Parkinsons Flashcards
what is it
disorder of CNS causes decreased dopamine levels
-affects substantia nigra, deep basal ganglia
what are the 3 F’s
festination
freezing
falls
what are the clinical presenetation signs
- rigidity
- bradykinesia
- postural instability
- resting tremor
what medications
dopamine agonists or dopamine replacement
what is primary parkinsons
idiopathic
what is secondary parkinosnim
- drug induced
- stroke
- trauma
- tumors
what is progressive supranuclear palsy
- extreme postural extension
- imparied eye movements
- unable to look down
- falls within first year, onset over 50
what is multisystem atrophy
- parkinsonism
- cerebella systems like gait ataxia
- orthostatic hypotension
- impotence
- urinary incontinence
what are the most common non-motor signs
olfactory loss
cog impairment
depression
what are primary PT interventions
- aerobic conditioning
- flexibilty
- task specific training
what is stage 1 modified hoehn and yahr stages?
unilateral sytmpoms
what is stage 1.5 modified hoehn and yahr stages?
unilateral and axial symptoms
what is stage 2 modified hoehn and yahr stages?
bilateral symptoms
intact balance
what is stage 2.5 modified hoehn and yahr stages?
bilateral symptoms and mild balance impairment
-able to recover on pull test
what is stage 3 modified hoehn and yahr stages?
bilateral sytmpoms, postural instability
- unable to recover on pull test
- able to live indepdenent
