There are several other therapies that may help improve quality of life.
Physical therapy can help you manage the physical symptoms of
Parkinson’s disease (PD). Physical therapists can teach you exercises to do on your own, or you can attend regular physical therapy sessions.
Physical therapy can help you: Increase your strengthDecrease rigidityDevelop flexibilityImprove your staminaOptimize coordinationLearn about fall preventionDelay progression of disease
Occupational therapy can help with fine motor skills and writing. The skills learned in occupational therapy can help with skills needed to maintain daily life. It involves relearning or modifying tasks. In addition, modifications to the living environment can assist in enhancing mobility, independence and safety.
Cognitive training works on aspects of the brain that control certain functions so they can be performed better in daily life. Activities are meant to promote and increase brain fitness through learning or exercises. It works best in conjunction with other healthy lifestyle habits. Some people with Parkinson's disease have seen improvements in reasoning, problem solving, processing speed, and working memory.
Alternative therapies, such as Tai Chi and dance therapy have been shown to improve postural stability and balance, which can help prevent falls.
Movement strategy training has been demonstrated in small studies to improve quality of life, walking, balance and overall function, but requires persistent and continuous application in order to maintain benefit.
Speech therapy has been suggested as a method to assist in improving hypophonia, and studies have demonstrated improvement over several years, provided treatment remains ongoing.
Alonso-Frech F, Sanahuja JJ, Rodriguez AM. Exercise and physical therapy in early management of Parkinson disease. Neurologist. 2011;17(6 Suppl 1):S47-53.
Complementary therapies. Parkinson’s Disease Foundation
website. Available at:
http://www.pdf.org/en/comp_therapies. Accessed June 16, 2016.
Li F, Harmer P, Fitzgerald K, et al. Tai chi and postural stability in patients with Parkinsons disease. N Engl J Med. 2012;366(6):511-519.
Parkinson disease. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated April 25, 2016. Accessed June 16, 2016.
11/10/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Shanahan J, Morries ME, Bhriain ON, Saunders J, Clifford AM. Dance for people with Parkinson disease: what is the evidence telling us? Arch Phys Med Rehabil. 2015;96(1):141-153.
2/23/2016 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Leung IH, Walton CC, Hallock H, et al. Cognitive training in Parkinson disease: a systematic review and meta-analysis. Neurology. 2015;85(21):1843-1851.
Last reviewed June 2016 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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