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.
Ellis T, Tickle-Degnen L, Saint-Hilaire M. Physiotherapy and Occupational Therapy and Mild to Moderate Parkinson Disease. JAMA Neurol. 2016;73(7):892-893. doi:10.1001/jamaneurol.2016.1274