Neurorehabilitation for Parkinson's disease: Future perspectives for behavioural adaptation

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• 作者：Merel S. Ekker^a ; ^b ; ^{Merel.Ekker@radboudumc.nl" class="auth_mail" title="E-mail the corresponding author} ; Sabine Janssen^a ; ^b ; ^c ; ^{SabineNeuro.Janssen@radboudumc.nl" class="auth_mail" title="E-mail the corresponding author} ; Jorik Nonnekes^b ; ^c ; ^d ; ^{Jorik.nonnekes@radboudumc.nl" class="auth_mail" title="E-mail the corresponding author} ; Bastiaan R. Bloem^a ; ^b ; ^{bas.bloem@radboudumc.nl" class="auth_mail" title="E-mail the corresponding author} ; Nienke M. de Vries^a ; ^{Nienke.deVries-Farrouh@radboudumc.nl" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Neurorehabilitation ; Behavioural adaptations ; Parkinson's disease ; Visual disability ; Technology ; Cueing ; Videogames ; Telemedicine ; Future perspective
• 刊名：Parkinsonism & Related Disorders
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：22
• 期：supp_S1
• 页码：S73-S77
• 全文大小：397 K

文摘

Parkinson's disease is a common neurodegenerative disorder, resulting in both motor and non-motor symptoms that significantly reduce quality of life. Treatment consists of both pharmaceutical and non-pharmaceutical treatment approaches. Neurorehabilitation is an important non-pharmaceutical treatment approach, and a prime component of this is formed by the training of behavioural adaptations that can assist patients to cope better with their motor and non-motor symptoms. Optimal delivery of neurorehabilitation requires a tailor-made, personalized approach. In this review we discuss the great potential for growth in the field of neurorehabilitation. Specifically, we will focus on four relatively new developments: visual rehabilitation (because Parkinson patients are very dependent on optimal vision); cueing delivered by wearable devices (allowing for objective, continuous, and quantitative detection of mobility problems, such that cueing can be delivered effectively in an on-demand manner – i.e., with external cues being delivered only at a time when they are needed most); exergaming (to promote compliance with exercise programs); and telemedicine (allowing for delivery of expert rehabilitation advice to the patient's own home). Evidence in these new fields is growing, based on good clinical trials, fuelling hope that state-of-the-art neurorehabilitation can make a real impact on improving the quality of life of patients affected by Parkinson's disease.