Parkinsons Additional Info

Question 1

Communication deficits

Answer 1

• dysarthria
• hypophonia

Question 2

H & Y: Stage I

Answer 2

Minimal or absent disability
unilateral

Question 3

H&Y: Stage II

Answer 3

Minimal bilateral or midline involvement
- no balance impairment

Question 4

H&Y: Stage III

Answer 4

Impaired balance
some restriction in activity

Question 5

H&Y: Stage IV

Answer 5

All symptoms present and severe
Walks only with assistance

Question 6

Vision changes

Answer 6

cog wheeling eye pursuit
decreased blinking

Question 7

Red flags for Sinemet

Answer 7

pts taking Sinemet long term may experience nausea and vomiting, OH, cardiac arrhythmia, involuntary movement, psychoses, and abnormal behaviors

Question 8

APTA CPG for pts with PD with high levels of evidence

Answer 8

• moderate to high intensity aerobic training
• resistance training
• balance training
• external cueing
• gait training
• task specific training
• community based exercise
• integrated care