SCC - Parkinson Rehabilitation Program

Size: px
Start display at page:

Download "SCC - Parkinson Rehabilitation Program"

Transcription

1 SCC - Parkinson Rehabilitation Program Introduction At the Spine Care Centre we don t treat Parkinson s Disease, we treat PEOPLE with Parkinson s Disease. Our goal is to assure that, in addition to improving the clinical symptoms of the disease controlled by the treating Neurologist, we improve the quality of our patients lives. We accomplish this goal by listening to our patients and developing a targeted rehabilitation plan that serves the unique needs of each individual. Spine Care Centre Team is introducing a Hi-Tech Program in the rehabilitation of individuals with Parkinson s disease. Our breakthroughs in evidence-based interventions allow our patients to go beyond the clinical setting, providing them with the opportunity to participate in important life roles in the home, work, volunteer and community environments. Our Medical Team has the expertise to develop the rehabilitation strategies people living with Parkinson s Disease need. Patients with Parkinson s Disease may face the following challenges: Walking difficulties & Decreased balance and coordination Weakness & Postural problems Tremors Involuntary movements Difficulty with handwriting Diminished oral and motor skills Decreased speech intelligibility and volume Swallowing difficulties Cognitive impairments Anxiety & Depression 1 P a g e

2 There is growing evidence that individuals with mild to moderate Parkinson s disease can benefit from treatment that targets flexibility, strengthening and cardiovascular conditioning. Physical activity is an important part of a healthy lifestyle for everyone. These treatments can improve balance, walking and overall functional ability. In addition, therapy may slow down the progression of the disease. Moderate to vigorous exercise/activity should begin immediately upon diagnosis and continue throughout the course of the disease. Such activity is difficult for such patient and aborted progressively; SCC Advanced Parkinson Program is Electro-Mechanical without Effort and can improve the patient s condition very quickly. Evidence also supports that regular aerobic exercise prevents development of cognitive impairment in healthy elderly individuals and this can hold true in Parkinson s disease as well. What does Parkinson s disease rehabilitation involve? Our clinicians bring a comprehensive, multidisciplinary approach to the patient care management of Parkinson s disease. Patient-centred care is coordinated among physical therapy and rehabilitation therapy with the use over very advanced Machinery in collaboration with her/his Neurologist. After a thorough evaluation and development of a plan of care, treatment may consist of: a. Flexibility/stretching and strengthening exercises b. Fitness (aerobic) activities c. Strategies to improve mobility: walking, freezing, standing up from chairs, reduce risk of falls d. Strategies to improve self-care activities e. Stress management f. Instruction in cognitive strategies 2 P a g e

3 How Our Approach Differs From Traditional Physical Therapy Physical Therapy is widely used to improve motor symptoms in PD; however, NSSF and insurance companies only cover a limited amount of PT per year, resulting in a short-term model of treatment for a lifelong, progressive neurodegenerative disease. In fact, many studies have shown that, although 20 weeks of traditional physical therapy was effective in improving the motor symptoms of PD, this benefit was lost following three months of no therapy. Our advanced program associates many machines to manipulate the spine (Spine decompressor - rotator), improve the Parkinson Posture (Ceragem), Muscle stretching (Motion Lab- Stretching), and global nerve and muscle stimulators to improve muscle strength (EMA), and increase nerve strength and stimulation (EMS). Other Machines will improve the coordination and Parkinson gait (ML-coordination). In case of Dysphagia and swallowing difficulties, we use special stimulators on the neck to improve the contraction of the suprahyoid muscles which will improve the deglutition of our patient. In order to provide an affordable long-term rehabilitation to people with PD in Lebanon, we have developed a model to provide continuous rehabilitation throughout the entire time course of the disease. High-intensity exercise designed to improve the symptoms of PD, has been shown to be superior to the low-intensity approach of Physiotherapy. Our approach is very intense and very effective. We expect patient to work and he/she should expect results! Since all people with PD do not display the symptoms of the disease equally and the prominence of each symptom varies over the course of the disease, we integrate the scientifically established modes of exercise based on the predominate symptom(s) of each patient to provide personalized rehabilitation. An additional benefit of exercise for PD is the increase of proteins in the brain that enhance learning and cognition. Since cognitive deficits limit the ability of exercise to improve gait and balance, patients perform motor and cognitive rehabilitation simultaneously to enhance the effects of both therapies. 3 P a g e

4 How long will Parkinson s disease rehabilitation take? The plan of care is developed specifically to the individual's needs and goals defined by the patient and evaluating therapist. We will work with the treating physician to optimize our care. Therapy may be two to three times a week to achieve our goal and could last for life on once weekly as Maintenance Program depending on patient s needs. Research & Follow up It is well established that exercise training directed towards a specific symptom of PD is an effective, complementary intervention to the traditional medical management of PD symptoms. Specifically, targeted exercise is effective in improving the targeted deficit. Furthermore, comprehensive exercise programs combining several scientifically proven modes of exercise have been shown to result in clinically meaningful benefits, as measured by the Unified Parkinson s Disease Rating Scale UPDRS. Although substantial evidence supports the use of symptom-specific exercise programs for PD, this intervention has not been implemented on a wide scale. Substantial obstacles prevent many PD patients from receiving symptom-specific exercise training. First, targeted training for gait and balance can only be safely performed in the presence of an exercise professional. Second, effective cognitive rehabilitation requires errorless learning during complex cognitive tasks. This can only take place under close supervision. Since insurance companies and NSSF cover a limited amount of physical rehabilitation each year, targeted training requires a monetary investment that the majority of patients are unable to make. Since properly structured comprehensive exercise programs have been proven to be safe and effective in improving symptoms in people living with PD, the primary barrier to people with PD receiving longterm rehabilitation is that therapy administered by Hi-Tech machinery and highly trained Therapists is cost-prohibitive in the eyes of the insurance industry. PREPARED by: Fadi ZEIN EL ABIDINE, Medical advisor at SCC Medical & Therapeutic Team at SCC 4 P a g e

