If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Cite article. Improving movement and safety is usually the main focus of physiotherapy in light of the progressive pathology and the disability and participation restrictions this can cause.
The history taking and physical assessment aspects of the assessment enable an honest discussion of what is realistic of the things the person wants to do.
Physiotherapist must understand the importance of education on staying active and develop a management plan that tackles all physical problems that result in reduced activity levels. These become difficulty due to the combination of sequential sub-tasks, dexterity and co-ordination requirements.
Parkinson's is associated with different movement patterns which are associated with functional decline on the long-term:. The following factors are considered to be risk factors and predictors of falls in PD  :.
A thorough assessment of each possible factor contributing to the likelihood of falls is essential, putting in mind other factors such as cognition and strategy selection, quality of life misjudgment and distraction, fear of falling, personal factors and environment . Considering different factors when designing a rehabilitation program should yield positive outcomes and reduce the risk of falls .
Falling has wide ranging impact including risk of fractures especially hips and wrist , carer stress and fear of movement. Impaired speed-distance and amplitude scaling; inadequate burst duration and reduced burst amplitude result in walking slower. It is defined as '' an episodic absence or marked reduction of forward progression of the feet despite the intention to walk  '' and is considered to be a risk of fall.
FOG is triggered by increased cognitive load ,such as multi-tasking, or stressful situations. It may disappear if the person is paying extra attention to their gait hence it is challenging to assess FOG in clinical placement. Festination is defined as ''the tendency to move forward with increasingly rapid, but ever smaller steps and is frequently present in patients with FOG  ''.
It is important to describe and define FOG and festination clearly to the patient in order to clarify the symptoms and you may have to demonstrate what they look like by showing videos of FOG and festination variants. Asking about the effect of medication is helpful to measure the responsiveness to levodopa.
It is also recommended to ask about history of falls and find if there is fear of falls . This will help you in designing appropriate rehabilitation measures. Associated respiratory problems with Parkinson's require acute care intervention . Shortness of breath on exertion is reported by Whenever a symptoms of ventilatory dysfunction is present, pulmonary function test is recommended to identify the dimensions of the problem and tackle it with a proper care plan .
Pain is a multi-dimensional phenomenon and could be assessed using different measuring scales and questionnaires to include in the management plan. MSK pain is more likely to be caused by rigidity.
Dystonic pain, restless leg syndrome and akathitic. In the early stages of the condition, physiotherapy assessment should aim to support educational needs e. Physiotherapy assessment focuses on decisions about how to cope with these changes with an emphasis on a support network to best keep the person active and safe when moving.
Neither MDS nor its employees assume liability for erroneous translations of website content. The deadline to submit an abstract and apply for a travel grant has been extended to Monday, September 30, Click here for more information. This is a buzzing time for researchers and people with Parkinson's disease. In the last decades we have achieved important milestones in understanding mechanisms of degeneration and contribution of genetics, testing innovative disease modification strategies, developing novel therapeutic targets and medications, optimizing dopaminergic drug delivery and improving neuromodulation techniques.
Finally we have set new standards of care addressing the importance of a multidisciplinary team in disease management and are testing wearable sensors to develop digital endpoints facilitating remote monitoring and drug development. Parkinson's disease has been the first neurodegenerative disease to see a symptomatic therapy and we hope it will soon be the first to see a cure. Travel Grants.