History and Demographics
14 important questions on History and Demographics
As the disease progresses people may experience the following;
Slowed walking
Stooped posture
Loss of spinal rotation
Reduced balance leading to falls
Muscle weakness
Joint contracture
L-DOPA is a precursor to....
Which dopamine agonists can be used in conjunction with L-dopa?
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What surgical options does Parkinson's patients have?
What has to commence first before physiotherapy treatment can occur?
Neurological Assessment
Which Parkinson’s rating scales is the gold standard for assessment?
Unified Parkinson’s Disease Rating Scale (UPDRS) & PDQ39
Name 6 considerations for physiotherapy treatment?
Timing of medication
Impact of non-motor symptoms on therapy
Collaborative goal setting
Purposeful, task specific training
‘Cueing’ and visualisation
Use of aids
Give examples of exercises to improve function
Bed mobility
Sit to stand training – planning & cues
Exercises in standing
Gait practise
Cueing is used to improve gait function such as:
What does cues compensate for?
How many people with PD fall each year?
What are Parkinson's specific falls predictors?
• Longer disease duration
• More advanced disease
• Dyskinesia
• Motor fluctuations
• Postural instability
• Small steps
• Freezing
• Stride-to-stride variability
• Altered step and stance width
• Loss of arm swing.
What are general falls predictors?
Old age
Previous falls
Use of sedative drugs
Depression
Dementia.
What particular consideration should be given to PD patients during Physiotherapy?
gait re-education, improvement of balance and flexibility
enhancement of aerobic capacity
improvement of movement initiation
improvement of functional independence, including mobility and activities of daily living
provision of advice regarding safety in the home environment
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