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Brain Neurorehabil.  2020 Jul;13(2):e17. 10.12786/bn.2020.13.e17.

KSNR Clinical Consensus Statements: Rehabilitation of Patients with Parkinson's Disease

Affiliations
  • 1Department of Rehabilitation Medicine, International St. Mary's Hospital, Catholic Kwandong University, Incheon, Korea
  • 2Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Korea
  • 3Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon, Korea
  • 4Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 5Department of Rehabilitation Medicine, School of Medicine, Keimyung University Dongsan Hospital, Daegu, Korea
  • 6Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
  • 7Department of Rehabilitation, Ewha Womans University, College of Medicine, Seoul, Korea
  • 8Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
  • 9Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea
  • 10Department of Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea
  • 11Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
  • 12Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
  • 13Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea
  • 14Department of Physical medicine and Rehabilitation, National Health Insurance Ilsan Hospital, Goyang, Korea
  • 15Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 16Department of Physical Medicine & Rehabilitation, College of Medicine, Chung-Ang University, Seoul, Korea
  • 17Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
  • 18Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Jeonju, Korea
  • 19Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
  • 20Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Korea
  • 21Department of Rehabilitation Medicine, College of Medicine, Dankook University, Cheonan, Korea
  • 22Department of Physical & Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea
  • 23Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
  • 24Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea
  • 25Department of Rehabilitation Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
  • 26Department of Rehabilitation Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 27Department of Rehabilitation Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 28Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
  • 29Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, Seoul, Korea
  • 30Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea
  • 31Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
  • 32Department of Rehabilitation Medicine, Kyung Hee University, College of Medicine, Seoul, Korea
  • 33Department of Physical Medicine & Rehabilitation, Hallym University College of Medicine, Chuncheon, Korea

Abstract

Clinical consensus statements (CCSs) aim to improve care for patients with Parkinson's disease (PD) and reduce the variability of rehabilitation methods in clinical practice. A literature search was conducted to find available evidence on the rehabilitation of patients with PD and to determine the scope of CCSs. The selection of PD rehabilitation domains and key questions was done using the modified Delphi method in 43 expert panels. These panels achieved a consensus on 11 key questions regarding rehabilitation assessment and goal setting, gait and balance, activities of daily living, and swallowing and communication disorders. After the completion of an agreement procedure, 11 key consensus statements were developed by the consensus panel. These statements addressed the needs of rehabilitation as a continuum in patients with PD. They included the appropriate rehabilitation initiation time, assessment items, rehabilitation contents, and complication management. This agreement can be used by physiatrists, rehabilitation therapists, and other practitioners who take care of patients with PD. The consensus panel also highlighted areas where a consensus could not be reached. The development of more focused CCS or clinical practice guidelines that target specific rehabilitation approaches is considered the next needed step.

Keyword

Consensus; Parkinson's disease; Rehabilitation
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