Alternate Therapies - PD

Question 1

PD’s impact on motor fxn

Answer 1

potential for long term MS complications

focus on axial mobility

fxnal axial rotation

Question 2

potential for long term MS complications

Answer 2

loss of spinal flexibility

changes in core strength

postural changes

asymmetry

reduced respiratory volume

Question 3

reduced respiratory volume –> long term MS complications

Answer 3

contributes to change in activity and pain

Question 4

what has been seen in early stages of PD –> focus on axial mobility

Answer 4

loss of spinal flexibility

in fxnal tasks

Question 5

what are important to incorporate –> focus on axial mobility

Answer 5

relaxation strategies

Question 6

how do we do postural training –> focus on axial mobility

Answer 6

through heightened awareness and visual feedback

Question 7

what should we include –> focus on axial mobility

Answer 7

flexibility/stretching activities

core strengthening and pain management

Question 8

what could we use fxnal axial rotation for

Answer 8

increase FAR

Question 9

examples of exercises

Answer 9

tai chi

kayaking

agility course

boxing

lunges

pre-pilates

Question 10

what should we have the pt do

Answer 10

use their BW

Question 11

what can the pt using their BW reduce

Answer 11

akinesia

bradykinesia

rigidity

Question 12

principles of PD intervention

Answer 12

intensity

difficulty

specificity

saliency

repetition

pole walking

use of bungys

treadmill training

Question 13

intensity –> Principles

Answer 13

dosage

push beyond self selected energy expenditure

Question 14

difficulty –> Principles

Answer 14

cognitive engagement

progressive challenge

constant high attentional focus

Question 15

specificity –> Principles

Answer 15

focus on fxnal tasks used daily

Question 16

saliency –> Principles

Answer 16

emotional engagement

empower/educate/ reward

Question 17

pole walking –> Principles

Answer 17

aerobic and PD specific

whole body activation

forced arm swing

cues posture

Question 18

use of bungys

Answer 18

big movements w/ no fear/anxiety

whole body activation

encourages repetition to retrain activation for whole body movements

Question 19

treadmill training

Answer 19

amplitude and timing of movement

agility

balance

Question 20

motor learning

Answer 20

fxnal training

Question 21

fxnal training –> ML

Answer 21

utilizing the info gathered in the movement analysis

Question 22

what should we be doing w/ fxnal training –> ML

Answer 22

breakdown the task and take note of the fxnal limitations

Question 23

what should we determine w/ fxnal training –> ML

Answer 23

current biomechanics and changes that are required

Question 24

why do we practice gait

Answer 24

freezing d/t floor color changes or cement/grass

practicing turning. speeds, initiating and terminating

Question 25

dual task --> ML

Answer 25

increase capacity for attentional load and incorporate secondary/cognitive task

Question 26

training sit to stand --> ML

Answer 26

break the task into parts

Question 27

balance --> ML

Answer 27

equilibrium rxns in all planes of movement and different controls

Question 28

what should we use w/ balance --> ML

Answer 28

rhythmic stabilization to increase static balance practice

Question 29

practice --> balance --> ML

Answer 29

refining balance rxns weight shifting

Question 30

neurologic music therapy

Answer 30

therapeutic application of music

Question 31

what does neurologic music therapy treat

Answer 31

cognitive, sensory and motor dysfxns d/t neurologic dz of the CNS

Question 32

what does neurologic music therapy do

Answer 32

enhances exercise performance b/c music is not processed in the BG

Question 33

is exercise neuroprotective

Answer 33

forced use forced non-use conclusion

Question 34

forced use

Answer 34

found a decrease in sxs increase in striatal dopamine levels and number of cells in SN

Question 35

forced non use

Answer 35

found significant worsening of their dz

Question 36

conclusion of exercise --> neuroprotective

Answer 36

exercise increases the release of dopamine and decreases dopamine reuptake

Question 37

impact on motor fxn

Answer 37

fatigue or reduced activity tolerance stress

Question 38

why do pts have fatigue or reduced activity tolerance

Answer 38

increased energy expenditure d/t bradykinesia and rigidity

Question 39

what could impact a pt's fatigue or reduced activity tolerance

Answer 39

sleep pattern changes balancing work/home activities w/ need for both appropriate rest and exercise

Question 40

what may fatigue be exacerbated by

Answer 40

apathy depression

Question 41

what do increased stress levels lead to

Answer 41

exacerbation of all motor sxs

Question 42

how many pts have anxiety

Answer 42

40% may worsen as an "off" phenomenon

Question 43

interventions to decrease stress/fatigue

Answer 43

activity modifications conditioning exercise positioning and bed mobility relaxation exercises/strategies alternative therapies

Question 44

activity modification --> interventions to decrease stress/fatigue

Answer 44

to decrease repetitive motions and conserve energy

Question 45

conditioning exercise --> interventions to decrease stress/fatigue

Answer 45

increase endurance and as a strategy for stress reduction

Question 46

positioning and bed mobility --> interventions to decrease stress/fatigue

Answer 46

if sleep is disrupted d/t pain or discomfort

Question 47

alternative therapies --> interventions to decrease stress/fatigue

Answer 47

massage music hydrotherapy