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To the Editor There is increasing evidence for the effectiveness of nonpharmacological interventions in Parkinson disease (PD).1,2 In contrast, the PD REHAB Trial suggested that physiotherapy (PT) combined with occupational therapy (OT) offers no meaningful improvements in activities of daily living or quality of life in patients with PD.3 We are concerned about several methodological issues that limit the interpretation of the results.
de Vries NM, Sturkenboom IH, Bloem BR. Physiotherapy and Occupational Therapy and Mild to Moderate Parkinson Disease. JAMA Neurol. 2016;73(7):893–894. doi:10.1001/jamaneurol.2016.1277