Striding Out With Parkinson Disease: Evidence-Based Physical Therapy for Gait Disorders
Identifieur interne : 000050 ( Ncbi/Merge ); précédent : 000049; suivant : 000051Striding 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
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Morris, PT, PhD, is Professor and Head, Melbourne School of Health Sciences, The University of Melbourne, Victoria, Melbourne 3010</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Martin, Clarissa L" sort="Martin, Clarissa L" uniqKey="Martin C" first="Clarissa L." last="Martin">Clarissa L. Martin</name><affiliation><nlm:aff id="aff2">C.L. 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Morris</name><affiliation wicri:level="4"><nlm:aff id="aff1">M.E. Morris, PT, PhD, is Professor and Head, Melbourne School of Health Sciences, The University of Melbourne, Victoria, Melbourne 3010, Australia.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Australie</country><wicri:regionArea>M.E. Morris, PT, PhD, is Professor and Head, Melbourne School of Health Sciences, The University of Melbourne, Victoria, Melbourne 3010</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Martin, Clarissa L" sort="Martin, Clarissa L" uniqKey="Martin C" first="Clarissa L." last="Martin">Clarissa L. Martin</name><affiliation><nlm:aff id="aff2">C.L. Martin, PT, PhD, is Senior Research Fellow, Centre for Health, Exercise and Sports Medicine, The University of Melbourne.</nlm:aff><wicri:noCountry code="subfield">The University of Melbourne.</wicri:noCountry></affiliation></author><author><name sortKey="Schenkman, Margaret L" sort="Schenkman, Margaret L" uniqKey="Schenkman M" first="Margaret L." last="Schenkman">Margaret L. Schenkman</name><affiliation><nlm:aff id="aff3">M.L. Schenkman, PT, PhD, FAPTA, is Professor and Director, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, and Associate Dean of Physical Therapy Education, School of Medicine, University of Colorado Denver, Aurora, Colorado.</nlm:aff><wicri:noCountry code="subfield">Colorado.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Physical Therapy</title><idno type="ISSN">0031-9023</idno><idno type="eISSN">1538-6724</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Phys Ther</journal-id><journal-id journal-id-type="hwp">ptjournal</journal-id><journal-id journal-id-type="pmc">ptjournal</journal-id><journal-id journal-id-type="publisher-id">PTJOURNAL</journal-id><journal-title-group><journal-title>Physical Therapy</journal-title></journal-title-group><issn pub-type="ppub">0031-9023</issn><issn pub-type="epub">1538-6724</issn><publisher><publisher-name>American Physical Therapy Association</publisher-name><publisher-loc>Alexandria, VA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20022998</article-id><article-id pub-id-type="pmc">2816030</article-id><article-id pub-id-type="publisher-id">2009-0091</article-id><article-id pub-id-type="doi">10.2522/ptj.20090091</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>1306</subject><subject>1312</subject><subject>1403</subject><subject>1404</subject><subject>1508</subject><subject>2004</subject></subj-group><subj-group subj-group-type="heading"><subject>Jacquelin Perry Special Issue: Stepping Forward With Gait Rehabilitation</subject></subj-group></article-categories><title-group><article-title>Striding Out With Parkinson Disease: Evidence-Based Physical Therapy for Gait Disorders</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Morris</surname><given-names>Meg E.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Martin</surname><given-names>Clarissa L.</given-names></name><xref ref-type="aff" rid="aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Schenkman</surname><given-names>Margaret L.</given-names></name><xref ref-type="aff" rid="aff3"></xref></contrib><aff id="aff1">M.E. Morris, PT, PhD, is Professor and Head, Melbourne School of Health Sciences, The University of Melbourne, Victoria, Melbourne 3010, Australia.</aff><aff id="aff2">C.L. Martin, PT, PhD, is Senior Research Fellow, Centre for Health, Exercise and Sports Medicine, The University of Melbourne.</aff><aff id="aff3">M.L. Schenkman, PT, PhD, FAPTA, is Professor and Director, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, and Associate Dean of Physical Therapy Education, School of Medicine, University of Colorado Denver, Aurora, Colorado.</aff></contrib-group><author-notes><corresp>Address all correspondence to Dr Morris at: <email>m.morris@unimelb.edu.au</email>.</corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>8</month><year>2010</year></pub-date><pmc-comment> PMC Release delay is 6 months and 0 days and was based on the
<volume>90</volume><issue>2</issue><fpage>280</fpage><lpage>288</lpage><history><date date-type="received"><day>19</day><month>3</month><year>2009</year></date><date date-type="accepted"><day>12</day><month>9</month><year>2009</year></date></history><permissions><copyright-statement>© 2010 American Physical Therapy Association</copyright-statement></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="zad00210000280.pdf"></self-uri><abstract><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></abstract></article-meta></front></pmc><affiliations><list><country><li>Australie</li></country><region><li>Victoria (État)</li></region><settlement><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><noCountry><name sortKey="Martin, Clarissa L" sort="Martin, Clarissa L" uniqKey="Martin C" first="Clarissa L." last="Martin">Clarissa L. Martin</name><name sortKey="Schenkman, Margaret L" sort="Schenkman, Margaret L" uniqKey="Schenkman M" first="Margaret L." last="Schenkman">Margaret L. Schenkman</name></noCountry><country name="Australie"><region name="Victoria (État)"><name sortKey="Morris, Meg E" sort="Morris, Meg E" uniqKey="Morris M" first="Meg E." last="Morris">Meg E. Morris</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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