exercise, Parkinson's disease, physical therapy, rehabilitation



  1. Turnbull, George I. PT, PhD
  2. Millar, Janet PT, BSc


Because Parkinson's disease is a progressive disorder, it does not fit the rehabilitation paradigm. An alternative model is described that emphasizes mitigating the effects of progressive inactivity. Three overlapping stages are described. The first stage emphasizes health promotion when symptoms are not disabling. The second phase confronts problems as they arise and serves to maintain function. In the later stages, functional adaptation is addressed. Currently, rehabilitation professionals are rarely involved until a catastrophic event occurs. By that stage, rehabilitation is lengthy and incomplete. This proactive model attempts to maintain optimal function, thereby enhancing quality of life of both client and caregiver.