Alternate Therapies (2) - PD Flashcards
when are attentional cues useful
during transfer training and other fxnal activities
attentional cues
break difficult movements into parts
give concise instruction
mentally rehearse
perform in sequence
auditory cues
counting out loud
clapping hands/snapping fingers
metronome
rhythmic auditory stimulation
parameters to consider –> visual cues
orientation of lines
amount of space b/w lines
contrast b/w lines and the background
where to apply the lines
static v. dynamic
ideas for visual cues
tapes lines in doorway
“X’ in front of sink/counter or in front of chair
dycem handprints or foot prints
“step over” wand
tactile cues
pts can tap their own foot w/ cane
caretaker can touch/tap pt’s knees
use of companion dog
use of RAS in PD
match baseline walking velocity w/ a specific tempo
then increase by 10-20% until it has improved
RAS –> what should we walk w/
deliberate (exaggerated) arm swing
big steps, landing on your heel
to the beat of music
what ADs are not generally recommended
SW and quad cane
secondary to complex sequencing
what ADs are recommended
SC or RW
for increased stability
what AD is good for festination
rollators w/ brake systems
seat is beneficial for “off” periods
postural education/positioning
reduced activity levels
loss of ability to automatically and independently change positions
potential skin cahnges
what is more prominent –> postural education/positioning
axial rigidity than extreme rigidity
increase backward lean
what else do PD pts have –> postural education/positioning
poor eye contact
decreased breath support
dysphagia
seating and positioning
optimal seating for pressure relief and postural support
correction/accommodation for asymmetries
