Parkinson’s Disease Symptom Management: An Interdisciplinary Approach

This paper is a summary report on the basic questions of the biopsychosocial approach to Parkinson’s disease. It deals with cognitive, affective and psychological health issues which significantly influence the outcome of the physical rehabilitation. In spite of the unchanged cognitive status, the psychological burden of the changes in the quality of life, the obstruction, the change in the affective tone, and the shrinking ability to fulfil social roles decrease the patient’s quality of life. An interdisciplinary approach is best suited for mitigating these effects. Not only the patient but also his/her family and environment is seriously affected by the disease and its consequences. Treatment and rehabilitation options for increasing or maintaining the quality of life of the affected patients are diverse, and significantly depend on the features of the health care system. The authors believe that the following review emphasizing health psychological principles may contribute to the work of professionals working in clinical and rehabilitational fields and through them may increase the quality of life of patients and their family. Orv. Hetil., 2015, 156(12), 472–478.

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Early Parkinson's disease: dopamine agonists have increasingly important role in symptom management

Drugs & Therapy Perspectives ◽

10.2165/00042310-200117170-00002 ◽

2001 ◽

Vol 17 (17) ◽

pp. 5-9

Author(s):

&NA;

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Symptom Management ◽

Dopamine Agonists ◽

Early Parkinson’S Disease

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Palliative Care in End-Stage Neurological Disease

Hospice and Palliative Medicine and Supportive Care Flashcards ◽

10.1093/med/9780190633066.003.0036 ◽

2018 ◽

Author(s):

Tobias Walbert ◽

Joel Phillips

Keyword(s):

Parkinson’S Disease ◽

Palliative Care ◽

Parkinson's Disease ◽

Symptom Management ◽

Neurological Diseases ◽

The United States ◽

Pain Syndromes ◽

End Stage ◽

Chronic Course

Neurological disorders are among the leading causes of morbidity and death worldwide. Although stroke is the third leading cause of death, after heart disease and cancer, in the United States, other neurological diseases have a more chronic course that leads to protracted disability, morbidity, and death. Unfortunately, for many of these disorders, such as Parkinson’s disease, amyotrophic lateral sclerosis (ALS), and multiple sclerosis (MS), no cure is currently available. Patients suffer from dysarthria, dysphagia, muscle spasm, bladder and bowel difficulties, pain syndromes, and fatigue. Adequate symptom management and palliative care have the potential to maintain good quality of life for patients for as long as possible and ease the burden on both caregivers and patients. This chapter outlines the principles of clinical symptom management for some of the most important neurological diseases, specifically ALS, stroke, MS, and Parkinson’s disease.

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Non-motor Symptom Management in Parkinson’s Disease

Oxford Textbook of Movement Disorders ◽

10.1093/med/9780199609536.003.0011 ◽

2013 ◽

pp. 99-116

Author(s):

Eduardo Tolosa ◽

Carles Gaig ◽

Lillian Acevedo

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Symptom Management ◽

Motor Symptom

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Nursing Research in Parkinson’s Disease From 2006 to 2015

Clinical Nursing Research ◽

10.1177/1054773816634912 ◽

2016 ◽

Vol 26 (2) ◽

pp. 142-156 ◽

Cited By ~ 10

Author(s):

Ju Young Shin ◽

Barbara Habermann

Keyword(s):

Quality Of Life ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Family Caregiving ◽

Symptom Management ◽

Family Members ◽

Theoretical Models ◽

Self Management ◽

Nursing Research

Most people with Parkinson’s disease (PD) reside in their homes with their family members. Nurses are in a good position to partner with people with PD and their family members for better self-management of the disease and improved quality of life. The purpose of this systematic review was to assess the state of the science of nursing research related to PD during the 10-year period, 2006 to 2015. A total of 27 studies were included in this review. Family caregiving was the most studied topic, followed by symptom management/medication adherence, quality of life, end-of-life/palliative care, and functional status/improving function. Recommendations for future studies in PD include (a) developing and testing interventions based on theoretical models in the areas of self-management, symptom management, and function improvement in people with PD and for caregivers caring for people with advanced stage PD, and (b) building programs of research with interprofessional teams.

