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Comment & Response
July 2016

Physiotherapy and Occupational Therapy and Mild to Moderate Parkinson Disease

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

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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