Health Professionals’ Guide to Physical Management of Parkinson’s Disease expertly distills and blends diverse research-based sources with the author’s own extensive clinical experience to comprehensively address 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.
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
Chapter 4. Equipping Caregivers
Caregiver Burden and Educational Needs
Resources for Caregivers
Part II. Dyskinesia
Chapter 5. Postural Variations and Dystonia
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
Chapter 8. Balance Evaluation
Parkinson’s Disease Fall Risk Factors
Balance Evaluation and Treatment
Part IV. Transfers
Chapter 9. Chair Transfers
Chair Transfer Kinematic Patterns
Evaluation of Chair Transfers
Chapter 10. Bed Mobility
Bed Mobility Assessment
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
Chapter 14. Freezing
General Issues in Freezing
Chapter 15. Turning While Ambulating
Factors Contributing to Turning Instability
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
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.
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.
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.