Funding agencies: The present research is part of the European Union project SENSE-PARK, funded under the Seventh Framework Programme, Cooperation-ICT (grant agreement no. 288557). Sandra E. Hasmann was supported by an Interdisciplinary Center for Clinical Research (IZKF) grant from the University of Tubingen. Bastiaan R. Bloem was supported by a research grant from the Stichting Internationaal Parkinson Fonds.
Emerging therapies for gait disability and balance impairment: Promises and pitfalls
Article first published online: 16 OCT 2013
© 2013 Movement Disorder Society
Special Issue: Gait and Balance in Movement Disorders
Volume 28, Issue 11, pages 1576–1586, 15 September 2013
How to Cite
Maetzler, W., Nieuwhof, F., Hasmann, S. E. and Bloem, B. R. (2013), Emerging therapies for gait disability and balance impairment: Promises and pitfalls. Mov. Disord., 28: 1576–1586. doi: 10.1002/mds.25682
Relevant conflicts of interest/financial disclosures: Nothing to report.
Full financial disclosures and author roles may be found in the online version of this article.
- Issue published online: 16 OCT 2013
- Article first published online: 16 OCT 2013
- Manuscript Revised: 13 AUG 2013
- Manuscript Accepted: 13 AUG 2013
- Manuscript Received: 18 JUN 2013
- Parkinson's disease;
Therapeutic management of gait and balance impairment during aging and neurodegeneration has long been a neglected topic. This has changed considerably during recent years, for several reasons: (1) an increasing recognition that gait and balance deficits are among the most relevant determinants of an impaired quality of life and increased mortality for affected individuals; (2) the arrival of new technology, which has allowed for new insights into the anatomy and functional (dis)integrity of gait and balance circuits; and (3) based in part on these improved insights, the development of new, more specific treatment strategies in the field of pharmacotherapy, deep brain surgery, and physiotherapy. The initial experience with these emerging treatments is encouraging, although much work remains to be done. The objective of this narrative review is to discuss several promising developments in the field of gait and balance treatment. We also address several pitfalls that can potentially hinder a fast and efficient continuation of this vital progress. Important issues that should be considered in future research include a clear differentiation between gait and balance as two distinctive targets for treatment and recognition of compensatory mechanisms as a separate target for therapeutic intervention. © 2013 International Parkinson and Movement Disorder Society