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Setting in motion physiotherapy for MSAp

  • A. Pérez-Soriano
    Affiliations
    Parkinson's Disease & Movement Disorders Unit, Neurology Service, Hospital Clínic de Barcelona (part of the ERN-RDN), IDIBAPS, CIBERNED, Institut de Neurociències (Maeztu Center), Universitat de Barcelona, Catalonia, Spain
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  • A. Cámara
    Affiliations
    Parkinson's Disease & Movement Disorders Unit, Neurology Service, Hospital Clínic de Barcelona (part of the ERN-RDN), IDIBAPS, CIBERNED, Institut de Neurociències (Maeztu Center), Universitat de Barcelona, Catalonia, Spain
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  • Y. Compta
    Correspondence
    Corresponding author. 170 Villarroel street, Barcelona, 08036, Catalonia, Spain.
    Affiliations
    Parkinson's Disease & Movement Disorders Unit, Neurology Service, Hospital Clínic de Barcelona (part of the ERN-RDN), IDIBAPS, CIBERNED, Institut de Neurociències (Maeztu Center), Universitat de Barcelona, Catalonia, Spain
    Search for articles by this author
      Multiple system atrophy (MSA) is a highly debilitating neurodegenerative disease with few therapeutic options. It is considered an atypical parkinsonism since roughly half of cases feature predominant parkinsonism (the so-called parkinsonian variant or MSA-p as opposed to the cerebellar variant or MSA-c). These patients do not respond well to levodopa or dopamine agonists and other treatments are limited. Non-pharmacological treatments are recommended for management of parkinsonian and cerebellar symptoms, as well as for postural hypotension [
      • Perez-Lloret S.
      • Flabeau O.
      • Fernagut P.-O.
      • Pavy-Le Traon A.
      • Rey M.V.
      • Foubert-Samier A.
      • Tison F.
      • Rascol O.
      • Meissner W.G.
      Current concepts in the treatment of multiple system Atrophy.
      ,
      • Giagkou N.
      • Stamelou M.
      Therapeutic management of the overlapping syndromes of atypical parkinsonism.
      ]; however evidence is scarce on the actual benefits these treatments may have. These non-pharmacological treatments include physiotherapy, occupational therapy, balance exercises, speech therapy and dietary recommendations for postural hypotension and dysphagia for example.

      Keywords

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