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Neurological

Parkinson's disease physiotherapy

Exercise is part of standard care for people living with Parkinson's disease. Physiotherapy builds movement, balance and confidence alongside your medication and medical team.

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Understanding the condition

Parkinson's disease is a long-term condition of the brain that affects movement. People living with Parkinson's disease may notice tremor, stiffness, slowness and smaller movements (bradykinesia), shuffling steps, freezing and poor balance. Falls are common, with Parkinson's Australia reporting rates of 40 to 70 percent.1 Symptoms and their pace vary from person to person. Medication and the overall treatment plan are managed by a neurologist and GP, with allied health professionals, including physiotherapists, as part of the care team.2

Exercise is a core part of Parkinson's care,3 and NICE advises Parkinson's-specific physiotherapy for people with balance or movement problems.4 The American Physical Therapy Association guideline strongly recommends moderate to high intensity aerobic exercise, resistance, balance and gait training, and external cueing.5 European guidance also supports large-amplitude movement training and cueing strategies, ideally from therapists experienced in Parkinson's. Physiotherapy complements medical management and does not replace it.6

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Parkinson's disease physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Slowness of movement, stiffness or tremor that makes everyday tasks harder
  • Smaller, shuffling steps, or feet that feel stuck to the floor (freezing), especially in doorways or turning
  • Poor balance, leaning forward or feeling unsteady, including near-falls
  • Less natural arm swing, softer handwriting or quieter speech
  • Tiredness and loss of fitness or confidence from moving less
  • Call 000 if a fall causes injury and you need help, seek urgent medical advice if you cannot take your Parkinson's medicines on time (for example because of vomiting or gastroenteritis), as stopping them suddenly can cause a serious worsening of symptoms (acute akinesia), and see your GP or neurologist promptly about new or repeated falls, particularly early backward falls, or your GP as soon as possible about problems eating or swallowing.

How our team helps

  • Assessment of walking, balance, transfers and physical capacity, with goals set together
  • Individual exercise programs covering aerobic fitness, strength, balance and large, confident movements
  • Falls prevention, including home strategies and walking aid prescription where needed
  • Cueing and movement strategies to help with freezing and getting started
  • Group classes and hydrotherapy where suitable, for regular and sociable exercise
  • Reports for your GP, neurologist and NDIS, and coordination with exercise physiologists, dietitians, podiatrists and pharmacists

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

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Sources and clinical review

Our care follows Parkinson's Australia guidance, the NICE Parkinson's disease guideline, the European Physiotherapy Guideline and the American Physical Therapy Association clinical practice guideline.

  1. Parkinson's Australia. Falls. Sydney: Parkinson's Australia; 2025 Nov 5.
  2. Parkinson's Australia. Assembling a care team. Sydney: Parkinson's Australia; 2026 Jun 5.
  3. Parkinson's Australia. Exercise. Sydney: Parkinson's Australia; 2026 Jun 17.
  4. National Institute for Health and Care Excellence. Parkinson's disease in adults (NG71): recommendations. London: NICE [cited 2026 Oct 4].
  5. Osborne JA, Botkin R, Colon-Semenza C, DeAngelis TR, Gallardo OG, Kosakowski H, et al. Physical therapist management of Parkinson disease: a clinical practice guideline from the American Physical Therapy Association. Phys Ther. 2022;102(4):pzab302.
  6. Domingos J, Keus SHJ, Dean J, de Vries NM, Ferreira JJ, Bloem BR. The European Physiotherapy Guideline for Parkinson's Disease: implications for neurologists. J Parkinsons Dis. 2018.
  7. Parkinson's Australia. Dysphagia (swallowing difficulties). Sydney: Parkinson's Australia; last modified 3 August 2026 [cited 2026 Oct 4].
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Common questions

Does exercise help Parkinson's disease?
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Exercise is a core part of Parkinson's care, and guidelines support aerobic, strength, balance and walking training. It helps movement, balance and everyday function. It works alongside your medication and neurologist's care, not instead of it.

What exercise is recommended for Parkinson's disease?
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Guidelines recommend moderate to high intensity aerobic exercise, resistance training, balance and gait training, large-amplitude movements and cueing. We tailor intensity to your stage, safety and other health conditions, and build up gradually.

Can physiotherapy help with falls and freezing?
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Exercise training can improve balance and walking and reduce falls in people living with Parkinson's disease. Cueing strategies, such as visual or rhythmic cues, are also recommended for freezing of gait. We tailor both to where and when you struggle.

Do I need a referral, and is it funded?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras, the NDIS or aged care funding may also help, depending on eligibility.

When should I see a physio after a Parkinson's diagnosis?
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Early. NICE suggests considering referral to a physiotherapist experienced in Parkinson's soon after diagnosis for assessment, education and advice on physical activity, and offering Parkinson's-specific physiotherapy once balance or movement problems appear.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.