Parkinson's disease

Question 1

parkinson’s disease

Answer 1

neurodegenerative disease

gradual onset, progressive worsening

Sub-types of Parkinson’s - Postural Instability Gait Difficulty and Tremor-dominant

Question 2

diagnosis

Answer 2

PRODROMAL
- early symptoms (sleep, anxiety, depression, impaired smell) may be before motor symptoms

DISEASE ONSET
- based on clinical symptoms

Question 3

neural changes in PD

Answer 3

degeneration of the Substantia nigra (SN)

Question 4

parkinson’s impairment

Answer 4

rigidity and gait disorders
bradykinesia- slow movement
rigidity - resistance to movement
…etc.

Question 5

movement disorder

Answer 5

resting tremor
rigidity
bradykinesia
hypokinesea
akinsea - absence of movement
postural instability

Question 6

allied health assessment with PD

Answer 6

Ax at the level of impairment
- movement disorders - speed/ size of movement and sequence of movement
- communication disorders
- swallowing disorders
- cognitive disorders
- emotional and behavioural disorders

Ax at level of activity
- personal + domestic + community daily living skills
- communication
- driving
- indoor/ outdoor mobility

Ax at level of participation

Question 7

Side effects of pharmacological management

Answer 7

dykinesia
hallucination
impulse control disorders

Question 8

Neural basis of rehabilitation strategies for people with PD

Answer 8

• goal based learning
• practice of specific activities that the person is having difficulty with eg. speaking with increased volume
• exercise induced neural plasticity