5 References 1. Exploring the effect of electrical muscle stimulation as a novel treatment of intractable tremor in Parkinson's disease. Jitkritsadakul O1, Thanawattano C2, Anan C1, Bhidayasiri R3. J Neurol Sci Nov 15;358(1-2): doi: /j.jns Epub 2015 Aug Neuromuscular Electrical Stimulation Versus Traditional Therapy in Patients with Parkinson s Disease and Oropharyngeal Dysphagia: Effects on Quality of Life B. J. Heijnen,corresponding author1,5 R. Speyer,2 L. W. J. Baijens,3 and H. C. A. Bogaardt. Dysphagia Sep; 27(3): Nagaya M, Kachi T, Yamada T, Igata A. Videofluorographic study of swallowing in Parkinson s disease. Dysphagia. 1998;13: doi: /PL [PubMed] [Cross Ref] 4. Wintzen AR, Bradrising UA, Roos RAC, Vielvoye J, Liauw L, Pauwels EKJ. Dysphagia in ambulant patients with Parkinson s disease: common, not dangerous. Can J Neurol Sci. 1994;21: [PubMed] 5. Ali GN, Wallace KL, Schwartz R, Decarle DJ, Zagami AS, Cook IJ. Mechanisms of oral-pharyngeal dysphagia in patients with Parkinson s disease. J Gastroenterol. 1996;110: doi: /gast.1996.v110.pm [PubMed] [Cross Ref] 6. Nagaya M, Kachi T, Yamada T. Effect of swallowing training on swallowing disorders in Parkinson s disease. Scand J Rehabil Med. 2000;32: doi: / [PubMed] [Cross Ref] 7. Ertekin C, Tarlaci S, Aydogdu I, Kiylioglu N, Yuceyar N, Turman AB, Secil Y, Esmeli F. Electrophysiological evaluation of pharyngeal phase of swallowing in patients with Parkinson s disease. Mov Disord. 2002;17: doi: /mds [PubMed] [Cross Ref] 8. Johnston BT, Li Q, Castell JA, Castell DO. Swallowing and esophageal function in Parkinson s disease. Am J Gastroenterol. 1995;90: [PubMed] 9. Kirshner HS. Causes of neurogenic dysphagia. Dysphagia. 1989;3: doi: /BF [PubMed] [Cross Ref] 10. Mari F, Matei M, Ceravolo MG, Pisani A, Montesi A, Provinciali L. Predictive value of clinical indices in detecting aspiration in patients with neurological disorders. J Neurol Neurosurg Psychiatry. 1997;63: doi: /jnnp [PMC free article] [PubMed] [Cross Ref] 11. Martin L, Cometti G, Pousson M, Morlon B. Effect of electrical stimulation on the contractile characteristics of the triceps surae muscle. Eur J Appl Physiol. 1993;67: doi: /BF [PubMed] [Cross Ref] 12. Gustafsson B, Tibblin L. Dysphagia, an unrecognized handicap. Dysphagia. 1991;16: doi: /BF [PubMed] [Cross Ref] 13. Plowman-Prine EK, Sapienza CM, Okun MS, Pollock SL, Jacobson C, Wu SS, et al. The relationship between quality of life and swallowing in Parkinson s disease. Mov Disord. 2009;24(9): doi: /mds [PMC free article] [PubMed] [Cross Ref] 5 P a g e

Healthy Body, Healthy Mind

Healthy Body, Healthy Mind Volume 3 Spring 2016 The Firelands S.P.O.T. Inside this issue: 2 Speech Therapy Corner REPORT 3 Physical Therapy Corner Your quarterly guide to new information, insights, and events from Speech, Physical,

More information

Margaret Schenkman, PT, PhD, FAPTA University of Colorado, Denver Colorado

Margaret Schenkman, PT, PhD, FAPTA University of Colorado, Denver Colorado Margaret Schenkman, PT, PhD, FAPTA University of Colorado, Denver Colorado Present a framework for clinical reasoning with emphasis on Patient centered care Application of enablement and disablement frameworks

More information

PD ExpertBriefing: The Effects of Exercise on PD

PD ExpertBriefing: The Effects of Exercise on PD PD ExpertBriefing: The Effects of Exercise on PD Led By: Margaret Schenkman, P.T., Ph.D., F.A.P.T.A. Associate Dean for Physical Therapy Education, and Director, Physical Therapy Program, University of

More information

Parkinson s Disease Foundation. Parkinson s Disease Foundation. PD ExpertBriefing: Led By: Ronald F. Pfeiffer, M.D. To hear the session live on:

Parkinson s Disease Foundation. Parkinson s Disease Foundation. PD ExpertBriefing: Led By: Ronald F. Pfeiffer, M.D. To hear the session live on: Parkinson s Disease Foundation Parkinson s Disease Foundation PD ExpertBriefing: Gait, Balance PD and ExpertBriefing: Falls in Parkinson s Disease Understanding Led By: the Terry Progression Ellis, Ph.D.,

More information

Slide 1. Slide 2. Slide 3. Intro to Physical Therapy for Neuromuscular Conditions. PT Evaluation. PT Evaluation

Slide 1. Slide 2. Slide 3. Intro to Physical Therapy for Neuromuscular Conditions. PT Evaluation. PT Evaluation Slide 1 Intro to Physical Therapy for Neuromuscular Conditions PTA 103 Introduction to Clinical Practice 2 Slide 2 Mental status: consciousness, attention, orientation, cognition Communication: speech

More information

Deciphering Dysphagia with E-Stim 8 March 2015

Deciphering Dysphagia with E-Stim 8 March 2015 Deciphering Dysphagia with E-Stim 8 March 2015 Electrical Stimulation for Muscle Re-education in Swallowing Presented by: Russ Campbell, PT Sponsored by: HEMAX Health Products Company Limited New Options

More information

EXERCISE FOR PARKINSON S RECOMMENDATIONS FOR MANAGING SYMPTOMS

EXERCISE FOR PARKINSON S RECOMMENDATIONS FOR MANAGING SYMPTOMS EXERCISE FOR PARKINSON S RECOMMENDATIONS FOR MANAGING SYMPTOMS INSIDE THIS GUIDE EXERCISE FOR PARKINSON S OVERVIEW 3 RECOMMENDATIONS FOR EXERCISE FOR PARKINSON S 4 EXERCISE FOR PARKINSON S PRINCIPLES 5

