Health Professionals' Guide to the Physical Management of Parkinson's Disease
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. Contents: Part I. General IssuesChapter 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 StimulationChapter 3.
Exercise and Rehabilitation Considerations
Lifelong Self-MaintenanceChapter 4.
Caregiver Burden and Educational Needs
Resources for Caregivers Part II. DyskinesiaChapter 5.
Postural Variations and Dystonia
Ankle and Foot Dystonia in PDChapter 6.
Essential and Resting Tremors
Physical Management of Tremors Part III. BalanceChapter 7.
Postural Control Strategies
Evaluation of Postural Stability
Interventions for Postural Instability
Stepping StrategyChapter 8.
Parkinson's Disease Fall Risk Factors
Balance Evaluation and TreatmentPart IV. TransfersChapter 9.
Chair Transfer Kinematic Patterns
Evaluation of Chair Transfers
Therapeutic InterventionsChapter 10.
Bed Mobility Assessment
Therapeutic InterventionsChapter 11.
Successful Floor Transfers
What to Do After a Fall Part V. GaitChapter 12.
Gait Deviations and Instability
Interventions for Gait Deviations
Examination of and Interventions for Gait Instability
Gait VelocityChapter 13.
Compensatory Strategies for Gait Interventions
Rhythmic Auditory Stimulation (RAS)
Visual CuesChapter 14.
General Issues in Freezing
Freezing InterventionsChapter 15.
Turning While Ambulating
Factors Contributing to Turning Instability
Interventions to Improve TurnsChapter 16.
Walkers, Canes, and Footwear
Matching Walkers to Patients
Rating Scales and QuestionnairesAppendix B.
Patient Handouts and Interventions Audiences:
A professional reference for clinicians evaluating and treating patients with Parkinson's disease including physicians, physical therapists, occupational therapists, speech therapists, nurses, and personal trainers.
Author: Miriam P. Boelen, PT,
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