Parkinson's Disease

Question 1

What are the classic symptoms of Parkinson’s?

Answer 1

Rigidity
Bradykinesia
Resting Tremor
Impaired Postural Reflexes

Question 2

Hoehn Yar stage I

Answer 2

Minimal or absent disability, unilateral symptoms

Question 3

Hoehn Yar stage II

Answer 3

Minimal bilateral or midline involvement, no balance issues

Question 4

Hoehn Yar stage III

Answer 4

Impaired balance, some restrictions in activity

Question 5

Hoehn Yar stage IV

Answer 5

All symptoms present and severe; stands and walks only with assistance

Question 6

Hoehn Yar stage V

Answer 6

Confinement to bed or wheelchair

Question 7

What cognitive issues come along with Parkinson’s Disease?

Answer 7

In the advanced stages intellectual impairment/ dementia occurs such as bradyphrenia (slowed thoughts)

Question 8

Adverse effects of Sinemet (6)

Answer 8

1) Nausea and Vomiting,
2) Orthostatic Hypotension,
3) Cardiac Arrhythmias,
4) Involuntary Movements,
5) Psychosis
6) On-off phenomenon

Question 9

Physical Therapy Goals

Answer 9

Minimize 2nd issues
Teach compensatory stratagies
Improve strength balance and gait/locomotion
Teach energy conservation
Promote independence