More information

Pa t h w a y s. Pa r k i n s o n s. MacMahon D.G. Thomas S. Fletcher P. Lee M. 2006

Pa t h w a y s. Pa r k i n s o n s. MacMahon D.G. Thomas S. Fletcher P. Lee M. 2006 Pathways bolt 16/6/06 20:38 Page 1 Pa t h w a y s A PARADIGM FOR DISEASE MANAGEMENT IN Pa r k i n s o n s Disease MacMahon D.G. Thomas S. Fletcher P. Lee M. 2006 Clinical diagnosis Pa r k i n s o n s disease

More information

Let s Look at Parkinson s (PD) Sheena Morgan Parkinson s Disease Nurse Specialist Isle of Wight NHS Trust November 2016

Let s Look at Parkinson s (PD) Sheena Morgan Parkinson s Disease Nurse Specialist Isle of Wight NHS Trust November 2016 Let s Look at Parkinson s (PD) Sheena Morgan Parkinson s Disease Nurse Specialist Isle of Wight NHS Trust November 2016 What is Parkinson s? Parkinson's is a progressive neurological condition. People

More information

PARKINSON S DISEASE OVERVIEW, WITH AN EMPHASIS ON PHYSICAL WELLBEING. Gillian Quinn MISCP, Senior Physiotherapist in Neurology, SVUH

PARKINSON S DISEASE OVERVIEW, WITH AN EMPHASIS ON PHYSICAL WELLBEING. Gillian Quinn MISCP, Senior Physiotherapist in Neurology, SVUH PARKINSON S DISEASE OVERVIEW, WITH AN EMPHASIS ON PHYSICAL WELLBEING Gillian Quinn MISCP, Senior Physiotherapist in Neurology, SVUH PARKINSON'S DISEASE PD is a progressive neurological disease resulting

More information

CONCETTI GENERALI SULLE DISFAGIE DI ORIGINE ESOFAGEA

CONCETTI GENERALI SULLE DISFAGIE DI ORIGINE ESOFAGEA LA DISFAGIA ESOFAGEA Pavia, 12.1.217 CONCETTI GENERALI SULLE DISFAGIE DI ORIGINE ESOFAGEA Michele Di Stefano Clinica Medica 1 Fondazione IRCCS Policlinico S.Matteo Università di Pavia Pavia PHARYNGOESOPHAGEAL

More information

Robert Alan Bonakdar MD FAAFP Director of Pain Management Scripps Center for Integrative Medicine

Robert Alan Bonakdar MD FAAFP Director of Pain Management Scripps Center for Integrative Medicine Integrative Medicine in Parkinson s Disease (PD) Robert Alan Bonakdar MD FAAFP Director of Pain Management Scripps Center for Integrative Medicine 858 554 3300 Integrative Medicine in Parkinson s Disease

More information

The Effect of Surface Electrical Stimulation on Swallowing in Dysphagic Parkinson Patients

The Effect of Surface Electrical Stimulation on Swallowing in Dysphagic Parkinson Patients Dysphagia (2012) 27:528 537 DOI 10.1007/s00455-011-9387-4 ORIGINAL ARTICLE The Effect of Surface Electrical Stimulation on Swallowing in Dysphagic Parkinson Patients Laura W. J. Baijens Renée Speyer Valeria

More information

Course Information DPT 720 Professional Development (2 Credits) DPT 726 Evidenced-Based Practice in Physical Therapy I (1 Credit)

Course Information DPT 720 Professional Development (2 Credits) DPT 726 Evidenced-Based Practice in Physical Therapy I (1 Credit) Course Information DPT 720 Professional Development (2 Credits) This course introduces theories and experiences designed to develop professional socialization in students. Skills to accurately, sensitively

More information

Pilates as a modality to increase movement and improve quality of life for those suffering from Parkinson s Disease

Pilates as a modality to increase movement and improve quality of life for those suffering from Parkinson s Disease Pilates as a modality to increase movement and improve quality of life for those suffering from Parkinson s Disease Miranda Handke 23 July 2016 Comprehensive Global Format Brisbane, Australia 2015 Abstract

More information

copyrighted material by PRO-ED, Inc.

copyrighted material by PRO-ED, Inc. CONTENTS Preface xi Chapter 1 Introduction: Definitions and Basic Principles of Evaluation and Treatment of Swallowing Disorders Signs and Symptoms of Dysphagia Screening: Identifying the Patient at High

More information

Deciphering Dysphagia with E-Stim 24 Mar 2013

Deciphering Dysphagia with E-Stim 24 Mar 2013 Deciphering Dysphagia with E-Stim 24 Mar 2013 Electrical Stimulation for Muscle Re-education in Swallowing Presented by: Russ Campbell, PT Rick McAdoo, M.S., CCC-SLP Sponsored by: HEMAX Health Products

More information

Rehabilitation for Parkinson's disease: effect of the smile on motor and mental function

Rehabilitation for Parkinson's disease: effect of the smile on motor and mental function Rehabilitation for Parkinson's disease: effect of the smile on motor and mental function Hiromi Ohe, P.T. #1, Tomoko Uesugi, P.T. #1, Mika Kawahara, P.T. #1, Itsumi Komori, P.T. #1, Yuri Taniguchi, S.T.

