification of Functioning, Disability, and Health (ICF) model.
  • Analysis of integrated approaches by complementary professional disciplines.

Main Results:

  • Gait and balance impairments necessitate an integrated, multidisciplinary approach for treatment.
  • The ICF model provides a framework for assessing and managing functional mobility.
  • Understanding the interplay between motor and non-motor symptoms is key for rehabilitation.

Conclusions:

  • Organized multidisciplinary care is vital for optimizing outcomes in Parkinson disease.
  • Integrated management strategies can effectively address gait and balance impairments.
  • A comprehensive approach enhances functional mobility and rehabilitation for individuals with Parkinson disease.