Parkinson's disease

Question 1

what are the 9 principles of neuroplasticity?

Answer 1

use it or lose it
use it to improve it
time matters
intensity matters
repetition matters
interference 
salience 
specificity 
transference

Question 2

Hoehn and Yahr Scale

Answer 2

5 stages of PD

Question 3

unilateral involvement

minimal to no functional disability

Answer 3

stage 1

Question 4

bilateral to midline involvement

w/o impairment of balance

Answer 4

stage 2

Question 5

bilateral disease
mild to moderate disability w/ impaired postural reflexes
physically independent

Answer 5

stage 3

Question 6

severely disabling disease

still able to walk and stand unassisted

Answer 6

stage 4

Question 7

confined to bed or w/c unless aided

Answer 7

stage 5

Question 8

what are 3 appropriate tests for PD population?

Answer 8

FGA
minibest
4-square step test

Question 9

total amount of points for FGA

Answer 9

30 points (10 items, 0-3 scale)

Question 10

total amount of points for MiniBest

Answer 10

28 points (14 items, 0-2 scale)

Question 11

what score is considered a fall risk for PD patients? (MiniBest)

Answer 11

< 20 points

Question 12

what score is considered a fall risk for PD patients? (FGA)

Answer 12

<22 points

Question 13

what time (in sec) is an increased fall risk? (4 square step test)

Answer 13

> 9.68s

Question 14

what are the 4 domains of the minibest test?

Answer 14

anticipatory
postural response
sensory orientation
gait balance

Question 15

what are a few main causes of freezing of gait?

Answer 15

NO weight shift
NO trunk rotation
environmental changes
cognitive

Question 16

what are 9 common movement dysfunctions of PD?

Answer 16

Decreased trunk rotation
stopped posture
slow movement 
small movement
lack of distinction between movements (no clear beginning or end)
freezing
tremor
shuffling of gait