More information

National Stroke Association s Guide to Choosing Stroke. Rehabilitation Services

National Stroke Association s Guide to Choosing Stroke. Rehabilitation Services National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills

More information

Postural instability Hypokinesia Rigidity Tremor Forward flexed posture. pain million people 50+ years old 10 most populated countries

Postural instability Hypokinesia Rigidity Tremor Forward flexed posture. pain million people 50+ years old 10 most populated countries 4.1-4.6 million people 50+ years old 10 most populated countries Cyndi Robinson, PT, PhD University of Washington Seattle, Washington, USA Progressive neurodegenerative disorder Selective neuronal loss

More information

The Phenomena of Movement pg 3. Physical Fitness and Adolescence pg 4. Fitness as a Lifestyle pg 5. Physical Education and the Student pg 6

The Phenomena of Movement pg 3. Physical Fitness and Adolescence pg 4. Fitness as a Lifestyle pg 5. Physical Education and the Student pg 6 Introduction pg 2 The Phenomena of Movement pg 3 Physical Fitness and Adolescence pg 4 Fitness as a Lifestyle pg 5 Physical Education and the Student pg 6 The Program pg 7 Program Outline pg 8 Proposal

More information

By: Griffin Smith & Eric Foch

By: Griffin Smith & Eric Foch By: Griffin Smith & Eric Foch What is Cerebral Palsy? Non progressive neurodevelopmentalcondition Signs: Spasticity Ataxia Muscle rigidity idit Athetosis Tremor Distribution Among Limbs Why study cerebral

More information

A PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY

A PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY A PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY SUSAN KEESHIN M.D. MEDICAL DIRECTOR DAY REHAB THE SHIRLEY RYAN ABILITY LAB (FORMERLY KNOWN AS RIC) WHAT IS A PHYSIATRIST AND

More information

Effect of posture on swallowing.

Effect of posture on swallowing. Effect of posture on swallowing. Ahmad H. Alghadir, Hamayun Zafar, Einas S. Al-Eisa, Zaheen A. Iqbal Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, KSA.

More information

Exercise as Medicine The Role of Rehabilitation Professionals in Helping to Treat Parkinson's Disease Rehabilitation Services

Exercise as Medicine The Role of Rehabilitation Professionals in Helping to Treat Parkinson's Disease Rehabilitation Services Exercise as Medicine The Role of Rehabilitation Professionals in Helping to Treat Parkinson's Disease Katie Parafinczuk PT, DPT, NCS Redwood City, CA Rehabilitation Services My Background Kathleen.n.parafinczuk@kp.org

More information

The following are Alison Williams' notes on these topics, augmented by her comments on two lectures on the same themes. For the original lectures go to: https://events.qwikcast.tv/public/qwikcast/qwikcastevent?eventkey=1a1dbe73-e2f2-4945-9470-143f3f641805

More information

Balance Matters. Dan Mathers, MSPT. Balance Program Coordinator St. Vincent Rehabilitation.

Balance Matters. Dan Mathers, MSPT. Balance Program Coordinator St. Vincent Rehabilitation. Balance Matters Dan Mathers, MSPT Balance Program Coordinator St. Vincent Rehabilitation dpmather@stvincent.org Who I am Dan Mathers, MSPT Graduated with Master of Science in Physical Therapy in 1999 from

More information

CONCETTI GENERALI SULLE DISFAGIE DI ORIGINE ESOFAGEA

CONCETTI GENERALI SULLE DISFAGIE DI ORIGINE ESOFAGEA MECCANISMI FISIOLOGICI AUTOMATICO-RIFLESSI DELL ESOFAGO CONCETTI GENERALI SULLE DISFAGIE DI ORIGINE ESOFAGEA Michele Di Stefano Clinica Medica 1 Fondazione IRCCS Policlinico S.Matteo Università di Pavia

More information

Mellen Center Approaches Exercise in MS

Mellen Center Approaches Exercise in MS Mellen Center Approaches Exercise in MS Framework: Physical exercise is generally recommended to promote fitness and wellness in individuals with or without chronic health conditions. Implementing and

More information

TREATMENT OF DYSPHAGIA IN PATIENTS AFTER STROKE IN ESTONIA

TREATMENT OF DYSPHAGIA IN PATIENTS AFTER STROKE IN ESTONIA TREATMENT OF DYSPHAGIA IN PATIENTS AFTER STROKE IN ESTONIA ANNE URIKO SPORTS MEDICINE AND REHABILITATION CLINIG OF TARTU UNIVERSITY HOSPITAL 17.09.2010 DYSPHAGIA DIFFICULTY MOVING FOOD FROM MOUTH TO STOMACH

More information

How Biodex programs give UHS Pruitt the clinical advantage BIODEX

How Biodex programs give UHS Pruitt the clinical advantage BIODEX CASESTUDY How Biodex programs give UHS Pruitt the clinical advantage UHS Pruitt Corporation BIODEX Biodex Medical Systems, Inc. 20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (Int l 631-924-9000),

More information

SUMMARY OF MEDICAL TREATMENT GUIDELINE FOR CARPAL TUNNEL SYNDROME AS IT RELATES TO PHYSICAL THERAPY

SUMMARY OF MEDICAL TREATMENT GUIDELINE FOR CARPAL TUNNEL SYNDROME AS IT RELATES TO PHYSICAL THERAPY SUMMARY OF MEDICAL TREATMENT GUIDELINE FOR CARPAL TUNNEL SYNDROME AS IT RELATES TO PHYSICAL THERAPY Effective March 1, 2013, the New York State Workers Compensation System will implement Medical Treatment

More information

PD ExpertBriefing: Physical Therapy and Parkinson s disease: What You Need to Know. Presented By: Tuesday, February 8, 2011 at 1:00 PM ET

PD ExpertBriefing: Physical Therapy and Parkinson s disease: What You Need to Know. Presented By: Tuesday, February 8, 2011 at 1:00 PM ET PD ExpertBriefing: Physical Therapy and Parkinson s disease: What You Need to Know Presented By: Heather J. Cianci, PT, MS, GCS The Dan Aaron Parkinson s Rehabilitation Center Tuesday, February 8, 2011

More information

PD AND FALLS J U MALLYA FALLS AWARENESS MEETING

PD AND FALLS J U MALLYA FALLS AWARENESS MEETING PD AND FALLS J U MALLYA FALLS AWARENESS MEETING 23-09-2016 PD Chronic Progressive neurodegenerative disease Motor system disorder Degeneration of Dopaminergic neurons in Substantia nigra in the midbrain.

