Department of Rehabilitation, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Center of Expertise for Parkinson & Movement Disorders, Radboud University Medical Center, Nijmegen, The Netherlands.
J Parkinsons Dis. 2024;14(s1):S193-S207. doi: 10.3233/JPD-230307.
People with Parkinson's disease (PD) experience a range of progressive motor and non-motor symptoms, that negatively affect their daily functioning, social participation and quality of life. Allied health therapies have emerged as an effective treatment approach-complementary to pharmacological and neurosurgical treatments-which reduces the impact of PD in daily life. In this article, we propose criteria for what constitutes specialized allied health care for PD, and we review allied health research in PD in terms of meeting these criteria and its outcomes for monodisciplinary approaches as well as multi- or interdisciplinary allied health interventions. We focus on the three most studied allied health disciplines in PD: physical therapy, occupational therapy and speech-language therapy. Overall, the available evidence underscores the importance and potential benefits of specialized allied health care for people with PD. Our proposed criteria and recommendations for future research might help in further delineating specialized allied health care.
帕金森病（PD）患者会经历一系列进行性运动和非运动症状，这些症状会对他们的日常功能、社会参与和生活质量产生负面影响。联合健康疗法已成为一种有效的治疗方法，与药物和神经外科治疗相辅相成，可以减轻 PD 对日常生活的影响。在本文中，我们提出了 PD 专科联合健康护理的标准，并根据这些标准审查了 PD 联合健康研究及其针对单一学科方法以及多学科或跨学科联合健康干预的结果。我们重点关注 PD 中研究最多的三个联合健康学科：物理治疗、职业治疗和言语治疗。总的来说，现有证据强调了 PD 患者专科联合健康护理的重要性和潜在益处。我们提出的标准和未来研究建议，可能有助于进一步明确专科联合健康护理。
