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Multidisciplinary rehabilitation for people with Parkinson’s disease

Institute of Neurology, Queen Square, London WC1N 3BG

Correspondence to:
Correspondence to:
E D Playford;
d.playford@ion.ucl.ac.uk

Keywords: Parkinson’s disease; multidisciplinary rehabilitation

The first 150 words of the full text of this article appear below.

There is little evidence available to support or explain the role of rehabilitation in progressive neurological disorders, so the paper by Wade et al (this issue, page 158-162) is a welcome contribution.¹ The paper examines whether patients with Parkinson’s disease have sustained benefit following a multidisciplinary outpatient rehabilitation programme. The programme comprised individualised multidisciplinary interventions and a group education programme and was delivered to six patients at a time over six weeks. The findings suggest that six months after randomisation those receiving rehabilitation had worse general and mental health and that their carers had a trend to more strain. This contrasts with findings from studies of the rehabilitation of people with multiple sclerosis² and brain injury.³ Why should this conscientiously performed intervention have apparently negative effects?

The authors themselves suggest a number of reasons, including previously satisfactory management leaving little room for improvement, limited input, little psychological . . . [Full text of this article]

Relevant Article

Multidisciplinary rehabilitation for people with Parkinson’s disease: a randomised controlled study

D T Wade, H Gage, C Owen, P Trend, C Grossmith, and J Kaye
J. Neurol. Neurosurg. Psychiatry 2003 74: 158-162. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

				H. Gage and L. Storey Rehabilitation for Parkinson's disease: a systematic review of available evidence Clinical Rehabilitation, May 1, 2004; 18(5): 463 - 482. [Abstract] [PDF]