A select subgroup of persons with Parkinson's Disease (PD) experience the phenomena known as Freezing of Gait (FOG). People who experience FOG exhibit impairment in specific cognitive domains, including attentional control and conflict resolution1,2. These cognitive deficits are related to reduced mobility and quality of life. Understanding cognitive deficits and their relationship to mobility can yield insights into effective treatment. However, to date clinical interventions to arrest or reduce the frequency of FOG are largely transient or contrived – with limited carryover3. This presentation will help clinicians and educators alike understand the physiology of FOG, and cognitive impairments typical of PD in persons with and without FOG. The authors will present a two-fold approach to reducing falls and functional impairment from FOG: 1) rehabilitative- through restitutive dual task and cognitive training4,5,6; and 2) compensatory- through education (awareness and prioritization)7. Additionally, we will provide videotape case studies and specific examples of how to apply each approach and to translate this information into interventions that will improve cognition and FOG. This course is directly related to the practice of physical therapy and is appropriate for the PT and PTA.
Course created on October 20, 2016
Course Type: Recorded Webinar
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DE/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; MD/0.2; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NY/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0
- The participant will be able to identify at least three relevant cognitive/motor changes that occur in PD and the evidence on objective testing of each impairment.
- The participant will be able to describe at least two recent evidence findings in clinical interventions to reduce the frequency FOG and the functional limitations from cognitive impairment in PD.
- The participant will be able to identify at least three of the best clinical measures to detect capacity and responsiveness in dual task cost for persons with FOG in PD.
- The participant will be able to identify at least two research findings furthering the cognitive / motor interplay in PD.
|0-5 Minutes||Background, overview, and learning objectives|
|5-20 Minutes||Pathophysiology of cognitive dysfunction and FOG in Parkinson's Disease.|
|20-35 Minutes||Current evidence for treatment of dual task tolerance for Parkinson's patients with and without FOG|
|35-65 Minutes||Identifying responders and interventions: dual task training|
|65-85 Minutes||Compensatory efforts in safety training for those that are not able to improve through dual task training.|
|85-115 Minutes||Case studies translating the evidence with practical intervention strategies|
|115-120 Minutes||Questions and Answers|
Mike Studer, PT, MHS, NCS, CEEAA, CWT
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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