Movement Disorders Rehabilitation Hsin Fen Chien Orlando Graziani Povoas Barsottini Editors 123 Movement Disorders Rehabilitation Hsin Fen Chien Orlando Graziani Povoas Barsottini Editors Movement Disorders Rehabilitation Editors Hsin Fen Chien Orlando Graziani Povoas Barsottini Department of Neurology Department of Neurology Hospital das Clínicas da Faculdade de Universidade Federal de São Paulo Medicina da Universidade de São Paulo São Paulo, Brazil São Paulo, Brazil Department of Orthopedics and Traumatology Faculdade de Medicina da Universidade de São Paulo São Paulo, Brazil ISBN 978-3-319-46060-4 ISBN 978-3-319-46062-8 (eBook) DOI 10.1007/978-3-319-46062-8 Library of Congress Control Number: 2016959000 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland To my mother and father (in memoriam) Love is patient, love is kind. … It always protects, always trusts, always hopes, always perseveres. Love never fails. To my loving and supportive family. Hsin Fen Chien To my parents Ruth and Orlando (in memoriam). Orlando Barsottini Foreword Up until 30 years ago neurologists were typecast as brilliant, austere men who talked with ease about areas of the brain that most other doctors had forgotten existed. They adored diagnosis, many suffered from spanophilia and most had little interest in time-consuming treatments. Then neurorehabilitation arrived making the more go ahead neurologist realise that there was now a lot to offer patients. Even its more Luddite exponents realised that if they did not start to become more involved in the care of patients with chronic neurological disability, then they faced extinction in both the public and private health care systems. The notion that external intervention could facilitate the brain’s plasticity and potentially reduce the consequences of brain injury was a new exciting concept. Specialist neurorehabilitation services now play a vital role in the management of patients after their immediate medical and surgical needs have been met, in optimis- ing their recovery and supporting their safe transition back to the community. Modern technology is now increasingly being used to supplement physical and cognitive therapies in restoring function in patients with traumatic brain injury and stroke. With a few notable exceptions, neurologists with a special interest in the treat- ment of movement disorders have been slow to embrace neurorehabilitation. Many are sceptical of the “neurobling” of plasticity and functional imaging and look upon the use of complementary approaches to therapy such as tango dancing and Tai Chi with grave suspicion. This resistance to a more holistic treatment approach may in part reflect the fact that abnormal movement disorders rarely present with devastat- ing acute or subacute disability, and that a number of efficacious medical and surgi- cal treatments are available for the commoner disorders. This has led to less engagement with physical and speech therapists in comparison with, say, the field of multiple sclerosis, so that despite the increasing evidence base and intriguing preclinical and clinical science in the neurorehabilitation of movement disorders, sophisticated state-of-the-art facilities are thin on the ground. vii viii Foreword This excellent book edited by Chien Hsin Fen and Orlando Barsottini hopefully draws movement disorder and neurorehabilitation specialists into a fascinating and largely untapped fruitful field of research that has the potential to vastly improve the lives of the thousands of people living with the disabilities caused by basal ganglia dysfunction. The National Hospital, Queen Square Andrew Lees London, UK July 2016 Contents 1 Introduction ............................................................................................. 1 Hsin Fen Chien 2 Parkinson’s Disease ................................................................................ 5 Hsin Fen Chien, Egberto Reis Barbosa, Carolina de Oliveira Souza, Alice Estevo Dias, and Juliana Conti 3 Atypical Parkinsonism............................................................................ 45 Orlando Graziani Povoas Barsottini, Carolina de Oliveira Souza, Giovana Diaferia, and Alberto J. Espay 4 Rehabilitation of Dystonia ...................................................................... 67 Dirk Dressler and Fereshte Adib Saberi 5 Rehabilitation of Ataxia .......................................................................... 83 Marise Bueno Zonta, Giovana Diaferia, José Luiz Pedroso, and Hélio A.G. Teive 6 Rehabilitation in Essential Tremor........................................................ 97 Maria Eliza Freitas and Renato P. Munhoz 7 Rehabilitation in Chorea ........................................................................ 105 Débora Maia and Francisco Cardoso 8 Huntington’s Disease .............................................................................. 115 Monica Santoro Haddad, Tamine Teixeira da Costa Capato, and Mariana Jardim Azambuja 9 Movement Disorders in Pediatrics ........................................................ 129 Marcelo Masruha Rodrigues and Mariana Callil Voos 10 Future Perspectives: Assessment Tools and Rehabilitation in the New Age ......................................................................................... 155 Greydon Gilmore and Mandar Jog Index ................................................................................................................. 183 ix Contributors Fereshte Adib Saberi, M.D. Movement Disorders Section, Department of Neurology, Hannover Medical School, Hannover, Germany Mariana Jardim Azambuja, S.L.P., M.Sc. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Egberto Reis Barbosa, M.D., Ph.D. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Orlando Graziani Povoas Barsottini, M.D., Ph.D. Department of Neurology, Universidade Federal de São Paulo, São Paulo, Brazil Francisco Cardoso, M.D., Ph.D., F.A.A.N. Movement Disorders Unit, Neurology Service, The Federal University of Minas Gerais, Belo Horizonte, MG, Brazil Hsin Fen Chien, M.D., Ph.D. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Juliana Conti, O.T. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Tamine Teixeira da Costa Capato, P.T., M.Sc. Department of Physical Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Carolina de Oliveira Souza, P.T., M.Sc. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Giovana Diaferia, S.L.P., M.Sc. Department of Neurology, Universidade Federal de São Paulo, São Paulo, Brazil Alice Estevo Dias, S.L.P., Ph.D. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Dirk Dressler, M.D., Ph.D. Movement Disorders Section, Department of Neurology, Hannover Medical School, Hannover, Germany xi xii Contributors Alberto J. Espay, M.D., M.Sc. Department of Neurology, University of Cincinnati, Cincinnati, OH, USA Maria Eliza Freitas, M.D. Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson’s Disease, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada Greydon Gilmore, M.Sc., B.Sc. Physiology and Pharmacology, Western University, London, ON, Canada Monica Santoro Haddad, M.D., M.Sc. Department of Neurology, Hospital das Clínicas da Faculdade de Medicina da Universidade São Paulo, São Paulo, Brazil Mandar Jog, M.D., F.R.C.P.C. Clinical Neurological Sciences, London Health Sciences Centre, London, ON, Canada Débora Maia, M.D., M.Sc. Movement Disorders Unit, Neurology Service, The Federal University of Minas Gerais, Belo Horizonte, MG, Brazil Renato P. Munhoz, M.D., Ph.D. Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson’s Disease, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada José Luiz Pedroso, M.D., Ph.D. Department of Neurology, Universidade Federal de São Paulo, São Paulo, Brazil Marcelo Masruha Rodrigues, M.D., Ph.D. Division of Child Neurology, Universidade Federal de São Paulo, São Paulo, Brazil Hélio A.G. Teive, M.D., Ph.D. Universidade Federal do Paraná, Curitiba, PR, Brazil Mariana Callil Voos, P.T., Ph.D. Department of Physical Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil Marise Bueno Zonta, P.T., Ph.D. Universidade Federal do Paraná, Curitiba, PR, Brazil