More information

Effectiveness of Neuromuscular Electrical Stimulation on Neurological Pharyngeal Dysphagia

Effectiveness of Neuromuscular Electrical Stimulation on Neurological Pharyngeal Dysphagia ORIGINAL ARTICLE Effectiveness of Neuromuscular Electrical Stimulation 10.5005/jp-journals-10023-1155 on Neurological Pharyngeal Dysphagia Effectiveness of Neuromuscular Electrical Stimulation on Neurological

More information

Part I Parkinson Disease Diagnosis and Treatment

Part I Parkinson Disease Diagnosis and Treatment Part I Parkinson Disease Diagnosis and Treatment Parkinson Disease A Health Policy Perspective. Edited by Wayne Martin, Oksana Suchowersky, Katharina Kovacs Burns, and Egon Jonsson Copyright 2010 WILEY-VCH

More information

Post-op / Pre-op Page (ALREADY DONE)

Post-op / Pre-op Page (ALREADY DONE) Post-op / Pre-op Page (ALREADY DONE) We offer individualized treatment plans based on your physician's recommendations, our evaluations, and your feedback. Most post-operative and preoperative rehabilitation

More information

Examination of Swallowing Varies Depending on Food Types

Examination of Swallowing Varies Depending on Food Types Tohoku J. Exp. Med., 2010, 220, 41-46 The Risk of Penetration or Aspiration during VF 41 The Risk of Penetration or Aspiration during Videofluoroscopic Examination of Swallowing Varies Depending on Food

More information

Does Exercise Reduce the Risk of Falling in Parkinson s Patients?

Does Exercise Reduce the Risk of Falling in Parkinson s Patients? Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2015 Does Exercise Reduce the Risk of Falling

More information

SNOEZELEN FOR THE PEOPLE WITH PARKINSON'S DISEASE

SNOEZELEN FOR THE PEOPLE WITH PARKINSON'S DISEASE SNOEZELEN FOR THE PEOPLE WITH PARKINSON'S DISEASE Maja Povše, University Rehabilitation Institute, Republic of Slovenia Soča ISNA-MSE'S XIII International Congress, Crete, 27.10.2016 S L O V E N I A Slovenia

More information

The Role of Physiatry in the Care of Adults and Children with Hydrocephalus

The Role of Physiatry in the Care of Adults and Children with Hydrocephalus The Role of Physiatry in the Care of Adults and Children with Hydrocephalus Scott E. Brown, MD Chairman Department of Physical Medicine and Rehabilitation Sinai Hospital of Baltimore Who Are We? PHYSICAL

More information

Department of Physical Medicine and Rehabilitation

Department of Physical Medicine and Rehabilitation For enquiries and appointments, please contact us at: 物理醫學及復康科部 Department of Physical Medicine and Rehabilitation Department of Physical Medicine and Rehabilitation 5/F, Li Shu Pui Block, Hong Kong Sanatorium

More information

Berg Balance Scale. CVA, Parkinson Disease, Pediatrics

Berg Balance Scale. CVA, Parkinson Disease, Pediatrics CVA, Parkinson Disease, Pediatrics CVA Highly recommended for inpatient and outpatient rehabilitation Recommended for acute care Parkinson s Disease Recommended for H and Y stages 2 and 3 G code-changing

More information

COMMUNICATION AND SWALLOWING DISORDERS IN PARKINSON S DISEASE Challenges, Treatments, and Resources

COMMUNICATION AND SWALLOWING DISORDERS IN PARKINSON S DISEASE Challenges, Treatments, and Resources COMMUNICATION AND SWALLOWING DISORDERS IN PARKINSON S DISEASE Challenges, Treatments, and Resources Rosemary B. Loftin, M.S. CCC/SLP Supervisor of Speech Pathology Services Mayo Clinic Hospital Arizona

More information

Normal and Abnormal Oral and Pharyngeal Swallow. Complications.

Normal and Abnormal Oral and Pharyngeal Swallow. Complications. ESPEN Congress Gothenburg 2011 Assessment and treatment of dysphagia What is the evidence? Normal and Abnormal Oral and Pharyngeal Swallow. Complications. Pere Clavé Educational Session. Assessment and

More information

REHABILITATION OF PARKINSONIAN PATIENTS. M. Gabriella Ceravolo, Lucia Paoloni, Leandro Provinciali

REHABILITATION OF PARKINSONIAN PATIENTS. M. Gabriella Ceravolo, Lucia Paoloni, Leandro Provinciali REHABILITATION OF PARKINSONIAN PATIENTS M. Gabriella Ceravolo, Lucia Paoloni, Leandro Provinciali Neurorehabilitation Clinic, Department of Nervous and Motor Diseases, University of Ancona, Italy Reprint

More information

CRITICALLY APPRAISED PAPER (CAP)

CRITICALLY APPRAISED PAPER (CAP) CRITICALLY APPRAISED PAPER (CAP) Ehab, G., Barnsley, S., & Chellappa, R. (2012). Effect of physical exercise movement strategies programme on mobility, falls, and quality of life in Parkinson's disease.

More information

SUBCHAPTER 48C - SCOPE OF PHYSICAL THERAPY PRACTICE SECTION PHYSICAL THERAPISTS

SUBCHAPTER 48C - SCOPE OF PHYSICAL THERAPY PRACTICE SECTION PHYSICAL THERAPISTS SUBCHAPTER 48C - SCOPE OF PHYSICAL THERAPY PRACTICE SECTION.0100 - PHYSICAL THERAPISTS 21 NCAC 48C.0101 PERMITTED PRACTICE (a) Physical therapy is presumed to include any acts, tests, procedures, modalities,

More information

Fact Sheet. VitalStim Therapy

Fact Sheet. VitalStim Therapy VitalStim Therapy Fact Sheet Dysphagia, or difficulty with swallowing, is a sorely neglected medical disorder that impacts as many as 15 million Americans, with approximately one million people annually

More information

Management of Individuals with Parkinson s Disease Using Principles of LSVT Big Therapy

