[Rehabilitation in the elderly subject with Parkinson's disease]

In the elderly, the aging of the locomotor, cardiorespiratory, and sensory apparatus, the cognitive and psychic changes, and the interaction of several pathologies require adaptation of the rehabilitation techniques in Parkinson's disease. Rehabilitation should be initiated early and directed toward functional objectives defined by a pluridisciplinary team. To maintain movements is a fundamental aim and must take into account the tiredness of the old subject. Gymnic, active and passive techniques are proposed to preserve the posture, balance and walk. The prevention of falls is a major goal to avoid the risks of grabatisation and trauma. Multiple respiratory disorders are related to disturbances of swallowing and affect the deficiencies of voice and speech. The objectives of care are different if the patient presents a parkinsonan syndrome different from Parkinson's disease or if dementia is associated. The treatment by neurostimulation in old subjects also raises new questions for rehabilitation.