Article

The effect of training procedures including physiotherapy, behavioral and speech therapy on motor performance in Parkinson's disease have only been studied in a small number of studies which are often characterised by methodological shortcomings. In theory, the neurobiological background of akinesia suggests that rehabilitative therapy should aim at substituting defective internal cueing and at improving sensory perception. In several controlled trials therapeutic use of sensory cues, training of compensatory steps, speech therapy focussing on voice volume and other strategies adapted to specific demands of motor disturbances in Parkinson's disease have been shown to effectively improve motor performance in a small number of subjects. In this paper conceptual and neurobiological basics of rehabilitative therapy in Parkinson's disease and application of therapeutic strategies in clinical studies will be reviewed.

Langue : ALLEMAND

Tiré à part : OUI