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STANDARDIZED MODELS FOR REHABILITATION IN PATIENTS WITH PARKINSON'S DISEASE
Tutu-Pata V, Prada G, Fita I, Prada S
The purpose of this study was to determine what physical treatment method would be preferred for patients with Parkinson's disease. Authors propose a model for assessment, diagnostic and treatment, method that has two stages: first, preferably in a hospital setting, and second at home, involving the support of the family, general practitioner and specialist in outpatient clinics. During the first stage patient fills in a "questionnaire for quality of life self-evaluation" regarding mobility, ADL, vegetative, cognitive, psychic and sleep disorders, and social support. Physician has to notice the subjective nature of the patient's responses who wants to "force" a superior therapeutic scheme. Steps are as follows: history, clinic examination, assessment of the degree of severity for motor and vegetative disorders, evaluation of autonomy, interdisciplinary assessments, maximum resistance testing concomitantly with pulse, blood pressure, and breath rate control, together with physical therapy indication (electrotherapy, thermotherapy, kinetic-therapy and massage). During second stage of reeducation family involvement is very important. Continuity is reflected by the individual therapeutic plan in the context of the doctor-patient-family complex; at any point of the rehabilitation and therapeutic path the patient should be assisted in any matter. Rehabilitation in Parkinson's disease is possible, indicated and efficient, provided it is started early enough. It represents a complex and diverse methodology, including aerobic training that improves general endurance to effort.
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