Parkinson's (Exam 5) Flashcards
(25 cards)
Progressive disorder, affecting the motor system.
Parkinson’s Disease
Four Primary Symptoms of PD.
Bradykinesia, Tremors, Rigidity, Postural Instability.
Symptoms in PD caused by _____.
Decrease in dopamine.
Neurotransmitter stored in the substania nigra (located in Basal Ganglia).
Dopamine
Regulation of posture and movements.
Basal Ganglia
Most common type of PD.
Primary Parkinsonism (Idiopathic)
Cause of primary parkinsonism (Idiopathic).
No cause
Caused by encephalitis, alcoholism, exposure to toxins, TBIs, vascular insults, psycotropic meds.
Secondary Parkinsonism
For mood and behavior can produce parkinson-like symptoms.
Long term medication use.
Mulitsystem atrophy, progressive supra nuclear palsy, and Shy-Drager Syndrome.
Parkinson Plus
Most common movement disorder.
PD
Most prevalent degerative CNS disorder.
PD
Poor speech, impair swallowing, micrographia, akinesia, fixed-forward posture.
Results of PD
Inability to initiate movement.
Akinesia
Usually the 1st sign, “pill-rolling”.
Tremors
Constant resistance type of rigidity.
Lead-pipe
Jerky, ratchet like type of rigidity.
Cogwheel
Short steps, increase in speed.
Festination
Person becomes stuck in posture.
Freezing
Loss of reciprocal arm swing due to _____.
Bradykinesia and rigidity.
Medication for PD. Can cross BBB(Blood Brain Barrier), decreases ridigity, makes movements easier.
L-Dopa
Goals of PT for Parkinson’s.
Maximize function, posture, locomotion, activity leve, address deconditioning and loss of extension and rotation.
Heel strike, toe off, and reciprocal arm swing lost. Slow, with a narrow base with festination (shuffling). Decreased foot clearance.
Gait Pattern of PD.
___ are a very common problem with PD.
Falls
