Wydanie 2/2010
str. 60
Czy dobra funkcja wzroku może się przyczynić do spowolnienia progresji choroby Parkinsona i redukcji kosztów leczenia oraz opieki?
Is There a Positive Influence of Vision on Parkinson’s Disease Progression of and Burden of Illness?
Barbara Nowacka, Wojciech Lubiński, Danuta Karczewicz
Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej w Szczecinie Kierownik: prof. dr hab. n. med. Danuta Karczewicz
Summary: Purpose: Based on available literature, the authors describe role of vision in rehabilitation and slowing Parkinson’s disease (PD) progression.
Material and Methods: Data published in literature available in PubMed library concerning the economic impact and the rehabilitation of Parkinson’s disease.
Results: The total annual direct costs of PD amounted from 6700 to 16000 Euros per patient. Indirect costs account for EUR 6000 – 18300 per patient annually. The preservation of good visual function in PD patients reduced the frequency of falls and visual hallucinations. It also had an important role in the rehabilitation. Training with visual cues (patterns) result in increase velocity and step length. After nonexercise period the benefits from rehabilitation retained only in cued group. The most frequent ocular diseases in PD were the dry eye syndrome and the glaucoma.
Conclusions: Despite the wide differences in costs between countries, it is clear that PD has tremendous economic impact on healthcare systems. Maintaining good visual functions has a potential value in improving the quality of life, rehabilitation and in reducing healthcare resources use of PD patients.
Słowa kluczowe: choroba Parkinsona, współistniejące choroby i objawy ze strony narządu wzroku, socjoekonomia, rehabilitacja.
Keywords: Parkinson’s disease, associated ocular diseases and symptoms, socioeconomics, rehabilitation.