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A recent evidence-based standpoint enhanced the role of
interdisciplinary approach to walking and stepping peripheral mangement in
older subjects (Gillespie LD et al 2004). Consequently, falls reduction
is best achieved using an individually tailored perspective, applicable
too to Parkinson's disease walking disorders. Thus, afferent and efferent
tracts from proprioceptive sensory function may be trained in these
patients, added to podologic devices and management, considering usual
-Shindo K et al. Age and duration related changes in muscle sympathetic
nerve activity in Parkinson's disease. JNNP 2003; 74: 1407-1471.
-Gillespie D et al.Interventions for preventing falls in the elderly.The
Cochrane Library 2004 ; 4: 1-29.
-Bishop MD et al.Braking impulse and muscle activation during unplanned
gait termination in human subjects with parkinsonism.Neurosci Letters
2003; 348: 89-92
No competing interests
07 July 2011
Sabino G Echebarria Mendieta
H San Eloy ( Barakaldo-Bizkaia ) district clinics.Osakidetza-Basque Health Service