In this presentation, we will summarize of the common motor and non-motor symptoms people in the later stages of Parkinson disease experience along with the related functional limitations and restrictions on participation. We will also provide an overview of treatment approaches, appropriate outcome measures, and resources for physical therapists treating people with advanced Parkinson disease. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.
Course created on October 18, 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 two common motor complications in advanced PD.
- The participant will be able to identify two treatment strategies for people in the later stages of Parkinson's disease.
- The participant will be able to describe two common functional limitations of people in the later stages of Parkinson's disease.
- The participant will be able to identify three outcome measures to implement within PT practice.
|0-5 Minutes||Review of learner outcomes, background|
|5-10 Minutes||Describe stages of PD.|
|10-15 Minutes||Recognize and describe the motor signs and symptoms of advanced PD|
|15-20 Minutes||Recognize and describe non-motor signs and symptoms of advanced PD.|
|20-25 Minutes||Describe the on and off periods associated with PD and implications on function.|
|25-30 Minutes||Describe common comorbidities in PD.|
|30-35 Minutes||Recognize the impact of advanced PD on a persons life roles, the family, and support network. Discuss role of caregivers.|
|35-40 Minutes||Discuss treatment goals for people in later stages of PD|
|40-50 Minutes||Discuss multi-disciplinary team approach to treatment across settings|
|50-75 Minutes||Discuss evidence-base treatment approaches to improve functional mobility and safety in later stages of PD -Examples of multi-disciplinary approaches -Functional training including Cognitive strategies to teach functional skills -Gait training including Assistive devices and Cuing strategies (visual) -Equipment recommendations -Safe exercise program under supervision and modified for safety (e.g. seated) -Overview of other factors that can lead to secondary decline throughout the course of PD|
|75-90 Minutes||Describe commonly used outcome measures recommended for PT practice in PD, including recommendation but the APTAs PD Edge Task Force.|
|90-115 Minutes||Application of treatment strategies and outcome measures in a person with advanced PT in an outpatient clinic.|
|115-120 Minutes||Q and A, Summary|
Kathryn Hendron, PT, DPT, NCS
Dr. Hendron is a physical therapist in the Center for Neurorehabilitation at Boston University. She provides clinical services, participates in research activities, and supports various educational programs for persons with Parkinson disease and related movement disorders. In addition, she provides information and resources on exercise and rehabilitation to persons with Parkinson disease, families and health care providers around the country through the American Parkinson Disease Association National Rehabilitation Resource Center at Boston University.Dr. Hendron has prior clinical and research experience at Spaulding Rehabilitation Hospital and the Rehabilitation Institute of Chicago. She has published in the Physical Therapy Journal and presented at national physical therapy conferences. Dr. Hendron earned a Bachelor of Science degree in Finance from Indiana University and her Doctorate of Physical Therapy from the University of Illinois at Chicago. Prior to coming to the Center, she completed a Neurological Physical Therapy Residency program at Boston University in collaboration with Beth Israel Deaconess Hospital and Braintree Rehabilitation Hospital. She is an active member of the American Physical Therapy Association at both the national and state levels. She is currently Chair Elect of the Degenerative Disease SIG. She is also a board certified specialist in Neurologic Physical Therapy.
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