Parkinson's

Question 1

decrease in dopamine

Answer 1

parkinsons

Question 2

resting tremor
rigidity
bradykinesia
postural instability
micrographia
masked face
slowing ADLs
stooped, shuffling gait
decreased arm swing when walking
incoordination
dementia

Answer 2

symptoms of parkinsons

Question 3

slowness of movement

Answer 3

bradykinesia

Question 4

difficulty initiating movement
moments of freezing may occur - sudden break or block in movement
deficit in preparatory phase of movement contol

Answer 4

akinesia

Question 5

presents at rests and disappear with voluntary movement

early stages it is unilateral

Answer 5

resting tremor

Question 6

resistance to passive motion
felt uniformly in muscles on both sides of joint and in movement in both directions
affects proximal muscles first then to face and extremities

Answer 6

rigidity

Question 7

prolonged rigidity

Answer 7

contractures/postural deformity

Question 8

gait deviations with parkinsons

Answer 8

flat footed/ toe heel progression
decreases the ability to step over obstacles or walk on carpeted surfaces
lack of extenstion in LE

Question 9

multiple small steps as if pt is trying to catch up with center of gravity

Answer 9

festination

Question 10

abnormally small handwriting that is difficult to read

Answer 10

micrographia

Question 11

infrequent blinking (irritated eyes)
lack of expression
smiling possible on command with volitional effort

Answer 11

Masked face

Question 12

Hoehn and yahr stage 1

Answer 12

minimal or absent; unilateral if present

Question 13

Hoehn and yahr stage 2

Answer 13

minimal bilateral or midline involvement, balance not impaired

Question 14

Hoehn and yahr stage 3

Answer 14

independent, bilateral , mild to moderate disability, balance deficits

Question 15

Hoehn and yahr stage 4

Answer 15

severely disabling disease, walking possible with assistance

Question 16

Hoehn and yahr stage 5

Answer 16

confined to bed/wheelchair

Question 17

Pharmacoligical management of parkinsons

Answer 17

seligiline
amantadine
L-dopa
dopamine agonist

Question 18

physical therapy treatment for parkinsons

Answer 18

relaxation exercises
flexibility exercises
balance activities
gait training
mobility exercises