Neurological
Parkinson's Disease
Stay active, steady and independent — for longer.
What is Parkinson's Disease?
Parkinson's disease is a progressive neurological condition caused by the loss of dopamine-producing cells in the brain. This affects the control of movement, leading to tremor, stiffness and slowness. While there is no cure, evidence-based physiotherapy is one of the most effective ways to maintain function and quality of life.
Parkinson's is a progressive condition, but the right physiotherapy keeps you moving well. Big-amplitude movement training, balance work and gait cueing can dramatically improve mobility and confidence at every stage.
Signs & Symptoms
- Tremor, usually starting in a hand
- Muscle stiffness and rigidity
- Slowness of movement (bradykinesia)
- Shuffling gait and freezing while walking
- Stooped posture and balance problems
- Reduced facial expression and small handwriting
Our Approach
Our programme is built around large-amplitude, high-effort movement training (LSVT BIG principles), rhythmic auditory and visual cueing to overcome freezing, posture correction, and progressive balance and strength work. We also coach carers and prescribe a home routine to keep symptoms in check between sessions.
Smoother Movement
Bigger, faster, more confident steps.
Fewer Falls
Stronger balance and reaction control.
Better Posture
Counter stooping and stiffness.
Daily Confidence
Stay independent in everyday tasks.
Your Treatment Journey
- 1
Movement Assessment
We measure gait, balance, posture and freezing triggers to target therapy precisely.
- 2
Amplitude Training
Big, deliberate movements to counteract slowness and restore stride length.
- 3
Cueing Strategies
Rhythmic and visual cues that help you start, turn and walk without freezing.
- 4
Balance & Falls Prevention
Targeted exercises to improve stability and protect against falls.
- 5
Ongoing Maintenance
A sustainable home programme and periodic reviews to stay ahead of progression.
Recommended Exercises & Home Care
Simple activities that often support recovery between sessions — your therapist will tailor and progress these for you.
Big, deliberate steps
Practise walking with exaggerated, large strides and arm swing. Thinking 'big' counteracts the shrinking, shuffling gait of Parkinson's.
Rhythmic marching
March on the spot to a steady beat or counting out loud. Rhythm helps overcome freezing and start movement smoothly.
Posture & reach
Stand tall against a wall and reach arms overhead to fight the stooped posture and keep the spine mobile.
Seated boxing / big arm swings
Large, vigorous arm movements maintain range, coordination and energy.
Things to Be Aware Of
- Exercise during your 'on' period when medication is working best.
- Clear walking paths and turn in a wide arc to reduce freezing and falls.
- Use a stable chair or rail for support during standing exercises.
- Build in rest — fatigue can worsen tremor and stiffness.
General guidance only — always follow the personalised plan from your physiotherapist before starting any exercise.
Frequently Asked Questions
Physiotherapy doesn't change the disease itself, but consistent, specific exercise is proven to maintain mobility, reduce falls and improve quality of life — and the benefits are greatest when started early.