Management of Individuals with Parkinson s Disease Using Principles of LSVT Big Therapy Management of Individuals with Parkinson s Disease Using Principles of LSVT Big Therapy Iowa Physical Therapy Association Student Conclave Saturday April 20, 2013 Presented by Michael Puthoff, PT, PhD,

More information

MUSC Health Movement Disorders. Movement Disorders Program & The Murray Center for Research on Parkinson s Disease & Related Disorders

MUSC Health Movement Disorders. Movement Disorders Program & The Murray Center for Research on Parkinson s Disease & Related Disorders Movement Disorders Program & The Murray Center for Research on Parkinson s Disease & Related Disorders Medical University of South Carolina MUSC Health Movement Disorders Movement Program Program 96 Jonathan

More information

Balance and Falls in PD: Effective Interventions and Assistive Devices

Balance and Falls in PD: Effective Interventions and Assistive Devices Balance and Falls in PD: Effective Interventions and Assistive Devices Hanan Khalil, PhD Department of Rehabilitation Sciences Jordan University of Science and Technology Irbid, Jordan hwkhalil8@just.edu.jo

More information

Chapter 4. Muscular Strength and Endurance KIN 217 3/28/18 1

Chapter 4. Muscular Strength and Endurance KIN 217 3/28/18 1 Chapter 4 Muscular Strength and Endurance KIN 217 1 Functions of Muscle Tissues Functions: provide stability and postural tone, allow purposeful movement, heat production. Muscle mass constitutes: 40 to

More information

Physical Therapy for the Lower Extremity: What You and Your Patient Should Expect from Rehab

Physical Therapy for the Lower Extremity: What You and Your Patient Should Expect from Rehab 1 Physical Therapy for the Lower Extremity: What You and Your Patient Should Expect from Rehab Thomas Clennell, PT, DPT, SCS Physical Therapist UCSF Benioff Children s Hospital Oakland Sports Medicine

More information

BACK VIBE PROGRAM ROLE OF VIBRATION EXERCISE IN LOW BACK PAIN. Copyright 2012 All Rights Reserved. VibrationExercise.com Page 1

BACK VIBE PROGRAM ROLE OF VIBRATION EXERCISE IN LOW BACK PAIN. Copyright 2012 All Rights Reserved. VibrationExercise.com Page 1 BACK VIBE PROGRAM ROLE OF VIBRATION EXERCISE IN LOW BACK PAIN Copyright 2012 All Rights Reserved. VibrationExercise.com Page 1 COPYRIGHT NOTICE This website and its content is copyright of vibrationexercise.com

More information

Common Errors and Fraud Risk in Physical Medicine (Chiro/PT) Coding

Common Errors and Fraud Risk in Physical Medicine (Chiro/PT) Coding Common Errors and Fraud Risk in Physical Medicine (Chiro/PT) Coding Auditing the PhysMed Record Modalities vs. Procedures Lecturer: Michael D. Miscoe JD, CPC, CASCC, CUC, CCPC, CPCO, CPMA DISCLAIMER This

More information

Welcome and Introductions

Welcome and Introductions Spotlight on Parkinson s Disease Staying on Your Feet Balance Matters Tuesday, October 18, 2016 Welcome and Introductions Stephanie Paul Vice President Development and Marketing American Parkinson Disease

More information

Main Aspects of the Management of Neurogenic Dysphagia

Main Aspects of the Management of Neurogenic Dysphagia Main Aspects of the Management of Neurogenic Dysphagia Mario Prosiegel/München German Society of Neurology (DGN) prosiegel@t-online.de DYSPHAGIA October 8-10, 2015 Pavia, Italy Overview Diagnosis Causal

More information

Therapy Documentation: Beyond Reasonable and Necessary

Therapy Documentation: Beyond Reasonable and Necessary Therapy Documentation: Beyond Reasonable and Necessary August 30, 2012 Presented by: Cindy Krafft PT, MS Director of Rehabilitation Consulting Services Fazzi Associates 243 King Street, Suite 246 Northampton,

More information

Deep Brain Stimulation: Indications and Ethical Applications

Deep Brain Stimulation: Indications and Ethical Applications Deep Brain Stimulation Overview Kara D. Beasley, DO, MBe, FACOS Boulder Neurosurgical and Spine Associates (303) 562-1372 Deep Brain Stimulation: Indications and Ethical Applications Instrument of Change

More information

Disclosure. Objectives. The Motor Cortex. Neuromuscular Principles for Injury/Fall Prevention, Rehabilitation and Sports Performance Utilizing PRIMFIT

Disclosure. Objectives. The Motor Cortex. Neuromuscular Principles for Injury/Fall Prevention, Rehabilitation and Sports Performance Utilizing PRIMFIT Neuromuscular Principles for Injury/Fall Prevention, Rehabilitation and Sports Performance Utilizing PRIMFIT Disclosure The speaker is the founder and partner at PRIMFIT and has a financial interest in

More information

Dr Conor Maguire Consultant, NHS Lothian Chair, Lothian Parkinson s Forum

Dr Conor Maguire Consultant, NHS Lothian Chair, Lothian Parkinson s Forum Dr Conor Maguire Consultant, NHS Lothian Chair, Lothian Parkinson s Forum I am a GERIATRICIAN Training: General Medicine Neurological conditions Cognition memory clinics Falls Multi-organ involvement of

More information

Ratified by: Care and Clinical Policies Date: 17 th February 2016

Ratified by: Care and Clinical Policies Date: 17 th February 2016 Clinical Guideline Reference Number: 0803 Version 5 Title: Physiotherapy guidelines for the Management of People with Multiple Sclerosis Document Author: Henrieke Dimmendaal / Laura Shenton Date February

More information

Benefits of Pilates for Lower Back and Disc Injuries

Benefits of Pilates for Lower Back and Disc Injuries Benefits of Pilates for Lower Back and Disc Injuries Alexandra Gitlitz June 2017 Course Year 2017 Sydney, Australia 2 Abstract Chronic low back pain can be defined as having pain in the posterior lumbar

