Saratov JOURNAL of Medical and Scientific Research

clinical diagnostic room

Organization of medical rehabilitation in Parkinson's disease in a specialized clinical diagnostic room

Year: 2013, volume 9 Issue: №4 Pages: 927-931
Heading: rehabilitative medicine Article type: Original article
Authors: Krivonos О.V., Smolentseva I.G., Amosova N.A., Gubaydullina R.F.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The study aimed to create an organizational model of medical rehabilitation of patients with Parkinson's disease (PD). Material and methods. In medical institutions of Closed Administrative-Territorial Units of Russia (Seversk, Za-rechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk) in clinical and diagnostic rooms for providing care to patients with movement disorders there was created an organizational model of medical rehabilitation. Results. The organizational model of medical rehabilitation allowed to cover 100% of all PD patients. The main phases in the model were diagnosis and follow up care on the base of specialized clinical and diagnostic room, creating and performance of individual rehabilitation program with recreation therapist, educational sessions for patients and their relatives, evaluation effectiveness of rehabilitation measures, condition monitoring, assessment of antiparkinsonian therapy. Effectiveness of the rehabilitation in inpatient and outpatient settings was comparable. Conclusion. Creation and implementation of the organizational model of medical rehabilitation was possible only in specialized clinical and diagnostic rooms for diagnosis and treatment of movement disorders. There were introduction of the phasing and basic directions rehabilitation program for PD patients have been worked.

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Principles of dispensary observation of patients with Parkinson's disease in a specialized clinical diagnostic room

Year: 2013, volume 9 Issue: №4 Pages: 869-873
Heading: Neurology Article type: Original article
Authors: Krivonos О.V., Smolentseva I.G., Amosova N.A., Chupina L.P.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: to develop and implement of the order of the dispensary observation of Parkinson's disease patients. Material and methods, the dispensary observation of Parkinson's disease patients had been performed by neurologist and diagnostic room (CDR) based on the outpatient department of health care institutions obeyed by FMBA of Russia in six Closed Administrative-Territorial Units: Seversk, Zarechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk. Neurologist examined of patients and put data to the Register's database. Register's database had 588 Parkinson's disease examined patients, 112 of them (19,1%) had stage II of the disease by Hoehn and Yahr, 231 (39,3%) patients — stage III by Hoehn and Yahr, 187 (31,8%) patients — stage IV byHoehn and Yahr, 58 (9,9%) patients — stage V by Hoehn and Yahr. The duration of the dispensary observation of Parkinson's disease patients was 4 years (2009-2012). Results. There are and implement the order of the observed and accounting of adult's group of Parkinson's disease patients were developed, who are registered in the clinical and diagnostic rooms, including the frequency of physician's visits, the list of diagnostic and treatment activities and efficiency endpoint of the dispensary observation. Conclusion. Implementation of the order of the dispensary observation according to the Register allowed to identify the main disabling PD's symptoms (depression, dementia, motor fluctuations and dyskinesia) and timely correction of therapy.

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2013_04-01_869-873.pdf271.33 KB