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 [
[1]
,
[2]
]; 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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Article info
Publication history
Published online: October 25, 2019
Accepted:
October 24,
2019
Received:
October 24,
2019
Footnotes
☆(Editorial comment on “Physiotherapy improves motor function in patients with the Parkinson variant of Multiple System Atrophy: a prospective trial” PARKRELDIS-D-19-00719R1).
Identification
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© 2019 Elsevier Ltd. All rights reserved.
