Short-term effectiveness of intensive multidisciplinary rehabilitation for people with Parkinson's disease and their carers.

Abstract:

OBJECTIVE:To evaluate the short-term effectiveness of an intensive multidisciplinary rehabilitation programme for people with Parkinson's disease and their carers. DESIGN:Observational, with assessments before and after intervention. SETTING:An elderly care day unit in a district general hospital in south-east England. SUBJECTS:One hundred and eighteen people with Parkinson's disease and no cognitive impairment, and their carers. INTERVENTION:Participants attended the day hospital in groups of six patients with their carers for one day per week over six consecutive weeks. After assessment, they received individual treatment from a specialist team. Weekly group activities included relaxation and talks from experts. OUTCOME MEASURES:Patients and carers were assessed for: health-related quality of life, psychological well-being, social services need, perceptions of the programme. Patients were additionally assessed for mobility, gait and speech. Carers were assessed for strain. RESULTS:After treatment significant improvements were recorded in patients' mobility and gait (p < 0.05), speech (p < 0.001), depression (p = 0.029), health-related quality of life (p = 0.001). People with more advanced disease at baseline gained significantly more from treatment (p < or = 0.04). Carers were less depressed and had higher health-related quality of life than patients at baseline (p < 0.001) and no improvements in these indicators were recorded after treatment. A high unmet need for social services was identified in 31% of participants, and 10% of carers were found in danger of being unable to continue caring. Participants reported knowledge gains and high levels of satisfaction with both individual therapies and group activities. CONCLUSIONS:This intensive co-ordinated programme provided immediate benefits to people with Parkinson's disease and their carers.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Trend P,Kaye J,Gage H,Owen C,Wade D

doi

10.1191/0269215502cr545oa

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

717-25

issue

7

eissn

0269-2155

issn

1477-0873

journal_volume

16

pub_type

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