Rehabilitation in Parkinson's disease the challenge to provide early and ongoing, evidence-based, patient-centred care

(in Figure 1) illustrate the complexities of the available interventions and the potential of some interventions to addresses more than one motor problem. The allied health professionals who deliver rehabilitation interventions are autonomous professionals trained in evidence-based practice and are first-contact practitioners (not requiring a referral from a medical practitio-ner) in many countries, including Brazil. While it is the responsibility of the physician to fa-cilitate referral, it is the responsibility of rehabilitation professionals to assess the person with Parkinson’s disease and to collaboratively with the patient decide upon treatment goals and intervention, based on their evidence-informed judgement. This involves consideration of not only the presenting motor impairments and activity limitations, but also non-motor impair-ments such as cognitive impairment, disease stage, co-morbidities, as well as exercise history, exercise-self efficacy and individual preferences