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The power of cueing to circumvent dopamine deficits: A review of physical therapy treatment of gait disturbances in Parkinson's disease

Identifieur interne : 001D23 ( Main/Corpus ); précédent : 001D22; suivant : 001D24

The power of cueing to circumvent dopamine deficits: A review of physical therapy treatment of gait disturbances in Parkinson's disease

Auteurs : Tamar C. Rubinstein ; Nir Giladi ; Jeffrey M. Hausdorff

Source :

RBID : ISTEX:48B59684A046A4FAB2C21BB5D8C6BE86E84E9AC6

English descriptors

Abstract

Gait disturbances are among the primary symptoms of Parkinson's disease (PD) and contribute significantly to a patient's loss of function and independence. Standard treatment includes antiparkinsonian drugs, primarily levodopa. In addition to the standard drug regime, physical therapy is often prescribed to help manage the disease. In recent years, there have been promising reports of physical therapy programs combined with various types of sensory cueing for PD. In this brief review of the literature, we summarize the evidence regarding the clinical efficacy of different physical therapy programs for PD, specifically with respect to improving gait. We also discuss the potential therapeutic mechanisms of sensory cueing and review the studies that have used cueing in the treatment of gait in PD. This review of the literature shows two key findings: (1) despite its relatively long history, the evidence supporting the efficacy of conventional physical therapy for treatment of gait in PD is not strong; and (2) although further investigation is needed, sensory cueing appears to be a powerful means of improving gait in PD. © 2002 Movement Disorder Society

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DOI: 10.1002/mds.10259

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ISTEX:48B59684A046A4FAB2C21BB5D8C6BE86E84E9AC6

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<p>Gait disturbances are among the primary symptoms of Parkinson's disease (PD) and contribute significantly to a patient's loss of function and independence. Standard treatment includes antiparkinsonian drugs, primarily levodopa. In addition to the standard drug regime, physical therapy is often prescribed to help manage the disease. In recent years, there have been promising reports of physical therapy programs combined with various types of sensory cueing for PD. In this brief review of the literature, we summarize the evidence regarding the clinical efficacy of different physical therapy programs for PD, specifically with respect to improving gait. We also discuss the potential therapeutic mechanisms of sensory cueing and review the studies that have used cueing in the treatment of gait in PD. This review of the literature shows two key findings: (1) despite its relatively long history, the evidence supporting the efficacy of conventional physical therapy for treatment of gait in PD is not strong; and (2) although further investigation is needed, sensory cueing appears to be a powerful means of improving gait in PD. © 2002 Movement Disorder Society</p>
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<title>The power of cueing to circumvent dopamine deficits: A review of physical therapy treatment of gait disturbances in Parkinson's disease</title>
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<titleInfo type="abbreviated" lang="en">
<title>Physical Therapy and Cueing for Gait in PD</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>The power of cueing to circumvent dopamine deficits: A review of physical therapy treatment of gait disturbances in Parkinson's disease</title>
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<name type="personal">
<namePart type="given">Tamar C.</namePart>
<namePart type="family">Rubinstein</namePart>
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<affiliation>Movement Disorders Unit, Neurology Department, Tel‐Aviv Sourasky Medical Center, and Sackler School of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation>
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<name type="personal">
<namePart type="given">Nir</namePart>
<namePart type="family">Giladi</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Movement Disorders Unit, Neurology Department, Tel‐Aviv Sourasky Medical Center, and Sackler School of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation>
<description>Correspondence: Movement Disorders Unit, Department of Neurology, Tel‐Aviv Sourasky Medical Center, 6 Weizmann Street, Tel‐Aviv 64239, Israel</description>
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<name type="personal">
<namePart type="given">Jeffrey M.</namePart>
<namePart type="family">Hausdorff</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Movement Disorders Unit, Neurology Department, Tel‐Aviv Sourasky Medical Center, and Sackler School of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation>
<affiliation>Gerontology Division, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA</affiliation>
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<dateCaptured encoding="w3cdtf">2001-09-23</dateCaptured>
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<abstract lang="en">Gait disturbances are among the primary symptoms of Parkinson's disease (PD) and contribute significantly to a patient's loss of function and independence. Standard treatment includes antiparkinsonian drugs, primarily levodopa. In addition to the standard drug regime, physical therapy is often prescribed to help manage the disease. In recent years, there have been promising reports of physical therapy programs combined with various types of sensory cueing for PD. In this brief review of the literature, we summarize the evidence regarding the clinical efficacy of different physical therapy programs for PD, specifically with respect to improving gait. We also discuss the potential therapeutic mechanisms of sensory cueing and review the studies that have used cueing in the treatment of gait in PD. This review of the literature shows two key findings: (1) despite its relatively long history, the evidence supporting the efficacy of conventional physical therapy for treatment of gait in PD is not strong; and (2) although further investigation is needed, sensory cueing appears to be a powerful means of improving gait in PD. © 2002 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>review</topic>
<topic>gait</topic>
<topic>physical therapy</topic>
<topic>exercise</topic>
<topic>sensory cues</topic>
<topic>visual cueing</topic>
<topic>auditory cueing</topic>
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<title>Movement Disorders</title>
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<genre>article category</genre>
<topic>Research Review</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2002</date>
<detail type="volume">
<caption>vol.</caption>
<number>17</number>
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<detail type="issue">
<caption>no.</caption>
<number>6</number>
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<start>1148</start>
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<identifier type="DOI">10.1002/mds.10259</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2002 Movement Disorders Society</accessCondition>
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