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Neuro 2 - Exam 2 > Treatment Ideas (1) - Parkinsons > Flashcards

Treatment Ideas (1) - Parkinsons Flashcards

1
Q

interventional recommendations

A

prevention

compensation

remediation

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2
Q

interventions target

A

all stages of PD

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3
Q

stages of PD

A

early HY 1-2.5

moderate HY 2-4

advanced HY 5

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4
Q

early HY 1-2.5

A

evaluate pt response to meds

on/off times

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5
Q

educate on –> early HY 1-2.5

A

presence/timing of sxs and ways to overcome

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6
Q

tx –> early HY 1-2.5

A

decrease inactivity

fear

educate

improve aerobic capacity

strength

balance

group and active lifestyle

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7
Q

moderate HY 2-4

A

assist in increasing movement speed/amplitude

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8
Q

what should we optimize –> moderate HY 2-4

A

postural alignment

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9
Q

what should we maintain –> moderate HY 2-4

A

postural stability when meds not helping

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10
Q

what should we prevent –> moderate HY 2-4

A

reduce multi tasking

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11
Q

focus on –> moderate HY 2-4

A

cognitive and motor movement strategies

cueing strategies

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12
Q

advanced HY 5

A

continue w/ strategies for hypokinesia

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13
Q

what should we strongly integrate –> advanced HY 5

A

kinesthetic management

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14
Q

what should we maintain-> advanced HY 5

A

vital fxns

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15
Q

selection of activities for intervention

A

challenge

empower

engage

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16
Q

PT interventions (1)

A

strengthening exercises

stretching/ROM exercises

breathing and relaxation exercises

aerobic exercise

motor learning

gait training

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17
Q

PT interventions (2)

A

balance training

fxnal training

adaptive and supportive devices

HEP

pt/caregiver education and training

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18
Q

LSVT programs are administered

A

in an intensive manner to challenge the impaired system

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19
Q

LSVT techniques that are specific to PD

A

bradykinesia/hypokinesia

kinesthetic awareness

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20
Q

LSVT should be

A

loud

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21
Q

what should we think of w/ LSVT

A

“loud”

22
Q

what does LSVT force the pt to do

A

use of louder speech

23
Q

fundamentals of LSVT

A

target

mode

calibration

24
Q

target –> LSVT

A

BIG

single target

25
Q

BIG –> target –> LSVT

A

large amplitude whole body movement

26
Q

single target –> target –> LSVT

A

triggers activation across motor systems

27
Q

mode –> LSVT

A

high intensity

requires consistency over a 4 wk period

28
Q

high intensity –> mode –> LSVT

A

modulated by certified LSVT specialist

29
Q

calibration –> LSVT

A

calibration of perception of movement

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

30
Q

what else could we use as a tx for PD

A

PNF

NDT

31
Q

what is NDT focused on

A

relationship b/w sensory input and motor output

32
Q

what is the primary NDT intervention

A

therapeutic handling

33
Q

what does intervention involve –> NDT

A

both facilitatory and inhibitory influences

34
Q

what should training be –> NDT

A

task specific

35
Q

what should we be doing during NDT

A

getting the pt actively involved

thinking about motor learning

36
Q

principles of NDT

A

know the pt

know the pt’s impairments

tx the whole person

37
Q

know the pt –> NDT

A

life roles

support system

home environment

pt’s goal of for therapy

38
Q

know the pt’s impairments –> NDT

A

co morbidities

fxnal activity abilities and limitations

39
Q

keys of NDT tx

A

starting posture

missing components of movement

manual cues

40
Q

manual cues of NDT are

A

“key points of control”

41
Q

what do manual cues facilitate

A

effective alignment/movement

42
Q

what do manual cues inhibit

A

ineffective alignment/movement

43
Q

what do manual cues do

A

stretching of tight structures

44
Q

4 primary uses of NDT

A

establish the BOS

align body segments

activate the muscle activity

assist w/ weight shift

45
Q

what does therapeutic handling influence –> NDT

A

quality of motor response

carefully matched to the pt’s ability

46
Q

key points of control –> NDT

A

proximal

distal key points

47
Q

proximal points of control –> NDT

A

shoulder and pelvis

influence proximal segments and trunk

48
Q

distal key points of control –> NDt

A

hands and feet

49
Q

key points of control can be used to

A

facilitate

inhibit

49
Q

what should everything be related back to –> NDT

A

fxnal tasks

Neuro 2 - Exam 2 (16 decks)

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