We would like to thank Celik for the comments on our recent article.
1In short, we agree with the comments clarifying that performances on the 2 measures identified in our study (5-m timed Up and Go test and Activities-specific Balance Confidence scale) are not exclusive determinants in recommending a walking device for individuals with Parkinson disease. Clearly, clinicians who prescribe walking devices need to weigh the benefits and risks based on an individual's limitations and preferences, both in general when first considering a device and more specifically when choosing the specific type. Whether a history of backward falls and high amplitude dyskinetic movements of the upper extremity are universal contraindications for using any walking device is beyond the scope of our study. Clinical judgment and experience may indeed lead to that conclusion, but we cannot address that issue with empirical evidence in our data. Our intent was to identify simple clinical tools that may help clinicians with the initial step in the multifaceted decision process of prescribing a walking device for individuals with Parkinson disease. Hopefully after Celik's letter to the editor and our response, that intent is now more clear and not overstated in the article.
- Bryant M.S.
- Rintala D.H.
- Graham J.E.
- Hou J.G.
- Protas E.J.
Determinants of use of a walking device in persons with Parkinson's disease.
Arch Phys Med Rehabil. 2014; 95: 1940-1945
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- Determinants of use of a walking device in persons with Parkinson's disease.Arch Phys Med Rehabil. 2014; 95: 1940-1945
Published online: February 12, 2015
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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- Walking Safety and Preventing Falls in Parkinson's DiseaseArchives of Physical Medicine and RehabilitationVol. 96Issue 4
- PreviewI read with great interest the article by Bryant et al.1 Walking safety and preventing falls are two of the most important challenges in progressive Parkinson disease, basically in the late stages of the disease when the patient does not yet need a wheelchair. Objective measures to evaluate timing and type of ambulatory devices in Parkinson's disease could help clinicians make accurate prescription of these devices. Bryant concluded that 2 simple measures, the 5m-timed Up and Go (TUG) test and Activities-specific Balance Confidence (ABC) scale, could identify those needing a walking device, and the walking devices could be recommended according to the combined outcomes of these 2 measures.