Striding Out With Parkinson Disease: Evidence-Based Physical Therapy for Gait Disorders
Identifieur interne : 000239 ( Main/Exploration ); précédent : 000238; suivant : 000240Striding Out With Parkinson Disease: Evidence-Based Physical Therapy for Gait Disorders
Auteurs : Meg E. Morris [Australie] ; Clarissa L. Martin ; Margaret L. SchenkmanSource :
- Physical Therapy [ 0031-9023 ] ; 2010.
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.
Url:
DOI: 10.2522/ptj.20090091
PubMed: 20022998
PubMed Central: 2816030
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>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.</p>
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