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NMR II > Final: Parkinson's Intervention > Flashcards

Final: Parkinson's Intervention Flashcards

1
Q

The POC is variable based on what four factors?

A
  1. Pt complaints and goals
  2. Assessment findings
  3. Prognosis
  4. Stage of disease
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2
Q

What does the current evidence support in terms of early intervention?

A

Combination of physical therapy and pharmacology management to maximize function, minimize secondary complications, provide education and support, slow progression of disability and disease

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3
Q

What are the effects of aerobic exercise in pt’s with PD according to the research?

A

Changes in excitation, gray matter volume, and neurotrophic factors. Lack clear biomarker for disease progression

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4
Q

What are benefits of endurance training for PD patients?

A

Improved VO2 max, gait speed, mood, motor function, QOL, cognition

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5
Q

What are the benefits of regular exercise in PD patients?

A

Better QOL, mobility, physical function, cognition, less disease progression at 1 yr follow-up

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6
Q

What aerobic exercise is appropriate for PD patients according to the CPG?

A

Mod-high intensity gait training

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7
Q

What motor learning strategies are useful for PD?

A

Part and blocked practice. Minimize distraction and use dual task to improve performance. Progress to random practice

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8
Q

What external cues are useful when treating PD?

A

Visual, auditory, pulsed. Rhythmical, consistent, not rushed. Encourages conscious motor pathway activation. Performance will deteriorate if cues are removed.

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9
Q

Why should PT’s use external cues with PD according to the CPG?

A
  1. Reduce motor disease severity
  2. Reduce freezing of gait
  3. Improve gait outcomes
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10
Q

How can auditory cues be effective?

A

Improved cadence, stride length, gait velocity

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11
Q

How can visual cues be effective?

A

Improved stride length

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12
Q

Why do individuals with PD freeze?

A

Often occurs during dual tasks, increased difficulty or in response to environmental demands

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13
Q

What are the parameters for training using RAS prior to FOG?

A

3x per week for 6 weeks Progressively increase challenge of course

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14
Q

What does RAS stand for?

A

Rhythmic auditory stimulation

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15
Q

What should you consider with amplitude training?

A

Cues for big movement and repetitive, high intensity amplitude training

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16
Q

What are the parameters for strength training for PD?

A

30-60 minutes, 2x per week. Performed during the on period following medication

17
Q

Why should PD patient implement resistance training according to the CPG?

A
  1. Decrease motor disease severity
  2. Increase muscle strength and power
  3. Improve non-motor symptoms, functional outcomes and QOL
18
Q

Should you target flexors of extensors more?

A

Extensors

19
Q

Should you perform isometric training with PD patietns?

A

No because of rigidity

20
Q

Does the CPG support flexibility training?

A

Expert opinion suggests it, but there is low quality evidence

21
Q

What are methods to temporarily relax rigidity?

A

Gentle rocking, rhythmic rotation, segmental rotation, NDT and PNF techniques, breath work

22
Q

Why should balance training be incorported into PD interventions according to the CPG?

A
  1. Decreased postural control impairments
  2. Improve balance, gait, mobility
  3. Increase balance confidence
  4. Improve QOL
23
Q

Why should pt’s with PD perform gait training according to the CPG?

A

Decrease motor disease severity, improve stride length, gait speed, mobility, and balance

24
Q

What are the goals of functional gait training?

A

Increase step length, increase gait speed, encourage reciprocal arm swing, improve upright alignment, vary task and environmental demands, use of compensatory strategies

25
Q

What is one consideration to be mindful when fitting an assistive device for PD?

A

Height of the device should not promote flexion

26
Q

What are pulmonary related interventions for PD?

A

Diaphragmatic breathing, air shift techniques, strengthening of accessory muscles, manual techniques, ROM, postural exercises

27
Q

Why should PT’s recommend community based exercise for people with PD according to the CPG?

A

Reduce motor disease severity, improve non-motor symptoms, improve functional outcomes, improve QOL

28
Q

What are types of community based exercises for PD, and what are the recommended parameters?

A

Yoga, tai chi, pilates, boxing, dance. 2x per week for 45-60 minutes. At least 12 weeks duration

NMR II (27 decks)

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