Parkinson's disease tends to be considered a disease of older people but it can affect younger people as well. It is caused by an imbalance of chemical transmitters in the part of the brain which processes and co-ordinates movements. There are three main symptoms: tremor or shaking, especially at rest; rigidity or stiffness, which can affect the ability to turn, roll over, balance and walking and bradykinesia or slowness of movement which makes it difficult to initiate walking or get out of a chair.

No two people will have exactly the same symptoms or experiences of Parkinson's disease as everyone is affected differently. Problems can include walking, talking and writing to different degrees.

There is a range of medications to treat this disease and your doctor will prescribe the most appropriate one to help control and modify your particular symptoms.

Physiotherapy aims to maximise functional ability and so maintain independence through movement rehabilitation and exercise. It is important to encourage and maintain an active lifestyle to minimise secondary complications and problems which can occur through immobility and disuse. Exercises for the trunk, legs and balance are usually helpful in improving walking. Good posture prevents stiffness and keeps the chest mobile for effective breathing. Movements which are causing problems may be broken down and safe, effective and energy efficient movement strategies taught. Relatives and carers can also be involved to understand the best way in which to help.