Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism
This paper investigated the effectiveness of an inpatient movement disorders program for patients with atypical parkinsonism, who typically respond poorly to pharmacologic intervention and are challenging to rehabilitate as outpatients. Ninety-one patients with atypical parkinsonism participated in...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2012/871974 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Anna D. Hohler |
| collection | DOAJ |
| description | This paper investigated the effectiveness of an inpatient movement disorders program for patients with atypical parkinsonism, who typically respond poorly to pharmacologic intervention and are challenging to rehabilitate as outpatients. Ninety-one patients with atypical parkinsonism participated in an inpatient movement disorders program. Patients received physical, occupational, and speech therapy for 3 hours/day, 5 to 7 days/week, and pharmacologic adjustments based on daily observation and data. Differences between admission and discharge scores were analyzed for the functional independence measure (FIM), timed up and go test (TUG), two-minute walk test (TMW), Berg balance scale (BBS) and finger tapping test (FT), and all showed significant improvement on discharge (𝑃>.001). Clinically significant improvements in total FIM score were evident in 74% of the patients. Results were similar for ten patients whose medications were not adjusted. Patients with atypical parkinsonism benefit from an inpatient interdisciplinary movement disorders program to improve functional status. |
| format | Article |
| id | doaj-art-b06343754271429f9ebfdf133b042f8a |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-b06343754271429f9ebfdf133b042f8a2025-02-03T00:59:31ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/871974871974Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical ParkinsonismAnna D. Hohler0Jyeming M. Tsao1Douglas I. Katz2T. Joy DiPiero3Christina L. Hehl4Alissa Leonard5Valerie Allen6Maura Gardner7Heidi Phenix8Marie Saint-Hilaire9Terry Ellis10Department of Neurology, Boston University School of Medicine, 720 Albany Street, Suite 7B, Boston, MA 02118, USADepartment of Neurology, Boston University School of Medicine, 720 Albany Street, Suite 7B, Boston, MA 02118, USADepartment of Neurology, Boston University School of Medicine, 720 Albany Street, Suite 7B, Boston, MA 02118, USADepartment of Neurology, Boston University School of Medicine, 720 Albany Street, Suite 7B, Boston, MA 02118, USABraintree Rehabilitation Hospital, Braintree, MA 250 Pond Street, Braintree, MA 02184, USABraintree Rehabilitation Hospital, Braintree, MA 250 Pond Street, Braintree, MA 02184, USABraintree Rehabilitation Hospital, Braintree, MA 250 Pond Street, Braintree, MA 02184, USABraintree Rehabilitation Hospital, Braintree, MA 250 Pond Street, Braintree, MA 02184, USABraintree Rehabilitation Hospital, Braintree, MA 250 Pond Street, Braintree, MA 02184, USADepartment of Neurology, Boston University School of Medicine, 720 Albany Street, Suite 7B, Boston, MA 02118, USABraintree Rehabilitation Hospital, Braintree, MA 250 Pond Street, Braintree, MA 02184, USAThis paper investigated the effectiveness of an inpatient movement disorders program for patients with atypical parkinsonism, who typically respond poorly to pharmacologic intervention and are challenging to rehabilitate as outpatients. Ninety-one patients with atypical parkinsonism participated in an inpatient movement disorders program. Patients received physical, occupational, and speech therapy for 3 hours/day, 5 to 7 days/week, and pharmacologic adjustments based on daily observation and data. Differences between admission and discharge scores were analyzed for the functional independence measure (FIM), timed up and go test (TUG), two-minute walk test (TMW), Berg balance scale (BBS) and finger tapping test (FT), and all showed significant improvement on discharge (𝑃>.001). Clinically significant improvements in total FIM score were evident in 74% of the patients. Results were similar for ten patients whose medications were not adjusted. Patients with atypical parkinsonism benefit from an inpatient interdisciplinary movement disorders program to improve functional status.http://dx.doi.org/10.1155/2012/871974 |
| spellingShingle | 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 Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism Parkinson's Disease |
| title | Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism |
| title_full | Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism |
| title_fullStr | Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism |
| title_full_unstemmed | Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism |
| title_short | Effectiveness of an Inpatient Movement Disorders Program for Patients with Atypical Parkinsonism |
| title_sort | effectiveness of an inpatient movement disorders program for patients with atypical parkinsonism |
| url | http://dx.doi.org/10.1155/2012/871974 |
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