Conclusion

Patients with atypical PD present numerous unique challenges to the health care team and their families. Rehabilitation can play an important role in improving function and quality of life especially for treatment of this patient population since current medical and surgical therapies are limited for treating this patient population. Although the efficacy of rehabilitation in patients with APD has not been adequately studied, themes emerge from the rehabilitation literature in idiopathic PD, which may be helpful in the treatment of individuals with APD. Rehabilitation may focus at an impairment or functional level and may employ restorative or compensatory strategies. Research evidence is strongest for rehabilitative treatment at a functional level but some combination of strategies, employing a variety of activities and the combined efforts of multiple disciplines may be most effective. Rehabilitation efforts need to be closely coordinated with medication adjustments. A multidisciplinary team with expertise in the treatment of patient with movement disorders can facilitate such a coordinated effort using standardized protocols to track progress, response to medication, and side effects.

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