title: [Other care in Parkinson's disease: Psychological, rehabilitation, therapeutic education and new technologies].
abstract: Diagnosis of Parkinson's disease (PD) is often traumatic. It is then important to organize this announcement in order to support the patient in this major step of his care course. Anxiety and depression are present in about 50% of PD patients. Besides pharmacological treatment, cognitive-behavioral therapy induces improvement in anxio-depressive symptoms. We have to promote physical activity for PD patients, from the beginning of the disease, because it prevents from deconditioning, improves motor and non-motor symptoms, quality of life, and decreases loneliness. Rehabilitation may be also proposed (physiotherapy, speech therapy, occupational therapy). But there is no specific recommendation in PD, and usual activities can be proposed. Therapeutic education is an answer for PD patients who need to know and understand their disease and treatment. Organization of therapeutic education is different depending of the teams: group workshop and/or individual sessions, conduct by doctors or paramedical staff (nurse, physiotherapist, psychologist…). Therapeutic education programs are always evolving. It will soon be proposed therapeutic education for care partners, and some patients may join therapeutic education staff.
authors.affiliation: CHU de Toulouse, centre expert Parkinson, service de neurologie, 31059 Toulouse, France.
authors.forename: Julia
authors.initials: J
authors.lastname: Dupouy
authors.affiliation: CHU de Toulouse, centre expert Parkinson, service de neurologie, 31059 Toulouse, France; UMR 1214, Inserm, imagerie cérébrale et handicaps neurologiques, Toulouse, France.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Ory-Magne
authors.affiliation: CHU de Toulouse, centre expert Parkinson, service de neurologie, 31059 Toulouse, France; UMR 1214, Inserm, imagerie cérébrale et handicaps neurologiques, Toulouse, France; CHU de Toulouse, service de pharmacologie clinique, 31000 Toulouse, France. Electronic address: christine.brefel-courbon@univ-tlse3.fr.
authors.forename: Christine
authors.initials: C
authors.lastname: Brefel-Courbon
mesh_terms: D001007:Anxiety / Q000209:etiology / Q000628:therapy; D001294:Attitude to Health; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000209:etiology / Q000628:therapy; D019468:Disease Management; D005081:Exercise Therapy; D006801:Humans; D009788:Occupational Therapy; D010300:Parkinson Disease / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D010353:Patient Education as Topic / Q000379:methods; D026741:Physical Therapy Modalities; D013070:Speech Therapy