BACKGROUND AND PURPOSE: In the outpatient setting, it can be difficult to effectively manage the complex medical and rehabilitation needs of people with Parkinson disease (PD). A multidisciplinary approach in the inpatient rehabilitation environment may be a viable alternative. The purposes of this study were: (1) to investigate the effectiveness of an inpatient rehabilitation program for people with a primary diagnosis of PD, (2) to determine whether gains made were clinically meaningful, and (3) to identify predictors of rehabilitation outcome. SUBJECTS: Sixty-eight subjects with a diagnosis of PD were admitted to an inpatient rehabilitation hospital with a multidisciplinary movement disorders program. METHODS: Subjects participated in a rehabilitation program consisting of a combination of physical therapy, occupational therapy, and speech therapy for a total of 3 hours per day, 5 to 7 days per week, in addition to pharmacological adjustments based on data collected daily. A pretest-posttest design was implemented. The differences between admission and discharge scores on the Functional Independence Measure (FIM) (total, motor, and cognitive scores), Timed "Up & Go" Test, 2-Minute Walk Test, and Finger Tapping Test were analyzed. RESULTS: An analysis of data obtained for the 68 subjects admitted with a diagnosis of PD revealed significant improvements across all outcome measures from admission to discharge. Subjects with PD whose medications were not adjusted during their admission (rehabilitation only) (n=10) showed significant improvements in FIM total, motor, and cognitive scores. Improvements exceeded the minimal clinically important difference in 71% of the subjects. Prior level of function at admission accounted for 20% of the variance in the FIM total change score. DISCUSSION AND CONCLUSION: The results suggest that subjects with a diagnosis of PD as a primary condition benefited from an inpatient rehabilitation program designed to improve functional status.
BACKGROUND AND PURPOSE: In the outpatient setting, it can be difficult to effectively manage the complex medical and rehabilitation needs of people with Parkinson disease (PD). A multidisciplinary approach in the inpatient rehabilitation environment may be a viable alternative. The purposes of this study were: (1) to investigate the effectiveness of an inpatient rehabilitation program for people with a primary diagnosis of PD, (2) to determine whether gains made were clinically meaningful, and (3) to identify predictors of rehabilitation outcome. SUBJECTS: Sixty-eight subjects with a diagnosis of PD were admitted to an inpatient rehabilitation hospital with a multidisciplinary movement disorders program. METHODS: Subjects participated in a rehabilitation program consisting of a combination of physical therapy, occupational therapy, and speech therapy for a total of 3 hours per day, 5 to 7 days per week, in addition to pharmacological adjustments based on data collected daily. A pretest-posttest design was implemented. The differences between admission and discharge scores on the Functional Independence Measure (FIM) (total, motor, and cognitive scores), Timed "Up & Go" Test, 2-Minute Walk Test, and Finger Tapping Test were analyzed. RESULTS: An analysis of data obtained for the 68 subjects admitted with a diagnosis of PD revealed significant improvements across all outcome measures from admission to discharge. Subjects with PD whose medications were not adjusted during their admission (rehabilitation only) (n=10) showed significant improvements in FIM total, motor, and cognitive scores. Improvements exceeded the minimal clinically important difference in 71% of the subjects. Prior level of function at admission accounted for 20% of the variance in the FIM total change score. DISCUSSION AND CONCLUSION: The results suggest that subjects with a diagnosis of PD as a primary condition benefited from an inpatient rehabilitation program designed to improve functional status.
Authors: Terry Ellis; James T Cavanaugh; Gammon M Earhart; Matthew P Ford; K Bo Foreman; Lisa Fredman; Jennifer K Boudreau; Leland E Dibble Journal: Phys Ther Date: 2011-10-14
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Authors: Margaret Schenkman; Terry Ellis; Cory Christiansen; Anna E Barón; Linda Tickle-Degnen; Deborah A Hall; Robert Wagenaar Journal: Phys Ther Date: 2011-07-21
Authors: Anna D Hohler; Jyeming M Tsao; Douglas I Katz; T Joy Dipiero; Christina L Hehl; Alissa Leonard; Valerie Allen; Maura Gardner; Heidi Phenix; Marie Saint-Hilaire; Terry Ellis Journal: Parkinsons Dis Date: 2011-11-10
Authors: Zephanie Tyack; Kerrie-Anne Frakes; Petrea Cornwell; Suzanne S Kuys; Adrian G Barnett; Steven M McPhail Journal: BMC Health Serv Res Date: 2013-10-11 Impact factor: 2.655
Authors: Ingrid H W M Sturkenboom; Maud J Graff; George F Borm; Eddy M M Adang; Maria W G Nijhuis-van der Sanden; Bastiaan R Bloem; Marten Munneke Journal: Trials Date: 2013-02-02 Impact factor: 2.279