The health triad of rehabilitation in Parkinson’s disease: physiotherapy, speech therapy, neuropsychology

Journal title PNEI REVIEW
Author/s Giampietro Gabrielli
Publishing Year 2022 Issue 2022/2
Language Italian Pages 11 P. 20-30 File size 101 KB
DOI 10.3280/PNEI2022-002003
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Parkinson’s disease (PD) is the most prevalent neurodegenerative di- sease after Alzheimer’s disease, with a number of cases set to increase in the future. It is a disease that presents a complex picture of symp- toms, which includes motor and non-motor aspects, which can have a very negative impact on the quality of life. Scientific studies in recent years show that the multidisciplinary approach is essential for maintaining and improving the functions most affected by the disease. The multidisciplinary approach requires the presence of a team consisting of neurologists, cardiologists, urologists, physiotherapists, speech therapi- sts, neuropsychologists, nurses; the team needs a coordinator who has interdisciplinary clinical knowledge to be able to have a global vision of the level of health of the patient and his entire family, whose involve- ment is important for the good level of recovery. The coordinator must also be able to distinguish symptoms closely related to the disease and symptoms caused by other pathological or dysfunctional situations, in order to optimize therapeutic interventions. Rehabilitation in PD deals with neuromotor re-education, speech and swallowing therapy, cogniti- ve functions and emotional aspects of the patient and family members. These disciplines do not intervene separately but require a continuous exchange, giving space to the more urgent rehabilitation component compared to others.

Keywords: Parkinson’s disease, Multidisciplinary team, Physiotherapy, Speech therapy, Neuropsychology, Psychology.

