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Parkinson's disease.

Title: KNGF Guidelines for Physical Therapy in Patients with Parkinson's Disease. Date of latest update: June 2004, published in English in October 2006. Date of next update: 2009. Patient group: Adults with Parkinson's disease. Intended audience: Physical therapists and referring physicians. Additional versions: Nil. Expert working group: Eleven professionals from the Netherlands comprised the guideline development group. This included physical therapists, human movement scientists, epidemiologists, exercise therapists, and a neurologist. Funded by: The Dutch Parkinson's Disease Association. Consultation with: The Royal Dutch Society for Physical Therapy, the Dutch Society for Physical Therapists in Geriatrics, the Dutch Society for Exercise Therapists, the Dutch Institute of Allied Health Care, and the Dutch Parkinson's Disease Association. A draft of the original guideline was circulated to a secondary guideline development group comprising external professionals or members of relevant professional organisations. The draft guidelines were also assessed by 50 physical therapists and a panel of patients. Approved by: The Royal Dutch Society for Physical Therapy. Location:

Description: 92 page document, including 5 appendices and 175 references. This guideline comprises two main sections. The first (pp 5-14) provides non-referenced clinical practice guidelines which provide information about Parkinson's disease (PD), diagnostic processes (eg. outcome measures), and therapeutic processes. The second section (pp 14-49) provides a review of the evidence relating to PD aetiology, diagnosis, and prognosis; working party recommendations for the use of outcome measures in clinical practice; and a review of the evidence available regarding therapeutic processes. This latter section includes general treatment principles and evidence for specific treatment strategies, such as cueing strategies, improvement of gait, and falls prevention. A guide to the grading of the recommendations according to level of evidence is provided on p. 16. The document finishes with appendices that provide useful information about medications used in PD, 14 appendices of the measuring instruments recommended by the working party for use in PD (eg, Freezing of Gait questionnaire, Modified Parkinson's Activity Scale) and provides examples of cognitive movement strategies.

Sandra Brauer

The University of Queensland
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Title Annotation:Appraisal: Clinical Practice Guidelines
Author:Brauer, Sandra
Publication:Australian Journal of Physiotherapy
Geographic Code:8AUST
Date:Dec 1, 2007
Previous Article:Quantitative Ultrasound (QUS).
Next Article:Acute pain.

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