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. 2020 Oct 27;11:575811. doi: 10.3389/fneur.2020.575811

Table 6.

The differences and similarities in the opinions of patients and health professionals.

Shared perspectives
• FM is related to the ability to move and perform tasks in daily life
• FM is impaired in PD
• There are different degrees of limitation, associated with disease progression
• Patients look for strategies to minimize FM limitations
• Exercise, cognitive training are efficacious strategies to deal with FM limitations
• There is a stigma associated with the use of walking aids
Different perspectives
Patients Health professionals
What is the impact of FM limitations on the patient's daily life?
• For early stage patients FM problems are mainly a problem of slower rhythm.
• With the disease progression there is a clear perception of FM limitations, being the most limiting factor of activities of daily living
• Advance stage patients feel ashamed for drawing others' attention
• First limitations: stand up from a chair, get out of the bed or from the car
• Patients initially devalue the FM problems, then fell sadness and frustration.
• Vary from patient to patient, according to lifestyle and tolerance with himself
The use of walking aids
• From the perspective of early stage patients, walking aids are not necessary for PD.
• For both early and advance patients FM problems can be solved with good management of the disease, prevention and education by a specialist
• Patients try walking aids on their own initiative, without a previous training period. Falls occur.
• For both early and advanced patients, the ability to complete a task successfully is more valuable than the time spent with it.
• The presence of imbalances and an increased risk of falling are the first warning signs for the need for walking aids.
• Patients face the recommendation negatively. The fear of falling helps to accept the recommendation of a walking aid.
• The choice of walking aid should be personalized, according to the patient's clinical characteristics. Physiotherapy sessions are important to a test and adapt to the walking aid that best suits the patient.
• The time spent performing a task is also a concern.