Kara Doctor – Parkinson’s Disease – A Perfect Balance
PARKINSONS DISEASE OVERVIEW AND REVIEW OF ANATOMY
Prevalence
Incidence
Economic impact
Anatomy
The subthalmaic nucleus
COMMON SYMPTOMS
Types of parkinsonism
Common motor symptoms
Sensory disorders
Loss of function
Depression and apathy
Swallow dysfunction
Hypophonia
EXERCISE BENEFITS
Types of exercise
Neuro plasticity
Early intervention
Activity dependent improvement
Baseline measurements
Heart rate/perceived exertion
DEEP BRAIN STIMULATION
Overview
Candidacy Requirements
Clinicians role in education
Patients expectations and limitations
Indications/Contraindications
BASELINE AND OUTCOME MEASUREMENTS LAB
UPDRS Testing: The Gold Standard
Tinetti balance and gait assessment
Hoehn and Yahr Staging System
Schwab and England ADL score
Montreal Cognitive Assessment Test
Neurological Examination
MEDICATIONS
Levodopa drugs
Levodopa Agonists
Supplements
Adverse effects vs. benefits
Impact on exercise and functional mobility
THERAPEUTIC EXERCISE TECHNIQUES AND LAB
Exercise techniques- rigorous exercise
Strength training/Big body movements
Facial and lingual exercises
Voice exercise techniques
Compensatory techniques to improve swallow
Oculomotor exercises
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Description:
From the initial symptom to diagnosis, Parkinson’s disease affects many aspects of an individual’s life, including sense of smell, facial expression, voice volume, ability to swallow, stiffness of the muscles, gait, balance, digestion, salivation, and fine motor control. With the alarming rate of PD being diagnosed to patients younger and younger, clinicians need the right tools at their disposal to combat this degenerative disease.
It is our job as clinicians to educate those diagnosed with Parkinson’s how to begin exercising in a way that will benefit their brain, their cognition and potentially slow the progression of the disease. Understanding the symptomatology of Parkinson’s is important in developing an effective exercise program for each individual. Progressive, vigorous exercise has been shown to slow the decline in quality of life in people with Parkinson’s. Through this lab-intensive recording, you will discover effective strategies to teach your patients that they can use in their day-to-day struggle with Parkinson’s.
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