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Parkinson’s Disease
Volume 2017, Article ID 8921932, 7 pages
Research Article

Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia

1Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech Republic
2Applied Neurosciences and Brain Imaging, National Institute of Mental Health, Topolova 748, 250 67 Klecany, Czech Republic

Correspondence should be addressed to Ota Gal; zc.nfv@lag.ato

Received 3 February 2017; Accepted 19 April 2017; Published 22 May 2017

Academic Editor: Jan Aasly

Copyright © 2017 Ota Gal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. We conducted a questionnaire survey to investigate the availability and quality of physiotherapy (PT) for Parkinson’s disease (PD). Background. Despite evidence about the benefits of PT, there is no data regarding its use in Czechia. Methods. Questionnaires were sent to 368 PD patients seen in a single movement disorders centre within two years (inclusion criteria: idiopathic PD, Hoehn and Yahr stage <5, and residence in Prague) and to 211 physical therapists (PTs) registered in Prague. The patient questionnaire evaluated limitations in 6 core areas and in activities of daily living and inquired about experience with PT. The PTs questionnaire evaluated knowledge about PD, number of PD patients treated yearly, and details of therapy. Results. Questionnaires were returned by 248 patients and 157 PTs. PT was prescribed to 70/248 patients. The effects were satisfactory in 79% and lasted >3 months in 60/64. About half of the PTs have no experience with PD patients, 26% reported <3, and 5% see >10 yearly. The most widely used techniques were neurodevelopmental treatments. Conclusion. Present PD healthcare model in Czechia is suboptimal (low PT prescription, non-evidence-based PT). Implementation of European PT Guidelines for PD and the introduction of an efficient model of care are needed.