Progressive Supranuclear Palsy: Disease Profile and Rehabilitation Strategies

Progressive supranuclear palsy (PSP) is the most common parkinsonian disorder after Parkinson disease (PD).1–3 Postural instability with frequent falls and difficulty moving the eyes in the vertical direction are the main symptoms of PSP.4,5 However, because the initial clinical features often resemble PD,6–8 many patients are referred for rehabilitation services with the wrong diagnosis. There is no cure or effective medication to manage PSP, and the progression of the symptoms is much faster than in PD.1,2 It is important that physical therapists be aware of the particularities of this disease to ensure that patients are referred to movement disorder specialists for the correct diagnosis. Despite the demand for rehabilitation in this population, there is no evidence in the literature to support its effectiveness. Studies with controlled methods are necessary to provide guidance to physical therapists in the management of this disease. The purposes of this update are to highlight the characteristics of this disease and to evaluate rehabilitation strategies.