Striding Out With Parkinson Disease: Evidence-Based Physical Therapy for Gait Disorders
Open Access
- 1 February 2010
- journal article
- research article
- Published by Oxford University Press (OUP) in PTJ: Physical Therapy & Rehabilitation Journal
- Vol. 90 (2), 280-288
- https://doi.org/10.2522/ptj.20090091
Abstract
Although Parkinson disease (PD) is common throughout the world, the evidence for physical therapy interventions that enable long-term improvement in walking is still emerging. This article critiques the major physical therapy approaches related to gait rehabilitation in people with PD: compensatory strategies, motor skill learning, management of secondary sequelae, and education to optimize physical activity and reduce falls. The emphasis of this review is on gait specifically, although balance and falls are of direct importance to gait and are addressed in that context. Although the researchers who have provided the evidence for these approaches grounded their studies on different theoretical paradigms, each approach is argued to have a valid place in the comprehensive management of PD generally and of gait in particular. The optimal mix of interventions for each individual varies according to the stage of disease progression and the patient's preferred form of exercise, capacity for learning, and age.This publication has 71 references indexed in Scilit:
- Dynamic Principles of Gait and Their Clinical ImplicationsPTJ: Physical Therapy & Rehabilitation Journal, 2010
- Neurophysiologic and Rehabilitation Insights From the Split-Belt and Other Locomotor Adaptation ParadigmsPTJ: Physical Therapy & Rehabilitation Journal, 2010
- How Does Explicit Prioritization Alter Walking During Dual-Task Performance? Effects of Age and Sex on Gait Speed and VariabilityPTJ: Physical Therapy & Rehabilitation Journal, 2010
- Effects of dance on movement control in Parkinson’s disease: A comparison of Argentine tango and American ballroomJournal of Rehabilitation Medicine, 2009
- A Longitudinal Evaluation of Health-Related Quality of Life of Patients with Parkinson's DiseaseValue in Health, 2009
- The Effect of Exercise Training in Improving Motor Performance and Corticomotor Excitability in People With Early Parkinson's DiseaseArchives Of Physical Medicine and Rehabilitation, 2008
- Tai Chi improves balance and mobility in people with Parkinson diseaseGait & Posture, 2008
- Recreational physical activity and risk of Parkinson's diseaseMovement Disorders, 2008
- Cueing training in the home improves gait-related mobility in Parkinson's disease: the RESCUE trialJournal of Neurology, Neurosurgery & Psychiatry, 2007
- A randomised controlled trial of a home based exercise programme to reduce the risk of falling among people with Parkinson's diseaseJournal of Neurology, Neurosurgery & Psychiatry, 2006