Center of Expertise for Parkinson & Movement Disorders, Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.
Center of Expertise for Parkinson & Movement Disorders, Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.
J Parkinsons Dis. 2022;12(6):2005-2008. doi: 10.3233/JPD-223296.
The application of compensation strategies is an important element of gait rehabilitation in persons with Parkinson's disease. While the efficacy of these strategies is generally very high, a tailored, personalized approach is necessary to determine the optimal strategies for every patient. We propose a straightforward, practical guide to the evaluation of compensation strategies in clinical practice: considering the primary gait target(s) to optimize functional mobility, the context in which the strategies will be employed in daily life, and patient-specific personal preferences. Furthermore, we introduce www.walkingwithparkinson.com as a resource on the available compensation strategies, developed specifically for persons with Parkinson's disease, their carers, and (allied) healthcare professionals.
补偿策略的应用是帕金森病患者步态康复的重要组成部分。虽然这些策略的疗效通常非常高,但需要采取量身定制、个性化的方法来确定每个患者的最佳策略。我们提出了一种在临床实践中评估补偿策略的简单实用指南:考虑优化功能移动性的主要步态目标,策略将在日常生活中使用的环境,以及患者特定的个人偏好。此外,我们引入了 www.walkingwithparkinson.com,这是一个关于可用补偿策略的资源,专门为帕金森病患者、他们的照顾者和(相关)医疗保健专业人员开发。