Objective: This study evaluates the impact of a multidisciplinary approach on the diagnosis, treatment, and management of MD in Uzbekistan, assessing advancements in 2024 and identifying key challenges.

Background: MD, including PD, dystonia, and ET, require comprehensive management.1. A collaborative effort among specialists is crucial for optimal patient care. In Uzbekistan, advancements in neurology, neurosurgery, rehabilitation, and allied fields have improved patient outcomes, yet challenges such as limited infrastructure and specialist availability persist.

Method: In 2024, a multidisciplinary team consisting of one neurosurgeon, five neurologists, one neurology resident, two medical students, one rehabilitation physician, one endocrinologist, one cardiologist, one internal medicine specialist, two radiologists, and two psychiatrists evaluated 436 patients with movement disorders. Diagnostic and treatment approaches included neurological assessments, neuroimaging, pharmacotherapy, and rehabilitation programs.

Results: Enhanced Diagnosis: High-resolution MRI and functional imaging improved diagnostic accuracy.

Optimised Treatment: Multidisciplinary approach helps to choose optimal therapy to each individual patient.

Surgical Advances: We have selected 10 patients to the Deep brain stimulation (DBS) and looking forward to perform surgeries in 2025. Every patient was examined and evaluated by international trained psychiatrists.

Rehabilitation: A coordinated approach among specialists enhanced functional recovery.

Challenges:

– Limited specialised centres, particularly in rural areas.

– High costs restricting access to advanced therapies, without government support

– Insufficient awareness and training among general healthcare providers.

– Shortages of highly trained movement disorder specialists.

– Limited medications. 3 types of Levodopa, only 250 mg. , 2 types Pramipexole 0,25 and 1,0 mg., 1 type of Rasagilin.

Conclusion: A multidisciplinary approach has significantly improved movement disorder management in Uzbekistan. However, accessibility, affordability, and specialist training remain major challenges. Strengthening collaborations, expanding training programs, and increasing government support are essential for sustainable progress. Future efforts should integrate telemedicine, establish specialised centres, and advance research to refine treatment strategies, ensuring continued improvements in patient outcomes.

Uzbekistan movement disorders team in 2024

References: 1) https://pmc.ncbi.nlm.nih.gov/articles/PMC7415700/
PMCID: PMC7415700 NIHMSID: NIHMS1605525 PMID: 32444563

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MDS Abstracts - https://www.mdsabstracts.org/abstract/multidisciplinary-approach-to-patients-with-movement-disorders-in-uzbekistan-a-2024-review/