Health Professionals' Guide to Physical Management of Parkinson's Disease

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Parkinson's disease, the most prevalent hypokinetic movement disorder, is expected to occur with increasing frequency among aging populations worldwide. While we await the discovery of a cure, combining physical interventions with traditional medical interventions can significantly improve overall quality of life. Health Professionals' Guide to Physical Management of Parkinson's Disease fills a void in this area of clinical management by comprehensively addressing the physical management of Parkinson's disease in a single volume.

Written for clinicians, Health Professionals' Guide to Physical Management of Parkinson's Disease will prove to be a useful resource for physical therapists as well as other health care professionals who manage patients with Parkinson's disease. The text expertly distills and blends diverse research-based sources with the author's own extensive clinical experience. The result is a concise manual that provides not just the science but also the clinical application necessary in the selection of physical interventions.

The text begins with an introduction to Parkinson's disease and the umbrella of care required in the management of patients, giving readers a clear explanation of medicinal, surgical, assisted, and self-management strategies depending on the stage of disease. After laying this groundwork, the text continues by focusing on two types of dyskinetic movements: dystonia (which can influence posture) and tremor. Also reviewed is the use of supportive devices and adaptive equipment to minimize the effects of dystonia and tremor. The discussion moves on to balance deficits (Hoehn and Yahr stage 3), transfer problems, and the neurologic and musculoskeletal impairments that contribute to them. The text concludes with a qualitative and quantitative assessment of gait and includes specific treatment guidelines addressing characteristic gait problems.

Health Professionals' Guide to Physical Management of Parkinson's Disease is an easy-to-navigate reference for clinicians who do not have the time or the need to read a book cover to cover, but want answers fast. The chapters are written as independent units extensively cross-referenced, and they can be read in any order. Throughout the text, readers will find clinical decision trees, flow charts, and sample forms to guide their selection of intervention strategies. The book contains many user-friendly features:

-Numerous illustrations demonstrate exercise considerations, evaluative techniques, and guidance on implementing interventions.

-The 11 reproducible handouts address safety and compensatory strategies to improve mobility in patients.

-Access to a variety of patient help features—including case examples specific to chapter topics and instructions for handling problems—engage readers and put answers within fingertip reach.
With new research showing exercise to be beneficial in delaying the onset of the physical impairments caused by Parkinson's disease, this is a timely resource that will make clinical practices more productive, improve patient outcomes, and advance the treatment of patients with Parkinson's disease.

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What People Are Saying

From the Publisher

Health Professionals’ Guide to Physical Management of Parkinson’s Disease is a valuable, practical, efficient resource for health care staff teams who work with the PD population.

--The Midwest Book Review

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Product Details

  • ISBN-13: 9780736074926
  • Publisher: Human Kinetics Publishers
  • Publication date: 6/24/2009
  • Edition description: New Edition
  • Pages: 320
  • Sales rank: 1,098,137
  • Product dimensions: 7.20 (w) x 10.10 (h) x 1.00 (d)

Meet the Author

Miriam P. Boelen, PT, has been a licensed physical therapist since 1978 and currently is senior staff physical therapist at NorthShore University HealthSystem/Glenbrook Hospital in Glenview, Illinois. As a movement disorder specialist since 1990, she has worked with patients in all stages of Parkinson's disease and those with implanted deep brain stimulators. Boelen has lectured extensively on issues related to the physical management of Parkinson's disease, including exercise, walking aids, caregiver instruction, and education. She has also taught patients how to regain a sense of control over their physical capabilities while clearing up misconceptions and allowing for renewed hope.

Boelen is a member of the American Physical Therapy Association and the American College of Sports Medicine. She wrote an article on the role of rehabilitative modalities and exercise in Parkinson's disease that was published in Disease-a-Month. She earned a B.S. in physical therapy from the University of Health Sciences at the Chicago Medical School and is certified by the American College of Sports Medicine as a health fitness specialist.

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Table of Contents

Part I. General Issues

Chapter 1. Introduction to Parkinson's Disease and Its Physical Management
Distinguishing Features of Idiopathic Parkinson's Disease and Secondary Parkinsonism
Guidelines for Physical Management

Chapter 2. Medical and Surgical Interventions
Challenges of Parkinson's Disease
Deep Brain Stimulation

Chapter 3. Exercise and Rehabilitation Considerations
Resistance Training
Cardiorespiratory Endurance
Lifelong Self-Maintenance

Chapter 4. Equipping Caregivers
Caregiver Burden and Educational Needs
Resources for Caregivers

Part II. Dyskinesia

Chapter 5. Postural Variations and Dystonia
Camptocormic Posture
Drop-Head Posture
Ankle and Foot Dystonia in PD

Chapter 6. Tremors
Essential and Resting Tremors
Physical Management of Tremors

Part III. Balance

Chapter 7. Postural Instability
Postural Control Strategies
Evaluation of Postural Stability
Interventions for Postural Instability
Stepping Strategy

Chapter 8. Balance Evaluation
Parkinson's Disease Fall Risk Factors
Balance Evaluation and Treatment

Part IV. Transfers

Chapter 9. Chair Transfers
Activity Analysis
Chair Transfer Kinematic Patterns
Evaluation of Chair Transfers
Therapeutic Interventions

Chapter 10. Bed Mobility
Bed Mobility Assessment
Therapeutic Interventions

Chapter 11. Floor Transfers
Successful Floor Transfers
What to Do After a Fall

Part V. Gait

Chapter 12. Gait Deviations and Instability
Interventions for Gait Deviations
Examination of and Interventions for Gait Instability
Gait Velocity

Chapter 13. Compensatory Strategies for Gait Interventions
Rhythmic Auditory Stimulation (RAS)
Attention Strategies
Visual Cues

Chapter 14. Freezing
General Issues in Freezing
Evaluating Freezing
Freezing Interventions

Chapter 15. Turning While Ambulating
Factors Contributing to Turning Instability
Evaluating Turns
Interventions to Improve Turns

Chapter 16. Walkers, Canes, and Footwear
Matching Walkers to Patients

Appendix A. Rating Scales and Questionnaires
Appendix B. Tests
Appendix C. Documentation
Appendix D. Patient Handouts and Interventions

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