I read with great interest the article by Bryant et al.
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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.
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References
- Determinants of use of a walking device in persons with Parkinson's disease.Arch Phys Med Rehabil. 2014; 95: 1940-1945
- Falls in Parkinson's disease.Curr Opin Neurol. 2004; 17: 405-415
Article info
Publication history
Published online: February 12, 2015
Footnotes
Disclosures: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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- Determinants of Use of a Walking Device in Persons With Parkinson's DiseaseArchives of Physical Medicine and RehabilitationVol. 95Issue 10
- The Authors RespondArchives of Physical Medicine and RehabilitationVol. 96Issue 4
- PreviewWe would like to thank Celik for the comments on our recent article.1 In 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.
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