Review

Management of balance and gait in older individuals with Parkinson’s disease

Washington University School of Medicine, Program in Physical Therapy, Campus Box 8502, 4444 Forest Park Blvd, St Louis, MO 63108, USA

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Abigail L Leddy

Washington University School of Medicine, Program in Physical Therapy, Campus Box 8502, 4444 Forest Park Blvd, St Louis, MO 63108, USA

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Gammon M Earhart

† Author for correspondence

Department of Anatomy & Neurobiology, Washington University School of Medicine, St Louis, MO, USA.

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Email the corresponding author at earhartg@wusm.wustl.edu

Published Online:27 Apr 2011https://doi.org/10.2217/ahe.10.79

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Abstract

Difficulties with walking and balance are common among people with Parkinson’s disease (PD). Effective management of these walking and balance problems is critical, as these issues can contribute to decreased mobility, falls, social isolation, reduced quality of life and increased mortality. This article provides an overview of the gait and balance disorders associated with PD and discusses the methods currently utilized to manage gait and balance problems among people with PD. These methods include pharmacological, surgical and rehabilitative approaches. Remaining challenges and future directions, including the need for comprehensive, multidisciplinary, patient-centered care provided by qualified movement disorders experts, are also highlighted.

Keywords:

Papers of special note have been highlighted as: • of interest •• of considerable interest

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The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

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