Parkinson's Rehabilitation Therapy Edmonton- A Reliable Support System

Parkinson’s Disease is a neurodegenerative disorder that poses significant challenges for individuals living with this condition. In Step Physical Therapy is committed to offering a comprehensive physiotherapy rehabilitation program tailored to the needs of our Parkinson’s patients. Our goal is to empower our patients to retain their independence, enhance their quality of life, and manage their symptoms effectively.

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Why In Step for Parkinson’s Care?

Choosing the right physical therapy clinic for Parkinson’s disease rehabilitation is critical. Here are several reasons why you should consider In Step Physical Therapy for your physiotherapy needs:

  • Expertise in Neurological Rehabilitation: We specialize in neurological rehabilitation, with a dedicated team experienced in treating various neurological conditions, including Parkinson’s.
  • Individualized Care: We provide customized treatment plans tailored to each patient’s unique symptoms, physical capabilities, and personal goals. We believe in personalized care because we understand that every patient’s experience with Parkinson’s is different.
  • Evidence-Based Treatments: Our therapies are grounded in scientific research and clinical evidence. We stay abreast of the latest developments in neurorehabilitation to provide our patients with the most effective treatments.
  • Long-Term Support: We provide continued care and support to our patients, even after their treatment has ended. This includes regular follow-ups and the creation of home exercise programs to maintain the benefits of therapy.
  • Accessible and Convenient: We offer flexible appointment timings to accommodate our patient’s schedules. We also ensure our facilities are easily accessible by incorporating ramps and elevators for people with mobility challenges.
  • Positive Patient Outcomes: Our commitment to excellent care has resulted in positive outcomes for our patients, enhancing their quality of life and functional independence. We take pride in our patients’ progress and strive to deliver the best possible care.

At In Step Physical Therapy, we are not just about treating symptoms. We focus on treating the whole individual, helping them to regain their independence and achieve their personal goals.

Lee Silverman Voice Treatment (LSVT) for Parkinson's Rehabilitation

In Step Physical Therapy Clinic offers Lee Silverman Voice Treatment (LSVT) for Parkinson’s Rehabilitation, led by our certified LSVT clinician. This program addresses the speech and movement issues often associated with Parkinson’s disease. LSVT is a scientifically-backed method focusing on increasing voice volume through specific exercises to combat common Parkinson’s symptoms of reduced voice volume. Our trained LSVT clinician leads patients through these exercises, strengthening vocal cords and enhancing loudness, clarity, and control. These techniques also foster overall improved body movement. We understand Parkinson’s complex challenges and aim to empower our patients through LSVT, helping them communicate effectively and live comfortably despite their condition. Contact us in this proactive journey towards better health.

Outline of the treatment for Parkinson’s at In Step

We follow an integrated, multidisciplinary approach to treating Parkinson's Disease, using evidence-based physiotherapy interventions. The process includes a comprehensive evaluation of the individual's symptoms, physical abilities, daily requirements, and personal goals, leading to a highly individualized treatment plan.

1.Initial Assessment: Upon the first visit, a comprehensive assessment is conducted to understand the individual's current condition and the effects of the disease, medical history, and their personal objectives from therapy. This includes evaluating motor symptoms such as tremors, rigidity, and bradykinesia, as well as non-motor symptoms like cognitive changes, sleep disorders, and mood disturbances. The patient's mobility, balance, strength, flexibility, endurance, gait, posture, and speech are also evaluated.

2.Developing a Customized Treatment Plan: Based on the initial assessment, a personalized treatment plan is designed to address the patient's unique needs. This typically includes a blend of various physiotherapy interventions to target motor and non-motor symptoms, enhance physical function, and improve quality of life.

3.Implementation of Therapeutic Interventions: The implementation phase involves carrying out the designed treatment plan. This can include:

      • Exercise Therapy: A blend of strengthening, flexibility, aerobic, and balance exercises tailored to the patient's physical capabilities and goals. Amplitude training and reinforcement of common patterns may also be incorporated into the therapy.
      • Gait Training: To address challenges such as freezing, shuffling, and festination, strategies like visual and auditory cues, rhythmic counting, and gait cycle training are implemented.
      • Postural Training: Counters postural instability and decreases fall risk through postural exercises and balance training.
      • Respiratory Muscle Strength Training: To manage decreased respiratory muscles, dysphagia, ineffective coughing, speech disorders, and cardiorespiratory dysfunction, with a prolonged positive impact on respiratory muscle strength, swallowing function, and cardiovascular autonomic function.
      • Dual-Task Training: This involves training the patient to perform a cognitive task and a motor task simultaneously, enhancing their ability to multitask, improving their gait velocity, step length, and decreased freezing of gait.
      • Neuroplasticity Training: High-intensity, repetitive exercises that promote neuroplasticity and motor learning are incorporated.
      • Speech and Swallowing Therapy: If required, collaboration is made with speech and language therapists for interventions addressing voice, speech, and swallowing difficulties.

4.Progress Monitoring and Plan Modification: Regular follow-ups and assessments are conducted to monitor the patient's progress. The progress is measured by evaluating

        • Condition status
        • Quality/safety of walking
        • Posture
        • Functional performance
        • Fitness and endurance
        • Dexterity and writing
        • Cognition
        • Quality of life
        • Balance, falls risk and confidence to move
        • Respiratory function

The treatment plan is modified based on progress, emerging symptoms, and changes in the patient's condition or goals.

5. Patient Education and Home Program: Education about Parkinson’s, its progression, and self-management strategies are integral to our treatment plan. A home exercise program is provided, along with guidance on its proper execution, to continue the benefits of therapy at home and encourage long-term management of symptoms.

Our ultimate goal at In Step Physical Therapy is to enhance the quality of life for individuals with Parkinson’s, helping them maintain their independence and active lifestyle for as long as possible.

Conditions related to Parkinson’s treated at In Step

We are equipped to address a broad range of conditions and symptoms associated with Parkinson’s through our comprehensive physiotherapy program. These include:
1. Motor Symptoms
  • Bradykinesia (slowness of movement)
  • Tremors
  • Rigidity
  • Postural instability
  • Gait abnormalities
2. Non-Motor Symptoms
  • Cognitive changes, including issues with memory, attention, and executive functions
  • Mood disorders, such as anxiety and depression
  • Sleep disturbances
  • Fatigue
  • Speech and swallowing difficulties
  • Constipation and bladder issues
3. Complications due to Medication:
  • Dyskinesia (involuntary movements caused by long-term use of levodopa)
  • Fluctuations in motor symptoms linked to medication timing
4. Function-Related Challenges:
  • Difficulties with activities of daily living (ADLs), such as dressing, eating, and personal hygiene
  • Challenges with instrumental activities of daily living (IADLs), like housework, shopping, and managing medications
5. Secondary Physical Issues:
  • Musculoskeletal problems, such as muscle weakness, decreased flexibility, and joint pain
  • Cardiovascular issues, including decreased endurance and low blood pressure
Parkinson’s is a complex and highly individual condition; not all individuals will experience all these symptoms, and the severity can vary significantly between individuals. Therefore, our physiotherapy program is always tailored to each patient’s unique needs and goals.


A multidisciplinary team of physiotherapists, personal trainers, massage therapists, nutritionists, and psychologists, along with the combined care of the family and healthcare providers, create a treatment plan which will best suit the particular individual to lead a more comfortable and functional life.

Our team of experts will take into consideration the limitations and the goals of the particular patient and facilitate them in achieving it comfortably. 


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