• Clinical rehabilitation · Nov 2002

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

    • Patrick Trend, Julie Kaye, Heather Gage, Charles Owen, and Derick Wade.
    • Royal Surrey County Hospital, Guildford, UK.
    • Clin Rehabil. 2002 Nov 1;16(7):717-25.

    ObjectiveTo evaluate the short-term effectiveness of an intensive multidisciplinary rehabilitation programme for people with Parkinson's disease and their carers.DesignObservational, with assessments before and after intervention.SettingAn elderly care day unit in a district general hospital in south-east England.SubjectsOne hundred and eighteen people with Parkinson's disease and no cognitive impairment, and their carers.InterventionParticipants 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 MeasuresPatients 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.ResultsAfter 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.ConclusionsThis intensive co-ordinated programme provided immediate benefits to people with Parkinson's disease and their carers.

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