Treatment Concepts for Persons Aging With Parkinson’s Disease

presented by Valerie Carter, PT, DPT, NCS, GCS and Kay Wing, PT, DPT, NCS

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Financial: Kay Wing and Valerie Carter receive compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Kay Wing and Valerie Carter have no competing nonfinancial interests or relationships with regard to the content presented in this course.

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Video Runtime: 69 Minutes; Learning Assessment Time: 33 Minutes

The effective treatment of persons with Parkinson's disease (PD) requires appropriate assessment and the ability to modify interventions. An understanding of the neurodegenerative process and its effect on anatomy and pathophysiology is necessary. Differential diagnosis is essential in working with patients with PD and will guide the intervention process through the invaluable progression of motor and nonmotor symptoms. Therapists are critical in providing the right dosage and application of aerobic and skilled exercise, optimal medication levels, and timing and need for alternative interventions, such as deep brain stimulation. This course will help the rehabilitation specialist to manage persons with Parkinson's across disease severity and will begin to translate the explosion of research into real-world clinical practice. This course is part 5 in a five-part series encompassing the anatomy and treatment for patients with neurodegenerative diseases.

Meet Your Instructors

Valerie Carter, PT, DPT, NCS, GCS

Valerie Carter, PT, DPT, NCS, GCS, is a graduate of Northern Arizona University and a board-certified neurological and geriatric specialist. She was awarded the Excellence in Neurologic Education Award by the APTA and is a full clinical professor in the Program of Physical Therapy at Northern Arizona University in Flagstaff, Arizona. She graduated from NAU…

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Kay Wing, PT, DPT, NCS

Kay Wing, PT, DPT, NCS, is the owner of Southwest Advanced Neurological Rehabilitation (SWAN Rehab), an outpatient rehabilitation facility specializing in the treatment of stroke, traumatic brain injury, and other neurological diseases. She received her physical therapy degree at Northwestern University and her Doctorate of Physical Therapy from Northern Arizona University. She is a board-certified…

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1. Anatomy, Pathophysiology, and Differential Diagnosis in Parkinson’s Disease

This chapter will utilize lecture and patient video examples of the various stages found in persons with Parkinson’s to provide insights for optimal interventions founded on effective research. The therapist needs to understand the degenerative process of the nervous system for the purpose of differential diagnosis and disease severity awareness.

2. Critical Tests and Measures That Guide Your Treatment Design and Dosage

Patients with Parkinson’s experience both motor and nonmotor symptoms, with the more frustrating nonmotor symptoms occurring years before diagnosis. A comprehensive battery of assessments is necessary to prescribe the most appropriate interventions and track the patient’s response to therapy. This chapter utilizes multiple patient video examples to enhance learning.

3. Treatment in PD

Appropriate selection of skilled and aerobic interventions is necessary for persons with Parkinson's to retrain the loss of stereotypical movement response. These interventions should be appropriate for safe and effective mobility and to slow the disease process. Throughout this chapter, there are multiple creative intervention patient video examples to apply principles critical for your clinical practice.

4. Medication and Deep Brain Stimulation in PD

Medications and deep brain stimulation offer a great deal of motor symptom relief for persons with Parkinson's. The rehabilitation therapist needs a complete understanding of medications to address motor and nonmotor symptoms in order to promote optimal movement. This chapter presents an overview of pertinent pharmacology and alternative interventions that are necessary to promote optimal quality of life.

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