Article

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.

Langue : ANGLAIS