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Anxiety in Parkinson's disease: Symptom dimensions and overlap with depression and autonomic failure

Parkinsonism & Related Disorders ◽

10.1016/j.parkreldis.2014.11.019 ◽

2015 ◽

Vol 21 (3) ◽

pp. 189-193 ◽

Cited By ~ 40

Author(s):

Sonja Rutten ◽

Ires Ghielen ◽

Chris Vriend ◽

Adriaan W. Hoogendoorn ◽

Henk W. Berendse ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Autonomic Failure ◽

Disease Symptom ◽

Symptom Dimensions

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Gender differences in Parkinson's disease symptom profile

Acta Neurologica Scandinavica ◽

10.1034/j.1600-0404.2000.102001037.x ◽

2000 ◽

Vol 102 (1) ◽

pp. 37-43 ◽

Cited By ~ 100

Author(s):

B. Scott ◽

A. Borgman ◽

H. Engler ◽

B. Johnels ◽

S. M. Aquilonius

Keyword(s):

Parkinson’S Disease ◽

Gender Differences ◽

Parkinson's Disease ◽

Disease Symptom ◽

Symptom Profile

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Social Belonging as the Main Concern for Achieving Life Satisfaction When Adapting to Parkinson’s Disease

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168653 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8653

Author(s):

Lina Rosengren ◽

Anna Forsberg ◽

Christina Brogårdh ◽

Jan Lexell

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Life Satisfaction ◽

Health Care Professionals ◽

Interdisciplinary Approach ◽

Main Concern ◽

Process Of Change ◽

Transitional Experience ◽

Social Belonging ◽

Depth Interviews

Parkinson’s disease (PD) is a complex, progressive neurological condition that impacts daily life and reduces life satisfaction (LS). To achieve and maintain high LS, persons with PD (PwPD) must go through a process of change to adapt to their new life situation. However, our knowledge about this process is very limited. The aim of this study was to investigate the process of change, and the main concern in this process, in PwPD. To study the transitional experience of PwPD, an inductive qualitative approach, using Grounded Theory (GT), was employed. Thirteen participants (9 women, 3 men and 1 non-binary), with a mean age of 54 years (range from 47–62 years), participated in in-depth interviews. Data showed that social belonging is the main concern in the process of change for PwPD. In this process of change, they use strategies to comprehend, accept, adapt, and balance in their strive for social belonging, which in turn can enhance LS. Health care professionals can use this model with an interdisciplinary approach to support PwPD through a successful process of change to achieve social belonging, and thereby achieving and maintaining LS.

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Efficacy of osteopathic manipulative treatment in patients with Parkinson’s disease: a narrative review

Journal of Osteopathic Medicine ◽

10.1515/jom-2021-0081 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Raymond Li ◽

Ann Jose ◽

Jessica Poon ◽

Cindy Zou ◽

Maria Istafanos ◽

...

Keyword(s):

Quality Of Life ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Motor Function ◽

Manual Therapy ◽

Symptom Management ◽

Future Research ◽

Osteopathic Manipulative Treatment ◽

Literature Searches

Abstract Context Parkinson’s disease (PD) is a neurodegenerative disease that leads to impaired motor and non-motor function in patients. PD is non-curative and gradually reduces quality of life, leading patients to seek treatment for symptom management. Osteopathic manipulative treatment (OMT) applies the biomechanical, neurologic, circulatory, metabolic, and psychosocial models in approaching and treating the major symptomatology of PD patients. Objectives This article evaluates the literature published in the past 10 years analyzing evidence on OMT and its functional application on gait, balance, motor function, bradykinesia, and autonomic dysfunctions, and to identify promising avenues for further investigation. Methods The authors obtained studies from the research databases MEDLINE/PubMed, ScienceDaily, and EBSCO, as well as the Journal of American Osteopathic Association’s published archives. Searches were conducted in December 2020 utilizing the search phrases “OMM” (osteopathic manipulative medicine), “OMT,” “osteopathic,” “Parkinson Disease,” “manual therapy,” “physical therapy,” “training,” “autonomics,” “gait,” and “balance.” Articles published between 2010 and 2021 including subjects with Parkinson’s disease and the use of OMT or any other form of manual therapy were included. Five authors independently performed literature searches and methodically resolved any disagreements over article selection together. Results There were a total of 10,064 hits, from which 53 articles were considered, and five articles were selected based on the criteria. Conclusions The progressive nature of PD places symptom management on the forefront of maintaining patients’ quality of life. OMT has demonstrated the greatest efficacy on managing motor-related and neurologic symptoms and assists in treating the greater prevalence of somatic dysfunctions that arise from the disease. Research in this field remains limited and should be the target of future research.

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