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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.
Mov Disord. 2002 Nov; 17(6):1148-60.MD

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.

Authors+Show Affiliations

Movement Disorders Unit, Neurology Department, Tel-Aviv Sourasky Medical Center, and Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Review

Language

eng

PubMed ID

12465051

Citation

Rubinstein, Tamar C., et al. "The Power of Cueing to Circumvent Dopamine Deficits: a Review of Physical Therapy Treatment of Gait Disturbances in Parkinson's Disease." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 17, no. 6, 2002, pp. 1148-60.
Rubinstein TC, Giladi N, Hausdorff JM. The power of cueing to circumvent dopamine deficits: a review of physical therapy treatment of gait disturbances in Parkinson's disease. Mov Disord. 2002;17(6):1148-60.
Rubinstein, T. C., Giladi, N., & Hausdorff, J. M. (2002). The power of cueing to circumvent dopamine deficits: a review of physical therapy treatment of gait disturbances in Parkinson's disease. Movement Disorders : Official Journal of the Movement Disorder Society, 17(6), 1148-60.
Rubinstein TC, Giladi N, Hausdorff JM. The Power of Cueing to Circumvent Dopamine Deficits: a Review of Physical Therapy Treatment of Gait Disturbances in Parkinson's Disease. Mov Disord. 2002;17(6):1148-60. PubMed PMID: 12465051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The power of cueing to circumvent dopamine deficits: a review of physical therapy treatment of gait disturbances in Parkinson's disease. AU - Rubinstein,Tamar C, AU - Giladi,Nir, AU - Hausdorff,Jeffrey M, PY - 2002/12/5/pubmed PY - 2003/3/26/medline PY - 2002/12/5/entrez SP - 1148 EP - 60 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 17 IS - 6 N2 - 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. SN - 0885-3185 UR - https://www.unboundmedicine.com/medline/citation/12465051/The_power_of_cueing_to_circumvent_dopamine_deficits:_a_review_of_physical_therapy_treatment_of_gait_disturbances_in_Parkinson's_disease_ L2 - https://doi.org/10.1002/mds.10259 DB - PRIME DP - Unbound Medicine ER -