Paratonia in Flemish Nursing Homes: Current State of Practice

American Journal of Alzheimer's Disease and Other Dementias
Bieke Van DeunCambier Dirk

Abstract

Paratonia is a major underlying motor problem impeding functionality and locomotion in dementia. Despite its undeniable impact on patient's quality of life and daily care, there is a lack of evidence-based therapy on patients with this condition. We surveyed physiotherapists working in nursing homes in Flanders (Belgium) concerning the use and perceived effect of therapeutic strategies and positioning methods/aids. Positioning and soft passive mobilization were the most applied and positively appraised therapeutic interventions. Highest ratings for positioning were found for C-shaped positioning cushions and multi-position wheelchair. According to the respondents, key points for paratonia approach were relaxation, positioning, active movement stimulation, and-to some extent-passive mobilization. Indispensable for any success however is multidisciplinary cooperation. These findings might provide an inspirational path for research to verify possible (evidence based) beneficial treatments that could be applied to improve current and future treatment of patients with paratonia.

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Citations

Sep 15, 2020·Journal of Alzheimer's Disease : JAD·Marie-Paule E van EngelenYolande A L Pijnenburg
Nov 14, 2020·Journal of Alzheimer's Disease : JAD·Hans DrenthHans Hobbelen
Apr 4, 2021·International Journal of Environmental Research and Public Health·Rosemary Joan GowranJonathan Pearlman
Jun 23, 2019·Journal of the American Medical Directors Association·Bieke Van DeunDirk Cambier

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