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Nervenheilkunde 2014; 33(01/02): 42-48
DOI: 10.1055/s-0038-1627669
Schwabinger Neuroseminar
Schattauer GmbH

Stationäre multimodale Komplextherapie bei Parkinson-Syndrom

Fokus PhysiotherapieInpatient multimodal complex therapy for patients with Parkinson’s disease
K. Ziegler
1   Abteilung Neurologie und klinische Neurophysiologie, Zentrum für Parkinson-Syndrome und Bewegungsstörungen, Schön Klinik, München Schwabing
,
A. Ceballos-Baumann
1   Abteilung Neurologie und klinische Neurophysiologie, Zentrum für Parkinson-Syndrome und Bewegungsstörungen, Schön Klinik, München Schwabing
› Institutsangaben
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Publikationsverlauf

eingegangen am: 30. August 2013

angenommen am: 02. September 2013

Publikationsdatum:
23. Januar 2018 (online)

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Zusammenfassung

Im stationären Versorgungsbereich besteht die Option, aktivierende Therapien bei Parkinson-Patienten als multimodale Komplextherapie im Rahmen des geltenden Fallpauschalen-Systems (DRG) abzubilden. Dies bietet stationär behandelten Patienten die Möglichkeit, parallel zur ärztlich notwendigen neurologischen Behandlung (z. B. Pharmakotherapie, Medikamentenpumpen, Einstellung der tiefen Hirnstimulation) ein interdisziplinäres, hochfrequentes Angebot aktivierender Therapien zu erhalten. Ein wesentlicher Bestandteil ist dabei die Physiotherapie. Symptomspezifische und auf das Krankheitsstadium zugeschnittene Physiotherapie ist nachweislich effektiv, wenn im entsprechenden Kontext und mit hoher Frequenz therapiert wird. Im Folgenden werden drei physiotherapeutische Behandlungsoptionen für funktionell wichtige Probleme vieler Parkinson-Patienten erläutert, die sich aufgrund der hohen Zahl von Einzeltherapien innerhalb der multimodalen Komplextherapie sehr gut realisieren lassen.

Summary

Patients with Parkinson’s disease (PD) who are hospitalized may take advantage of the „multimodal complex therapy”, which is in the catalogue of operational procedures of the German DRG-System. This entails while inpatient an intensive and high frequency exposure to activating therapies (i. e. physio, occupational, psychological, voice, swallowing therapies and possibly others) parallel to the pertinent neurological treatment (pharmacotherapy, medication pumps, optimization of deep brain stimulation parameters). Symptom specific and for the disease stage designed physiotherapy is effective in PD, if the exercises are context specific and are practised with high intensity. Here we describe three physiotherapeutical methods for the treatment of relevant functional deficits of many PD patients, which needs a high number of individualized therapy and can be therefore well organized through this “multimodal complex therapy”.

Schlüsselwörter

Parkinson-Syndrom - multimodale Komplextherapie - Physiotherapie - LSVT™ BIG - AntiFreezing-Training - Sturzprophylaxe

Keywords

Parkinson’s disease - multimodal complex therapy - physiotherapy - LSVT™ BIG - freezing - fall prevention
 

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