@article{ref1,
title="A practical guide to the evaluation of compensation strategies for gait impairment in Parkinson's disease",
journal="Journal of Parkinson's disease",
year="2022",
author="Tosserams, Anouk and Nonnekes, Jorik",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Gait impairments are among the most common and disabling symptoms of Parkinson's disease (PD). Management consist of complementary pharmacological and non-pharmacological treatment options [1]. Physiotherapy is a cornerstone of the non-pharmacological pillar, and the application of compensation strategies is one of the elements of physiotherapy. These strategies comprise a wide range of 'detours' to improve walking capacity (Table 1) [2]. While the efficacy of gait compensation strategies is generally very high, the effects of specific strategies vary greatly between patients: what works spectacularly well in one patient, has no effect--or even aggravates gait impairment--in the next [3]. Therefore, a personalized approach to gait rehabilitation is imperative to find a suitable strategy for every person with PD and gait impairment. Ideally, every person with PD and gait impairment should be informed about compensation strategies by a healthcare provider (for example, by a skilled PD physiotherapist), who can also provide expert guidance during their search for the most appropriate strategies. To this end, a variety of strategies should be systematically evaluated in a trial-and-error manner, to identify which suit the patient's unique situation and needs best. However, a study in 320 Dutch physiotherapists and other PD healthcare professionals revealed that 87% did not use such systematic approach, reportedly due to limited knowledge and skills on the topic....<p /> <p>Language: en</p>",
language="en",
issn="1877-7171",
doi="10.3233/JPD-223296",
url="http://dx.doi.org/10.3233/JPD-223296"
}