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      Neurorehabilitation for Parkinson's disease: Future perspectives for behavioural adaptation.

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          Abstract

          Parkinson's disease is a common neurodegenerative disorder, resulting in both motor and non-motor symptoms that significantly reduce quality of life. Treatment consists of both pharmaceutical and non-pharmaceutical treatment approaches. Neurorehabilitation is an important non-pharmaceutical treatment approach, and a prime component of this is formed by the training of behavioural adaptations that can assist patients to cope better with their motor and non-motor symptoms. Optimal delivery of neurorehabilitation requires a tailor-made, personalized approach. In this review we discuss the great potential for growth in the field of neurorehabilitation. Specifically, we will focus on four relatively new developments: visual rehabilitation (because Parkinson patients are very dependent on optimal vision); cueing delivered by wearable devices (allowing for objective, continuous, and quantitative detection of mobility problems, such that cueing can be delivered effectively in an on-demand manner - i.e., with external cues being delivered only at a time when they are needed most); exergaming (to promote compliance with exercise programs); and telemedicine (allowing for delivery of expert rehabilitation advice to the patient's own home). Evidence in these new fields is growing, based on good clinical trials, fuelling hope that state-of-the-art neurorehabilitation can make a real impact on improving the quality of life of patients affected by Parkinson's disease.

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          Author and article information

          Journal
          Parkinsonism Relat. Disord.
          Parkinsonism & related disorders
          1873-5126
          1353-8020
          Jan 2016
          : 22 Suppl 1
          Affiliations
          [1 ] Radboud University Medical Centre, Department of Neurology, Nijmegen, The Netherlands; Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands. Electronic address: Merel.Ekker@radboudumc.nl.
          [2 ] Radboud University Medical Centre, Department of Neurology, Nijmegen, The Netherlands; Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands; Biomedical Signal and Systems Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands. Electronic address: SabineNeuro.Janssen@radboudumc.nl.
          [3 ] Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands; Biomedical Signal and Systems Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands; Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation, Nijmegen, The Netherlands. Electronic address: Jorik.nonnekes@radboudumc.nl.
          [4 ] Radboud University Medical Centre, Department of Neurology, Nijmegen, The Netherlands; Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands. Electronic address: bas.bloem@radboudumc.nl.
          [5 ] Radboud University Medical Centre, Department of Neurology, Nijmegen, The Netherlands. Electronic address: Nienke.deVries-Farrouh@radboudumc.nl.
          Article
          S1353-8020(15)00370-3
          10.1016/j.parkreldis.2015.08.031
          26362955
          bd6ff10c-0d1a-40e5-8cfd-a8ec6c1a6c4d
          Copyright © 2015 Elsevier Ltd. All rights reserved.
          History

          Behavioural adaptations,Cueing,Future perspective,Neurorehabilitation,Parkinson's disease,Technology,Telemedicine,Videogames,Visual disability

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