  1. Frazzitta G., Maestri R., Bertotti G., Riboldazzi G., Boveri N., Perini M., Uccel- lini D., Turla M., Comi C., Pezzoli G., & Ghilardi M.F. (2015). Intensive Rehabi- litation Treatment in Early Parkinson’s Disease: A Randomized Pilot Study With a 2-Year Follow-up. Neurorehabilitation and Neural Repair, 29(2), 123–131. DOI: 10.1177/1545968314542981
  2. Frazzitta G., Maestri R., Uccellini D., Bertotti G., & Abelli P. (2009). Rehabilita- tion treatment of gait in patients with Parkinson’s disease with freezing: A comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training: Rehabilitation Treatment of Freezing. Movement Disorders, 24(8), 1139–1143. DOI: 10.1002/mds.22491
  3. Grimes D., Fitzpatrick M., Gordon J., Miyasaki J., Fon E.A., Schlossmacher M., Suchowersky O., Rajput A., Lafontaine A.L., Mestre T., Appel-Cresswell S., Ka- lia S.K., Schoffer K., Zurowski M., Postuma R.B., Udow S., Fox S., Barbeau P., & Hutton B. (2019). Canadian guideline for Parkinson disease. Canadian Medical Association Journal, 191(36), E989–E1004. https://doi.org/10.1503/cmaj.181504 Heide A., Meinders M.J., Speckens A.E.M., Peerbolte T.F., Bloem B.R., & Hel- mich R.C. (2021). Stress and Mindfulness in Parkinson’s Disease: Clinical Effects and Potential Underlying Mechanisms. Movement Disorders, 36(1), 64–70. DOI: 10.1002/mds.28345
  4. Hilten J.J., Horstink M.W.I.M., Hovestadt A., Jansen Steur E.N.J., Roos R.A.C., & Speelman J.D. (2000). Richtlijnen diagnostiek en behandeling van patienten met de ziekte van Parkinson. Commissie Kwaliteitsbevordering van de Nederlandse Vere- niging Voor Neurologie.
  5. Maffoni M., Pierobon A., Frazzitta G., Callegari S., & Giardini A. (2019). Li- ving with Parkinson’s—past, present and future: a qualitative study of the subjective perspective. British Journal of Nursing, 28(12), 764–771. DOI: 10.12968/ bjon.2019.28.12.764
  6. Mahler L.A., Ramig L.O., & Fox C. (2015). Evidence-based treatment of voice and speech disorders in Parkinson disease: Current Opinion in Otolaryngology & Head and Neck Surgery, 23(3), 209–215. DOI: 10.1097/MOO.0000000000000151
  7. McGhee C. (2018). Boxing with Parkinson’s: how it can help | Parkinson’s Euro- pe. Parkinson’s Europe. -- https://www.parkinsonseurope.org/latest/news/boxing-with- parkinsons-how-it-can-help/
  8. Mehrholz J., Kugler J., Storch A., Pohl M., Hirsch K., & Elsner B. (2015). Tread- mill training for patients with Parkinson’s disease. Cochrane Database of Systematic Reviews. DOI: 10.1002/14651858.CD007830.pub4
  9. Ortelli P., Ferrazzoli D., Versace V., Cian V., Zarucchi M., Gusmeroli A., Ca- nesi M., Frazzitta G., Volpe D., Ricciardi L., Nardone R., Ruffini I., Saltuari L., Sebastianelli L., Baranzini D., & Maestri R. (2022). Optimization of cognitive assessment in Parkinsonisms by applying artificial intelligence to a comprehensive screening test. Npj Parkinson’s Disease, 8(1), 42. DOI: 10.1038/s41531-022- 00304-z
  10. Petzinger G.M., Fisher B.E., McEwen S., Beeler J.A., Walsh J.P., & Jakowec M.W. (2013). Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson’s disease. The Lancet Neurology, 12(7), 716–726. DOI: 10.1016/ S1474-4422(13)70123-6
  11. Radder D.L.M., Nonnekes J., van Nimwegen M., Eggers C., Abbruzzese G., Al- ves G., Browner N., Chaudhuri K.R., Ebersbach G., Ferreira J.J., Fleisher J.E., Fletcher P., Frazzitta G., Giladi N., Guttman M., Iansek R., Khandhar S., Klucken J., Lafontaine A.-L., Marras C., Nutt J., Okun M.S., Parashos S.A., Munneke M., & Bloem B.R. (2020). Recommendations for the Organization of Multidisciplinary Clinical Care Teams in Parkinson’s Disease. Journal of Parkinson’s Disease, 10(3), 1087–1098. DOI: 10.3233/JPD-202078
  12. Rafferty M.R., Schmidt P.N., Luo S.T., Li K., Marras C., Guttman M., Cubil- los F., Simuni T., & all NPF-QII Investigators. (2017). Regular Exercise, Quality of Life, and Mobility in Parkinson’s Disease: A Longitudinal Analysis of National Parkinson Foundation Quality Improvement Initiative Data. Journal of Parkinson’s Disease, 7(1), 193–202. DOI: 10.3233/JPD-160912
  13. Fontanesi C., & DeSouza J.F.X. (2021). Beauty That Moves: Dance for Parkinson’s Effects on Affect, Self-Efficacy, Gait Symmetry, and Dual Task Performance. Fron- tiers in Psychology, 11, 600440. DOI: 10.3389/fpsyg.2020.600440
  14. Ferrazzoli D., Ortelli P., Madeo G., Giladi N., Petzinger G.M., & Frazzitta G. (2018). Basal ganglia and beyond: The interplay between motor and cognitive aspects in Parkinson’s disease rehabilitation. Neuroscience & Biobehavioral Reviews, 90, 294–308. DOI: 10.1016/j.neubiorev.2018.05.007
  15. Díez-Cirarda M., Ibarretxe-Bilbao N., Peña J., & Ojeda N. (2018). Neuro- rehabilitation in Parkinson’s Disease: A Critical Review of Cognitive Rehabili- tation Effects on Cognition and Brain. Neural Plasticity, 2018, 1–12. DOI: 10.1155/2018/2651918
  16. Dawson A., Dissanayaka N.N., Evans A., Verdejo-Garcia A., Chong T.T.J., Fraz- zitta G., Ferrazzoli D., Ortelli P., Yücel M., & Carter A. (2018). Neurocognitive correlates of medication-induced addictive behaviours in Parkinson’s disease: A sy- stematic review. European Neuropsychopharmacology, 28(5), 561–578. DOI: 10.1016/j.euroneuro.2018.03.012
  17. Colgrove Y., Sharma N., Robbins K., & Wagner K. (2015). A randomized control- led pilot study of the therapeutic effects of yoga in people with Parkinson's disease. International Journal of Yoga, 8(1), 74-79. DOI: 10.4103/0973-6131.146070
  18. Bombieri F., Schena F., Pellegrini B., Barone P., Tinazzi M., & Erro R. (2017). Walking on four limbs: A systematic review of Nordic Walking in Parkinson disea- se. Parkinsonism & Related Disorders, 38, 8–12. DOI: 10.1016/j.parkreldis.2017.02.004

Giampietro Gabrielli, La triade sanitaria riabilitativa nella malattia di Parkinson: fi sioterapia, logopedia, neuropsicologia in "PNEI REVIEW" 2/2022, pp 20-30, DOI: 10.3280/PNEI2022-002003