More information

Rebecca Courtney, PT, DPT. Supervisor, Ochsner HealthyBack

Rebecca Courtney, PT, DPT. Supervisor, Ochsner HealthyBack Rebecca Courtney, PT, DPT Supervisor, Ochsner HealthyBack What is the Healthy Back Program? A comprehensive treatment approach for patients with sub-acute chronic neck and back pain Includes MD assessment,

More information

Headway Victoria Epilepsy and Parkinson s Centre

Headway Victoria Epilepsy and Parkinson s Centre Headway Victoria Epilepsy and Parkinson s Centre Parkinson s Overview and Medication Shannon Oatway Community Education/ Awareness Coordinator What is Parkinson s Disease? The basics It is a chronic and

More information

Yoga as Therapy? In search of wholeness, health and happiness, Georg Feuerste

Yoga as Therapy? In search of wholeness, health and happiness, Georg Feuerste Yoga as Therapy? In search of wholeness, health and happiness, Georg Feuerste What is yoga? or History of yoga Originated in India 5-6000 years ago. Aim - to achieve one s full potential as a human being.

More information

Subthalamic Nucleus Deep Brain Stimulation (STN-DBS)

Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) Subthalamic Nucleus Deep Brain Stimulation (STN-DBS) A Neurosurgical Treatment for Parkinson s Disease Parkinson s Disease Parkinson s disease is a common neurodegenerative disorder that affects about

More information

WELCOME. Parkinson s 101 for the Newly Diagnosed. Today s Topic: Parkinson s Basics presented by Cari Friedman, LCSW

WELCOME. Parkinson s 101 for the Newly Diagnosed. Today s Topic: Parkinson s Basics presented by Cari Friedman, LCSW WELCOME Parkinson s 101 for the Newly Diagnosed Today s Topic: Parkinson s Basics presented by Cari Friedman, LCSW Parkinson s Disease 101 Presenter for Today Cari Friedman, LCSW Patient and Family Service

More information

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas Phone: Fax:

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas Phone: Fax: Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 MENISCAL REPAIR PROTOCOL Longitudinal Meniscal Repair This rehabilitation

More information

Adam N. Whatley, M.D Main St., STE Zachary, LA Phone(225) Fax(225)

Adam N. Whatley, M.D Main St., STE Zachary, LA Phone(225) Fax(225) Adam N. Whatley, M.D. 6550 Main St., STE. 2300 Zachary, LA 70791 Phone(225)658-1808 Fax(225)658-5299 Total Knee Arthroplasty Protocol: The intent of this protocol is to provide the clinician with a guideline

More information

EXERCISE AS MEDICINE. Dr Prue Cormie Post Doctoral Research Fellow Vario Health Institute

EXERCISE AS MEDICINE. Dr Prue Cormie Post Doctoral Research Fellow Vario Health Institute EXERCISE AS MEDICINE Dr Prue Cormie Post Doctoral Research Fellow Vario Health Institute p.cormie@ecu.edu.au IMPACT OF CHRONIC DISEASE Preventable, non-communicable chronic diseases are currently responsible

More information

Parkinson s disease treatment

Parkinson s disease treatment Parkinson s disease treatment Parkinson s disease is a neurodegenerative disease that gives progressive disability which cannot be halted, not even with the most elaborated pharmacotherapy, nor with surgical

More information

VitalStim in Swallowing Rehabilitation

VitalStim in Swallowing Rehabilitation VitalStim in Swallowing Rehabilitation Meghan McAvoy, MS,CCC-SLP Mary Free Bed at Sparrow Hospital Disclosures No financial or non-financial disclosures Control of the swallow Both voluntary and involuntary

More information

Parkinson s Programs. Lake Forest Health & Fitness Center 1200 North Westmoreland Road Lake Forest, Illinois 60045

Parkinson s Programs. Lake Forest Health & Fitness Center 1200 North Westmoreland Road Lake Forest, Illinois 60045 Parkinson s Programs Lake Forest Health & Fitness Center 1200 North Westmoreland Road Lake Forest, Illinois 60045 TTY for the hearing impaired 312.926.6363 lakeforesthfc.com 18-1488A/0518/500 2018 Northwestern

More information

Physical Therapy Plan of Treatment

Physical Therapy Plan of Treatment Caring for Your Quality of Life Physical Therapy Plan of Treatment SOC Date Clinical Interview Relevant Background Information The Interview was completed With: Patient Spouse Caregiver Other: _ Patient

More information

Issues for Patient Discussion

Issues for Patient Discussion onmotor complications radykinesia Screening Tools asked PD micrographia eurodegeneration Designed for Use by Family Practitioners remor on-off opamine agonists tiffness depression ostural instability wearing

More information

Cover Page. The handle holds various files of this Leiden University dissertation

Cover Page. The handle   holds various files of this Leiden University dissertation Cover Page The handle http://hdl.handle.net/1887/32744 holds various files of this Leiden University dissertation Author: Heemskerk, Anne-Wil Title: Dysphagia in Huntington s disease Issue Date: 2015-04-15

More information

Your Support System Proactive Spine Care Program

Your Support System Proactive Spine Care Program Your Support System Proactive Spine Care Program A Proactive Plan for Healing The Crucial Connection to Living Well Getting Back to a Better Life. Almost everyone experiences back pain sometimes but for

More information

Prater Chiropractic Wellness Center 903 W. South St. Kalamazoo, MI PH: (269)

Prater Chiropractic Wellness Center 903 W. South St. Kalamazoo, MI PH: (269) Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following a well-structured conditioning

More information

Evaluation of Parkinson s Patients and Primary Care Providers

Evaluation of Parkinson s Patients and Primary Care Providers Evaluation of Parkinson s Patients and Primary Care Providers 2018 Movement Disorders Half Day Symposium Elise Anderson MD Medical Co-Director, PBSI Movement Disorders 6/28/2018 1 Disclosures GE Speaker,

More information

Pallidal Deep Brain Stimulation

Pallidal Deep Brain Stimulation Pallidal Deep Brain Stimulation Treatment for Dystonia Dystonia Dystonia is a neurological disorder characterized by involuntary muscle contractions resulting in abnormal postures. These movements may

