Movement disorders in people with Parkinson disease: a model for physical therapy.
People who are diagnosed with idiopathic Parkinson disease (PD) experience movement disorders that, if not managed, can lead to considerable disability. The premise of this perspective is that physical therapy for people with PD relies on clinicians having: (1) up-to-date knowledge of the pathogenes...
| Publicado en: | Physical Therapy Vol. 80; no. 6; pp. 578 - 598 |
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| Autor principal: | |
| Formato: | tables/charts Journal Article |
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Oxford University Press / USA
Jun2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107125517&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107125517 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Jun2000 vid: 80 iid: 6 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 107125517 107125517 2000052146 10.1093/ptj/80.6.578 NLM10842411 107125517 ppf: 578 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Movement disorders in people with Parkinson disease: a model for physical therapy. aug: au: Morris ME affil: Professor of Physiotherapy, La Trobe University, Bundoora, Australia 3083; e-mail: m.morris@latrobe.edu.au sug: subj: Parkinson Disease Rehabilitation Physical Therapy Movement Disorders Rehabilitation Parkinson Disease Physiopathology Movement Disorders Etiology Movement Disorders Physiopathology Models, Theoretical Physical Therapy Methods Funding Source ab: People who are diagnosed with idiopathic Parkinson disease (PD) experience movement disorders that, if not managed, can lead to considerable disability. The premise of this perspective is that physical therapy for people with PD relies on clinicians having: (1) up-to-date knowledge of the pathogenesis of movement disorders, (2) the ability to recognize common movement disorders in people with PD, (3) the ability to implement a basic management plan according to a person's stage of disability, and (4) problem-solving skills that enable treatment plans to be tailored to individual needs. This article will present a model of physical therapy management for people with idiopathic PD based on contemporary knowledge of the pathogenesis of movement disorders in basal ganglia disease as well as a review of the evidence for physical therapy interventions. The model advocates a task-specific approach to training, with emphasis on treating people with PD-related movement disorders such as hypokinesia and postural instability within the context of functional tasks of everyday living such as walking, turning over in bed, and manipulating objects. The effects of medication, cognitive impairment, the environment, and coexisting medical conditions are also taken into consideration. An argument is put forward that clinicians need to identify core elements of physical therapy training that apply to all people with PD as well as elements specific to the needs of each individual. A case history is used to illustrate how physical therapy treatment is regularly reviewed and adjusted according to the changing constellation of movement disorders that present as the disease progresses. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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