Compared with placebo or no intervention, how effective is physiotherapy in patients with Parkinson’s disease?
The quality of the trials was not high because, in many studies, methods were not reported adequately and blinding was not feasible. Variation in measurements of outcome between studies meant analyses included only a small proportion of the participants recruited. Only 14 of the 39 trials discussed participant compliance.
Despite medical therapies and surgical interventions for PD, patients develop progressive disability. Physiotherapy aims to maximise functional ability and minimise secondary complications through movement rehabilitation, within a context of education and support for the whole person. The overall aim is to optimise independence, safety and wellbeing, thereby enhancing quality of life.