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Comment & Response |

Physiotherapy and Occupational Therapy and Mild to Moderate Parkinson Disease

Terry Ellis, PhD, PT, NCS1; Linda Tickle-Degnen, PhD, OTR/L2; Marie Saint-Hilaire, MD, FRCPC3,4
[+] Author Affiliations
1Center for Neurorehabilitation, Department of Physical Therapy, Boston University, Boston, Massachusetts
2Collaborative Learning & Innovation Complex, Department of Occupational Therapy, Tufts University, Medford, Massachusetts
3Department of Neurology, Boston University School of Medicine, Boston, Massachusetts
4Parkinson Disease and Movement Disorders Program, Boston Medical Center, Boston, Massachusetts
JAMA Neurol. 2016;73(7):892-893. doi:10.1001/jamaneurol.2016.1274.
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To the Editor It is with great concern that we comment on the randomized clinical trial by Clarke et al1 published in JAMA Neurology. The study objective was to perform a large pragmatic randomized clinical trial to evaluate the clinical effectiveness of individualized physiotherapy (PT) and occupational therapy (OT) in Parkinson disease (PD). The authors concluded that PT and OT were not associated with immediate or medium-term clinically meaningful improvements in activities of daily living or quality of life in mild to moderate PD.


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July 1, 2016
Nienke M. de Vries, PhD; Ingrid H. Sturkenboom, PhD; Bastiaan R. Bloem, MD, PhD
1Department of Neurology, Donders Centre for Neuroscience, Radboud University Medical Center, Nijmegen, the Netherlands
2Department of Rehabilitation, Donders Centre for Neuroscience, Radboud University Medical Center, Nijmegen, the Netherlands
JAMA Neurol. 2016;73(7):893-894. doi:10.1001/jamaneurol.2016.1277.
July 1, 2016
Régis Gemerasca Mestriner, PT, PhD
1Pontifical Catholic University of Rio Grande do Sul, Nursing, Nutrition, and Physiotherapy College, Porto Alegre, Rio Grande do Sul, Brazil
JAMA Neurol. 2016;73(7):894. doi:10.1001/jamaneurol.2016.1280.
July 1, 2016
Carl E. Clarke, MD; Marion F. Walker, PhD; Catherine M. Sackley, PhD
1School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham, England2Department of Neurology, Sandwell and West Birmingham Hospitals NHS Trust, City Hospital, Birmingham, England
3University of Nottingham, Nottingham, England
4King’s College London, London, England
JAMA Neurol. 2016;73(7):894-895. doi:10.1001/jamaneurol.2016.1283.
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