Part 3: PT Managment Of PD Flashcards
What SYMTOMS of Parkinson’s disease benefit from exercise interventions
- endurance
- weakness
- tightness
- freezing
- balance
What are some exercise considerations for pateitns with IPD
- timing of optimal effect of meds
- on/off phenomena
- unique posture and gait disturbances
- effects of agging *decreased respiratory capacity)
- orthostatic hypotension
What is camptocormia
Excessively flexed posture with walking but lay straight when laying down
What does NDT emphasize for
Emphasize good alignment and manual cueing to guide movement in purposeful directions
What contributes a model for moving in
functional diagonal patterns with the special
technique of “rhythmic initiation” being
especially helpful for patients with rigidity
PNF
What are some newer and EBP exercise considereations
Dance therapy
External cued movements
Tai chi
Boxing
Most exciting developments, however, have
emerged as the literature on the
neuroprotective qualities of exercise has been
expanding:
- BWSTT
- sensorimtor training
- LSVT-BIG
What are the interventions used from teh CPG for PD
Aerobic Exercise
Resistance Training
Balance Training
Flexibility Exercises- weak
External Cueing
Community-based
Exercise
What are the 2 interventions for PT that are considered WEAK from the CPG for PD
Tele health
Flexibility exercise
Physical therapists ___- implement
moderate- to high-intensity aerobic
exercise to improve oxygen consumption
(VO2), reduce motor disease severity, and
improve functional outcomes in
individuals with Parkinson disease.
Should
Physical therapists ___ implement
balance-training intervention programs to
reduce postural control impairments, and
improve balance and gait outcomes,
mobility, balance confidence, and quality of
life in individuals with Parkinson disease.
Should
Physical therapists ___ implement
flexibility exercises to improve range of
motion (ROM) in individuals with
Parkinson disease.
May
Physical therapists ___ implement
external cueing to reduce motor disease
severity and freezing of gait, and to
improve gait outcomes in individuals with
Parkinson disease.
Should.d
Physical therapists ____ recommend
community-based exercise to reduce motor
disease severity, and improve nonmotor
symptoms, functional outcomes, and
quality of life in individuals with
Parkinson disease.
Should
Physical therapists ___ implement
gait training to reduce motor disease
severity, and improve stride length, gait
speed, mobility, and balance in individuals
with Parkinson disease.
Should
Physical therapists ___ implement
task-specific training to improve task-
specific impairment levels and functional
outcomes for individuals with Parkinson
disease
Should
Physical therapists ___ implement
behavior-change approaches to improve
physical activity and quality of life in
individuals with Parkinson disease.
Should
Physical therapist services __-be
delivered within an integrated care
approach to reduce motor disease severity
and improve quality of life in individuals
with Parkinson disease.
Should
Physical therapist services ___ be
delivered via tele-rehabilitation to improve
balance in individuals with Parkinson
disease.
May
In the absence of reliable evidence, the opinion
of the guideline development group is that more
research is needed on the effects of physical
therapist interventions in individuals
undergoing ___ ___ __-
deep brain stimulation.
If a PD patient has freezing occurring in stage 4 and their feet seem to get stick on the floor what can u do
- tell them rock side to side until one foot is free to move
- increased awareness of weight shift
- practice high steppage gait
- march in place
If a PD patient has freezing occurring in stage 4 and the pateint often falls bc COG moves forward while the BOS remains stationary what can u do to help
- try PNF techniques
- step over an obstacle
- practice walking on floor grids
- use a flashlight to target a place on the floor for the next step
- utilize the NDP pre fiat sequence
If a PD patient has freezing occurring in stage 4 and they often freeze in doorways what can u do to help
- use short external verbal cues such as “ stop , stand tall and breathe , shift weight and take a step” (4 S approach)
- encourage patient walking in crowds both ways
- add auditory cues
