Multidisciplinary approaches in progressive neurological disease: can we do better?

Abstract

Progressive neurological disease (PND) is an important cause of disability in the community and hence a focus for the forthcoming National Service Framework on long term conditions.1 About 300 per 100 000 are affected by the two most common conditions in the group, multiple sclerosis (MS) and idiopathic Parkinson’s disease (PD). PND produces complex patterns of physical and cognitive impairment. We will first consider the needs of people with PND. How can rehabilitation concepts be applied to people with PND? What problems do they face? The second section will outline the resources relevant to neurological rehabilitation and we will conclude by considering how services should be integrated. Inevitably, the article will highlight shortcomings in current services. Can we do better?