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Parkinson's disease, the most prevalent hypokinetic movement disorder, is expected to occur with increasing frequency among aging populations worldwide. While we await the discovery of a cure, combining physical interventions with traditional medical interventions can significantly improve overall quality of life. Health Professionals' Guide to Physical Management of Parkinson's Disease fills a void in this area of clinical management by comprehensively addressing the physical management of Parkinson's disease in a single volume.

Written for clinicians, Health Professionals' Guide to Physical Management of Parkinson's Disease will prove to be a useful resource for physical therapists as well as other health care professionals who manage patients with Parkinson's disease. The text expertly distills and blends diverse research-based sources with the author's own extensive clinical experience. The result is a concise manual that provides not just the science but also the clinical application necessary in the selection of physical interventions.



The text begins with an introduction to Parkinson's disease and the umbrella of care required in the management of patients, giving readers a clear explanation of medicinal, surgical, assisted, and self-management strategies depending on the stage of disease. After laying this groundwork, the text continues by focusing on two types of dyskinetic movements: dystonia (which can influence posture) and tremor. Also reviewed is the use of supportive devices and adaptive equipment to minimize the effects of dystonia and tremor. The discussion moves on to balance deficits (Hoehn and Yahr stage 3), transfer problems, and the neurologic and musculoskeletal impairments that contribute to them. The text concludes with a qualitative and quantitative assessment of gait and includes specific treatment guidelines addressing characteristic gait problems.

Health Professionals' Guide to Physical Management of Parkinson's Disease is an easy-to-navigate reference for clinicians who do not have the time or the need to read a book cover to cover, but want answers fast. The chapters are written as independent units extensively cross-referenced, and they can be read in any order. Throughout the text, readers will find clinical decision trees, flow charts, and sample forms to guide their selection of intervention strategies. The book contains many user-friendly features:

-Numerous illustrations demonstrate exercise considerations, evaluative techniques, and guidance on implementing interventions.

-The 11 reproducible handouts address safety and compensatory strategies to improve mobility in patients.

-Access to a variety of patient help features--including case examples specific to chapter topics and instructions for handling problems--engage readers and put answers within fingertip reach.

With new research showing exercise to be beneficial in delaying the onset of the physical impairments caused by Parkinson's disease, this is a timely resource that will make clinical practices more productive, improve patient outcomes, and advance the treatment of patients with Parkinson's disease.

Tabla de contenidos provista por Syndetics

• List of Case Examples and Reproducible Items(p. ix)
• Abbreviations and Acronyms(p. xi)
• Preface(p. xiii)
• Acknowledgments(p. xv)
• Part I General Issues(p. 1)
• Chapter 1 Introduction to Parkinson's Disease and Its Physical Management(p. 3)
• Distinguishing Features of Idiopathic Parkinson's Disease and Secondary Parkinsonism(p. 3)
• Guidelines for Physical Management(p. 5)
• Chapter 2 Medical and Surgical Interventions(p. 11)
• Medications(p. 11)
• Challenges of Parkinson's Disease(p. 14)
• Deep Brain Stimulation(p. 20)
• Chapter 3 Exercise and Rehabilitation Considerations(p. 27)
• Flexibility(p. 28)
• Resistance Training(p. 35)
• Cardiorespiratory Endurance(p. 39)
• Lifelong Self-Mainteance(p. 39)
• Chapter 4 Equipping Caregivers(p. 45)
• Caregiver Burden and Educational Needs(p. 45)
• Resources for Caregivers(p. 46)
• Part II Dyskinesia(p. 53)
• Chapter 5 Postural Variations and Dystonia(p. 55)
• Camptocormic Posture(p. 55)
• Drop-Head Posture(p. 61)
• Ankle and Foot Dystonia in PD(p. 65)
• Chapter 6 Tremors(p. 69)
• Essential and Resting Tremors(p. 69)
• Physical Management of Tremors(p. 70)
• Part III Balance(p. 73)
• Chapter 7 Postural Instability(p. 75)
• Definitions(p. 75)
• Postural Control Strategies(p. 76)
• Evalution of Postural Stability(p. 80)
• Interventions for Postural Instability(p. 85)
• Stepping Strategy(p. 86)
• Chapter 8 Balance Evaluation(p. 95)
• Parkinson's Disease Fall Risk Factors(p. 95)
• Balance Evaluation and Treatment(p. 102)
• Part IV Transfers(p. 109)
• Chapter 9 Chair Transfers(p. 111)
• Activity Analysis(p. 111)
• Chair Transfer Kinematic Patterns(p. 112)
• Evaluation of Chair Transfers(p. 114)
• Therapeutic Interventions(p. 115)
• Chapter 10 Bed Mobility(p. 121)
• Bed Mobility Assessment(p. 122)
• Therapeutic Interventions(p. 122)
• Chapter 11 Floor Transfers(p. 129)
• Successful Floor Transfers(p. 129)
• What to Do After a Fall(p. 133)
• Part V Gait(p. 137)
• Chapter 12 Gait Deviations and Instability(p. 139)
• Interventions for Gait Deviations(p. 140)
• Examination of and Interventions for Gait Instability(p. 143)
• Gait Velocity(p. 146)
• Chapter 13 Compensatory Strategies for Gait Interventions(p. 151)
• Rhythmic Auditory Stimulation(p. 151)
• Attention Strategies(p. 160)
• Visual Cues(p. 163)
• Chapter 14 Freezing(p. 165)
• General Issues in Freezing(p. 165)
• Evaluating Freezing(p. 168)
• Freezing Interventions(p. 169)
• Chapter 15 Turing While Ambulating(p. 179)
• Factors Contributing to Turning Instability(p. 179)
• Evaluating Turns(p. 180)
• Interventions to Improve Turns(p. 181)
• Chapter 16 Walkers, Canes, and Footwear(p. 187)
• Matching Walkers to Patients(p. 187)
• Canes(p. 199)
• Footwear(p. 220)
• Appendix A Rating Scales and Questionnaires(p. 207)
• Appendix B Tests(p. 225)
• Appendix C Documentation(p. 235)
• Appendix D Patient Handouts and Interventions(p. 249)
• Glossary(p. 265)
• References(p. 271)
• Index(p. 291)
• About the Author(p. 303)

Notas de autor provistas por Syndetics

Miriam P. Boelen, PT, has been a licensed physical therapist since 1978 and currently is senior staff physical therapist at NorthShore University HealthSystem/Glenbrook Hospital in Glenview, Illinois. As a movement disorder specialist since 1990, she has worked with patients in all stages of Parkinson's disease and those with implanted deep brain stimulators. Boelen has lectured extensively on issues related to the physical management of Parkinson's disease, including exercise, walking aids, caregiver instruction, and education. She has also taught patients how to regain a sense of control over their physical capabilities while clearing up misconceptions and allowing for renewed hope.

Boelen is a member of the American Physical Therapy Association and the American College of Sports Medicine. She wrote an article on the role of rehabilitative modalities and exercise in Parkinson's disease that was published in Disease-a-Month. She earned a B.S. in physical therapy from the University of Health Sciences at the Chicago Medical School and is certified by the American College of Sports Medicine as a health fitness specialist.