More information

older population and the conditions they may experience.

older population and the conditions they may experience. The Impact Pilates has on the older population and the conditions they may experience. Ayesha Joosub Adam 8 th October 2013 University of Pretoria 1 Abstract This assignment looks at the impact Pilates

More information

The symptoms of the Parkinson s disease may vary from person to person. The symptoms might include the following:

The symptoms of the Parkinson s disease may vary from person to person. The symptoms might include the following: 1 PARKINSON S DISEASE Parkinson's disease is a long term disease related to the central nervous system that mainly affects the motor system, resulting in the loss of dopamine, which helps in producing

More information

Dance for life Dance for people with Parkinson s Disease

Dance for life Dance for people with Parkinson s Disease Dance for life Dance for people with Parkinson s Disease Region Jönköping County Public Health departement Katarzyna Filipowicz Dance and movement therapist Ballet dancer Ida-Klara Johansson Occupational

More information

Aquatic Exercise: Creating Opportunities for Wellness for Adults with Neurological Conditions Sarah Fishel, PT, DPT, NCS & Christine McNamara, PT, DPT

Aquatic Exercise: Creating Opportunities for Wellness for Adults with Neurological Conditions Sarah Fishel, PT, DPT, NCS & Christine McNamara, PT, DPT Denver, CO October 18-20, 2017 Aquatic Exercise: Creating Opportunities for Wellness for Adults with Neurological Conditions Sarah Fishel, PT, DPT, NCS & Christine McNamara, PT, DPT Dr. Christine McNamara

More information

Swallowing Disorders and Their Management in Patients with Multiple Sclerosis

Swallowing Disorders and Their Management in Patients with Multiple Sclerosis National Multiple Sclerosis Society 733 Third Avenue New York, NY 10017-3288 Clinical Bulletin Information for Health Professionals Swallowing Disorders and Their Management in Patients with Multiple Sclerosis

More information

Quality ID #293: Parkinson s Disease: Rehabilitative Therapy Options National Quality Strategy Domain: Communication and Care Coordination

Quality ID #293: Parkinson s Disease: Rehabilitative Therapy Options National Quality Strategy Domain: Communication and Care Coordination Quality ID #293: Parkinson s Disease: Rehabilitative Therapy Options National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:

More information

Neuropsychology and Parkinson s Disease. Erin Holker, Ph.D., ABPP Neuropsychology Laboratory

Neuropsychology and Parkinson s Disease. Erin Holker, Ph.D., ABPP Neuropsychology Laboratory Neuropsychology and Parkinson s Disease Erin Holker, Ph.D., ABPP Neuropsychology Laboratory Parkinson s disease and cognition Parkinson s disease is not just a disorder of movement The same circuits associated

More information

Rieducazione. Department of Rehabilitation Medicine, Emory University School of Medicine, Georgia, USA.

Rieducazione. Department of Rehabilitation Medicine, Emory University School of Medicine, Georgia, USA. Rieducazione Curr Opin Neurol. 2013 Feb;26(1):96-101. doi: 10.1097/WCO.0b013e32835c5ec4. Vestibular rehabilitation. Herdman SJ. Department of Rehabilitation Medicine, Emory University School of Medicine,

More information

What goes wrong with balance in Parkinson s Disease? Fay B Horak, PhD, PT Professor of Neurology Oregon Health and Science. CoM

What goes wrong with balance in Parkinson s Disease? Fay B Horak, PhD, PT Professor of Neurology Oregon Health and Science. CoM What goes wrong with balance in Parkinson s Disease? Fay B Horak, PhD, PT Professor of Neurology Oregon Health and Science CoM CoM Course Objectives Understand different types of balance systems affected

More information

Effective Date: 01/01/2014 Revision Date: Administered by:

Effective Date: 01/01/2014 Revision Date: Administered by: ARBenefits Approval: Effective Date: 01/01/2014 Revision Date: Administered by: Medical Policy Title: Physical and Occupational Therapy Services Document: ARB0476 Public Statement: 1) Physical and occupational

More information

Appendix. 6. Have the authors provided labels for the categories? Do they use standard movement language?

Appendix. 6. Have the authors provided labels for the categories? Do they use standard movement language? Appendix Author 1. Did article describe ons of patients for one condition or across? 2. Did article describe one classifica tion of patients or more than one? 3. Did article describe a on system related

More information

Guideline of Videofluoroscopic Swallowing Study (VFSS) in Speech Therapy

Guideline of Videofluoroscopic Swallowing Study (VFSS) in Speech Therapy Page 1 of 9 Guideline of Videofluoroscopic Swallowing Study (VFSS) in Speech Therapy Version 1.0 Effective Date Document Number HKIST-C-VFG-v1 Author HKAST AR Sub-committee Custodian Chairperson of HKIST

More information

Form B3L: UPDRS Part III Motor Examination 1

Form B3L: UPDRS Part III Motor Examination 1 Initial Visit Packet NACC Uniform Data Set (UDS) LBD MODULE Form B3L: UPDRS Part III Motor Examination 1 ADC name: Subject ID: Form date: / / Visit #: Examiner s initials: INSTRUCTIONS: This form is to

More information

Information contained in this curriculum guide is subject to change.

Information contained in this curriculum guide is subject to change. Curriculum Overview The curriculum plan includes up to 55 required courses. During the first year students build on their prerequisite coursework through courses in the basic sciences and begin clinical

More information

Rotator Cuff and Shoulder Conditioning Program

Rotator Cuff and Shoulder Conditioning Program Rotator Cuff and Shoulder Conditioning Program Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy

More information

Elizabeth Casson Chair in Rehabilitation Director, Movement Science Group, Oxford Brookes University. Associate Research Fellow University of Oxford

Elizabeth Casson Chair in Rehabilitation Director, Movement Science Group, Oxford Brookes University. Associate Research Fellow University of Oxford Professor Helen Dawes Elizabeth Casson Chair in Rehabilitation Director, Movement Science Group, Oxford Brookes University Associate Research Fellow University of Oxford Inactivity/Activity Inactivity

More information