Tuesday 20 May 2014

Parkinson's Disease

Diagnostic Signs:
  • Resting tremors
  • Rigidity – lead pipe and cog wheel (catches)
  • Bradykinesia – slowness of movement
  • Caused by a loss of dopamine in the basal ganglia.
Akinesia – no movement   
Hypokinesia – reduced, small movements

Clinical Features:
  • Festinating gait (increased speed shuffle)
  • Postural problem
  • Loss of facial expression
  • Altered speech
  • Depression
  • Difficulty Swallowing
  • Sleep disturbance
  • Pain

Secondary Impairments
  • Falls (inc. fear of)
  • Weight loss
  • Reduced ROM
  • Muscle weakness
  • Social exclusion
  • Fatigue
  • Infections (esp. chest)
  • Balance issues

Assessment
  • Current medication
  • Certainty and date of diagnosis
  • Hoehn and Yahr stages and UPDRS
  • Symptoms
  • Observation
  • Walking
  • Dual task eg carrying & walking
  • Fall History inc. fear of falling
  • Two thirds of PD patients fall each year
  • Location
  • Activity and suspected cause
  • Saving reactions/landing

Treatment

This is mainly L-dopa as it is small enough to cross the blood brain barrier. It works fantastically in new patients, but the effect fades. It creates on-off phases depending on the timing of the dosage.

    Cueing

    This is what is used to bypass the dopamine system. It is the use of a response to a stimulus.
    Visual – lines on the floor/signs
    Auditory – metronome or instructions
    Proprioceptive – conscious movement to break freeze
    Cognitive – focus on movement, really think about it

    Physiotherapy for 2 -3 times a week for 4 – 12 weeks, including a follow up.

    10 comments:

    1. Thanks for your information. Keep on updating, it will useful for others also. If u want more information click on
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      ReplyDelete
    2. Hello everyone, i'm Linda Harry from United State i was diagnosed with Parkinson Disease  for over 6 years which made me loose my job and my relationship with my Fiance after he discovered that i was having Parkinson, he departed from me, and i tried all my best to make him stays, but he neglected me until a friend of mine  from UK told me Great healer, who will restore my life back with his powerful healing herbal medicine. then he  sent me his email address to contact him- drimolaherbalmademedicine@gmail.com. and i quickly contacted him, and he said my condition can be solved, that he will treat the disease immediately only if i can accept trust on him and accept his terms and condition, i Agreed because i was so much in need of help by all means, so i did all he instructed me to do. And surprisingly after two weeks, He sent me a text, that i should hurry up to the hospital for a checkup, which i truly did, i confirm from my doctor that i am now ( PARKINSON NEGATIVE) my eyes filled with tears and joy, crying heavily because truly the disease deprived me of many things from my life, This is a Miracle, dr imoloa also uses his powerful herbal medicine to cure the following diseases:  lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer. contact him on email- drimolaherbalmademedicine@gmail.com. and also on whatssap- +2347081986098

      ReplyDelete
    3. Hello everyone, i'm Linda Harry from United State i was diagnosed with Parkinson Disease  for over 6 years which made me loose my job and my relationship with my Fiance after he discovered that i was having Parkinson, he departed from me, and i tried all my best to make him stays, but he neglected me until a friend of mine  from UK told me Great healer, who will restore my life back with his powerful healing herbal medicine. then he  sent me his email address to contact him- drimolaherbalmademedicine@gmail.com. and i quickly contacted him, and he said my condition can be solved, that he will treat the disease immediately only if i can accept trust on him and accept his terms and condition, i Agreed because i was so much in need of help by all means, so i did all he instructed me to do. And surprisingly after two weeks, He sent me a text, that i should hurry up to the hospital for a checkup, which i truly did, i confirm from my doctor that i am now ( PARKINSON NEGATIVE) my eyes filled with tears and joy, crying heavily because truly the disease deprived me of many things from my life, This is a Miracle, dr imoloa also uses his powerful herbal medicine to cure the following diseases:  lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer. contact him on email- drimolaherbalmademedicine@gmail.com. and also on whatssap- +2347081986098

      ReplyDelete
    4. My symptoms started at the age of 47. My fingers on my left hand were stiff and were difficult to move. People noticed that my walk was not normal. I was often asked did I hurt.I noticed nothing different about my walk. It was difficult getting up from a chair and getting out of a car. I was diagnosed a year later, it was the onset of tremors starting in my right hand that caused my other symptoms to be recognized as Parkinson's.I am now 59. With the new herbal medicine i purchase from totalcureherbalfoundation.blogspot.com was my only way to get fast relief from this PD,their herbal supplement effectively reverse my Parkinson's disease condition and alleviate all my symptoms. 

      ReplyDelete
    5. Sincerely i was so sad when my husband was diagnosed of Parkinsons disease 2 years ago, when he was 49. He had a stooped posture, tremors, right arm does not move and also a pulsating feeling in his body. He was placed on Senemet for 8 months and then Siferol was introduced and replaced the Senemet, during this time span he was also diagnosed with dementia. He started having hallucinations, lost touch with reality. Suspecting it was the medication I took him off the Siferol (with the doctor’s knowledge) and started him on PD natural herbal formula we ordered from Dr James, his symptoms totally declined over a 3 weeks use of the Dr James HERBAL Formula or Parkinsons disease natural herbal formula. He is now almost 51 and doing very well, the disease is totally reversed! my Husband was cured and now my Husband is free from Parkinsons, i went to the hospital that said there was no cure to Parkinsons and informed them about my Husband healing and they were surprised. here is the contact email ( jamesherbalformula@gmail.com ) also reach him on hangout or through his whatsapp number via +2348102574680 Regards.

      ReplyDelete
    6. Sincerely i was so sad when my husband was diagnosed of Parkinsons disease 2 years ago, when he was 49. He had a stooped posture, tremors, right arm does not move and also a pulsating feeling in his body. He was placed on Senemet for 8 months and then Siferol was introduced and replaced the Senemet, during this time span he was also diagnosed with dementia. He started having hallucinations, lost touch with reality. Suspecting it was the medication I took him off the Siferol (with the doctor’s knowledge) and started him on PD natural herbal formula we ordered from Dr James, his symptoms totally declined over a 3 weeks use of the Dr James HERBAL Formula or Parkinsons disease natural herbal formula. He is now almost 51 and doing very well, the disease is totally reversed! my Husband was cured and now my Husband is free from Parkinsons, i went to the hospital that said there was no cure to Parkinsons and informed them about my Husband healing and they were surprised. here is the contact email ( jamesherbalformula@gmail.com ) also reach him on hangout or through his whatsapp number via +2348102574680 Regards.

      ReplyDelete
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    9. Hi, I am Raj Laxmi Chaturvedi, Physiotherapist. I find the key to relief from such neuro conditions is kinesia(movement) with proper guidance and its follow up. Always Reach a physiotherapist for a proper assessment, special tests, treatment protocols and home advice.

      ReplyDelete
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