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Effects of rehabilitation training on patients with early Parkinson's disease in chronic disease management practice

WANG Xi-jin1, GUAN Qiang2, WU Xing-jun3, WANG Da-zhu4, LUO Yi1, LIU Zhen-guo1   

  1. 1.Department of Neurology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092， China; 2.Department of Neurology, Tongji Hospital, Tongji University, Shanghai 200065, China; 3.Department of Neurology, Shanghai Xuhui Central Hospital, Shanghai 200031， China; 4.Tongling Road Community Health Center, Yaohai District, Hefei City, Anhui Province, Hefei 230011, China
  • Online:2013-10-28 Published:2013-10-31
  • Supported by:

    National Natural Science Foundation of China, 81171204, 81171203, 30772280; Shanghai Shenkang Hospital Development Center Project, SHDC12012320

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Abstract:

Objective To investigate the effects of integration of rehabilitation training into chronic disease management practice on the clinical symptoms and economic burden of patients with early Parkinson's disease (PD). Methods Forty patients with early PD were included into chronic disease management practice, and were randomly divided into control group (n=20) and rehabilitation training group (n=20). Unified Parkinson's disease rating scale (UPDRS) Ⅲ was employed to evaluate the clinical symptoms before and 3 months after chronic disease management, and the economic costs 3 months before chronic disease management and 3 months after chronic disease management were calculated. Results The implementation of chronic disease management significantly improved the clinical symptoms (P<0.01), and reduced the living expenses, lost incomes and total expenses in two groups (P<0.01). Compared with control group, the clinical symptoms were significantly improved (P<0.05), and the living expenses, lost incomes and total expenses were significantly reduced in rehabilitation training group (P<0.05). Conclusion Rehabilitation training can significantly improve the clinical symptoms and reduce the economic burden of patients with PD, and should be integrated into the chronic disease management practice of patients with early PD.

Key words: Parkinson's disease, chronic disease management, rehabilitation training, economic burden