Mobility Issues with Parkinson's Disease

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What is Cueing?

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Physiotherapy and cueing in the RESCUE trial

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Rehabilitation in Parkinson's Disease: Strategies for Cueing - the RESCUE project

The RESCUE project (2003-2005) was funded under the European Commission Framework Scientific Programme V, within the Quality of Life and Management of Living Resources Programme (1998-2002) key action - the ageing population and their disabilities. The project successfully tested a home-based physiotherapy programme to train people with Parkinson's disease to use rhythmic cues delivered by a small portable cueing device in a randomised control trial. The trial was designed to see if cueing therapy made a difference to walking/walking-related activities. The working hypothesis for the cueing intervention was that delivering external cues by sound, light or vibration, which brain imaging techniques suggested bypassed the area most affected in Parkinson's disease, would normalise walking by providing on-going individualised rhythmic cues which patients could use to match to their heel strike. This aimed to help overcome the classic symptoms of small, shuffling steps and complete cessation of steps, known as freezing, all of which predispose to falls.

The centres collaborating on this work were Northumbria University, Newcastle upon Tyne, UK: Katholieke Universiteit, Leuven, Belgium: and the Medical Centre at the Vrije Universiteit, Amsterdam, the Netherlands. Evidence generated by the RESCUE project has been incorporated into systematic reviews and into the European Physiotherapy Guideline for Parkinson's disease. Please download here. It has also been used in health and social care professional's training programmes.

The evidence-based cueing guidelines have been made available on CD-Rom, and in patient and carer information leaflets.

A list of the project's peer reviewed publications can be viewed here. The site is no longer updated but contact can be made with the team using the link on the Contact Us page.



Using cueing to improve mobility in Parkinson’s Disease: A CD-Rom for therapists Click here for more details



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