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Current Neurology and Neuroscience Reports
Published in: Current Neurology and Neuroscience Reports 5/2018

01-05-2018 | Movement Disorders (S Fox, Section Editor)

Managing Gait, Balance, and Posture in Parkinson’s Disease

Authors: Bettina Debû, Clecio De Oliveira Godeiro, Jarbas Correa Lino, Elena Moro

Published in: Current Neurology and Neuroscience Reports | Issue 5/2018

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Abstract

Purpose of Review

Postural instability and gait difficulties inexorably worsen with Parkinson’s disease (PD) progression and become treatment resistant, with a severe impact on autonomy and quality of life. We review the main characteristics of balance instability, gait disabilities, and static postural alterations in advanced PD, and the available treatment strategies.

Recent Findings

It remains very difficult to satisfactorily alleviate gait and postural disturbances in advanced PD. Medical and surgical interventions often fail to provide satisfactory or durable alleviation of these axial symptoms, that may actually call for differential treatments. Exercise and adapted physical activity programs can contribute to improving the patients’ condition.

Summary

Gait, balance, and postural disabilities are often lumped together under the Postural Instability and Gait Difficulties umbrella term. This may lead to sub-optimal patients’ management as data suggest that postural, balance, and gait problems might depend on distinct underlying mechanisms. We advocate for a multidisciplinary approach from the day of diagnosis.
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Metadata
Title
Managing Gait, Balance, and Posture in Parkinson’s Disease
Authors
Bettina Debû
Clecio De Oliveira Godeiro
Jarbas Correa Lino
Elena Moro
Publication date
01-05-2018
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 5/2018
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-018-0828-4

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