ABSTRACT

Nonpharmacological therapy (physical, occupational, and speech therapies) plays a significant role in the multidisciplinary care of Parkinson’s disease (PD) patients. Physical therapy (PT) and occupational therapy (OT) have traditionally constituted the mainstream treatment of postural instability, gait dysfunction, and range of motion (ROM) limitations in PD. Despite common use of PT/OT in PD, there are little objective data supporting their efficacy. There is a need for large randomized prospective studies to define the type, duration, and long-term implications of PT/OT in PD. This chapter will review available literature on the use of PT and OT in PD and outline an algorithmic approach to different PT strategies.