Treatment Ideas (1) - Parkinsons

Question 1

interventional recommendations

Answer 1

prevention

compensation

remediation

Question 2

interventions target

Answer 2

all stages of PD

Question 3

stages of PD

Answer 3

early HY 1-2.5

moderate HY 2-4

advanced HY 5

Question 4

early HY 1-2.5

Answer 4

evaluate pt response to meds

on/off times

Question 5

educate on –> early HY 1-2.5

Answer 5

presence/timing of sxs and ways to overcome

Question 6

tx –> early HY 1-2.5

Answer 6

decrease inactivity

fear

educate

improve aerobic capacity

strength

balance

group and active lifestyle

Question 7

moderate HY 2-4

Answer 7

assist in increasing movement speed/amplitude

Question 8

what should we optimize –> moderate HY 2-4

Answer 8

postural alignment

Question 9

what should we maintain –> moderate HY 2-4

Answer 9

postural stability when meds not helping

Question 10

what should we prevent –> moderate HY 2-4

Answer 10

reduce multi tasking

Question 11

focus on –> moderate HY 2-4

Answer 11

cognitive and motor movement strategies

cueing strategies

Question 12

advanced HY 5

Answer 12

continue w/ strategies for hypokinesia

Question 13

what should we strongly integrate –> advanced HY 5

Answer 13

kinesthetic management

Question 14

what should we maintain-> advanced HY 5

Answer 14

vital fxns

Question 15

selection of activities for intervention

Answer 15

challenge

empower

engage

Question 16

PT interventions (1)

Answer 16

strengthening exercises

stretching/ROM exercises

breathing and relaxation exercises

aerobic exercise

motor learning

gait training

Question 17

PT interventions (2)

Answer 17

balance training

fxnal training

adaptive and supportive devices

HEP

pt/caregiver education and training

Question 18

LSVT programs are administered

Answer 18

in an intensive manner to challenge the impaired system

Question 19

LSVT techniques that are specific to PD

Answer 19

bradykinesia/hypokinesia

kinesthetic awareness

Question 20

LSVT should be

Answer 20

loud

Question 21

what should we think of w/ LSVT

Answer 21

“loud”

Question 22

what does LSVT force the pt to do

Answer 22

use of louder speech

Question 23

fundamentals of LSVT

Answer 23

target

mode

calibration

Question 24

target –> LSVT

Answer 24

BIG

single target

Question 25

BIG --> target --> LSVT

Answer 25

large amplitude whole body movement

Question 26

single target --> target --> LSVT

Answer 26

triggers activation across motor systems

Question 27

mode --> LSVT

Answer 27

high intensity requires consistency over a 4 wk period

Question 28

high intensity --> mode --> LSVT

Answer 28

modulated by certified LSVT specialist

Question 29

calibration --> LSVT

Answer 29

calibration of perception of movement mismatch b/w pt perception of output and how others perceive it

Question 30

what else could we use as a tx for PD

Answer 30

PNF NDT

Question 31

what is NDT focused on

Answer 31

relationship b/w sensory input and motor output

Question 32

what is the primary NDT intervention

Answer 32

therapeutic handling

Question 33

what does intervention involve --> NDT

Answer 33

both facilitatory and inhibitory influences

Question 34

what should training be --> NDT

Answer 34

task specific

Question 35

what should we be doing during NDT

Answer 35

getting the pt actively involved thinking about motor learning

Question 36

principles of NDT

Answer 36

know the pt know the pt's impairments tx the whole person

Question 37

know the pt --> NDT

Answer 37

life roles support system home environment pt's goal of for therapy

Question 38

know the pt's impairments --> NDT

Answer 38

co morbidities fxnal activity abilities and limitations

Question 39

keys of NDT tx

Answer 39

starting posture missing components of movement manual cues

Question 40

manual cues of NDT are

Answer 40

"key points of control"

Question 41

what do manual cues facilitate

Answer 41

effective alignment/movement

Question 42

what do manual cues inhibit

Answer 42

ineffective alignment/movement

Question 43

what do manual cues do

Answer 43

stretching of tight structures

Question 44

4 primary uses of NDT

Answer 44

establish the BOS align body segments activate the muscle activity assist w/ weight shift

Question 45

what does therapeutic handling influence --> NDT

Answer 45

quality of motor response carefully matched to the pt's ability

Question 46

key points of control --> NDT

Answer 46

proximal distal key points

Question 47

proximal points of control --> NDT

Answer 47

shoulder and pelvis influence proximal segments and trunk

Question 48

distal key points of control --> NDt

Answer 48

hands and feet

Question 49

key points of control can be used to

Answer 49

facilitate inhibit

Question 49

what should everything be related back to --> NDT

Answer 49

fxnal tasks