Alternate Therapies - PD Flashcards
PD’s impact on motor fxn
potential for long term MS complications
focus on axial mobility
fxnal axial rotation
potential for long term MS complications
loss of spinal flexibility
changes in core strength
postural changes
asymmetry
reduced respiratory volume
reduced respiratory volume –> long term MS complications
contributes to change in activity and pain
what has been seen in early stages of PD –> focus on axial mobility
loss of spinal flexibility
in fxnal tasks
what are important to incorporate –> focus on axial mobility
relaxation strategies
how do we do postural training –> focus on axial mobility
through heightened awareness and visual feedback
what should we include –> focus on axial mobility
flexibility/stretching activities
core strengthening and pain management
what could we use fxnal axial rotation for
increase FAR
examples of exercises
tai chi
kayaking
agility course
boxing
lunges
pre-pilates
what should we have the pt do
use their BW
what can the pt using their BW reduce
akinesia
bradykinesia
rigidity
principles of PD intervention
intensity
difficulty
specificity
saliency
repetition
pole walking
use of bungys
treadmill training
intensity –> Principles
dosage
push beyond self selected energy expenditure
difficulty –> Principles
cognitive engagement
progressive challenge
constant high attentional focus
specificity –> Principles
focus on fxnal tasks used daily
saliency –> Principles
emotional engagement
empower/educate/ reward
pole walking –> Principles
aerobic and PD specific
whole body activation
forced arm swing
cues posture
use of bungys
big movements w/ no fear/anxiety
whole body activation
encourages repetition to retrain activation for whole body movements
treadmill training
amplitude and timing of movement
agility
balance
motor learning
fxnal training
fxnal training –> ML
utilizing the info gathered in the movement analysis
what should we be doing w/ fxnal training –> ML
breakdown the task and take note of the fxnal limitations
what should we determine w/ fxnal training –> ML
current biomechanics and changes that are required
why do we practice gait
freezing d/t floor color changes or cement/grass
practicing turning. speeds, initiating and terminating
dual task –> ML
increase capacity for attentional load and incorporate secondary/cognitive task
training sit to stand –> ML
break the task into parts
balance –> ML
equilibrium rxns in all planes of movement and different controls
what should we use w/ balance –> ML
rhythmic stabilization to increase static balance
practice
practice –> balance –> ML
refining balance rxns
weight shifting
neurologic music therapy
therapeutic application of music
what does neurologic music therapy treat
cognitive, sensory and motor dysfxns
d/t neurologic dz of the CNS
what does neurologic music therapy do
enhances exercise performance
b/c music is not processed in the BG
is exercise neuroprotective
forced use
forced non-use
conclusion
forced use
found a decrease in sxs
increase in striatal dopamine levels and number of cells in SN
forced non use
found significant worsening of their dz
conclusion of exercise –> neuroprotective
exercise increases the release of dopamine and decreases dopamine reuptake
impact on motor fxn
fatigue or reduced activity tolerance
stress
why do pts have fatigue or reduced activity tolerance
increased energy expenditure d/t bradykinesia and rigidity
what could impact a pt’s fatigue or reduced activity tolerance
sleep pattern changes
balancing work/home activities w/ need for both appropriate rest and exercise
what may fatigue be exacerbated by
apathy
depression
what do increased stress levels lead to
exacerbation of all motor sxs
how many pts have anxiety
40%
may worsen as an “off” phenomenon
interventions to decrease stress/fatigue
activity modifications
conditioning exercise
positioning and bed mobility
relaxation exercises/strategies
alternative therapies
activity modification –> interventions to decrease stress/fatigue
to decrease repetitive motions and conserve energy
conditioning exercise –> interventions to decrease stress/fatigue
increase endurance and as a strategy for stress reduction
positioning and bed mobility –> interventions to decrease stress/fatigue
if sleep is disrupted d/t pain or discomfort
alternative therapies –> interventions to decrease stress/fatigue
massage
music
hydrotherapy
