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Health Professionals' Guide to the Physical Management of Parkinson's Disease PDF

Author: Miriam Boelen

$60.00 USD

Ebook
$60.00 USD

ISBN: 9781492573777

©2009

Page Count: 320

Access Duration: 10 Years

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Health Professionals’ Guide to Physical Management of Parkinson’s Disease is also available as an e-book. The e-book is available at a reduced price and allows readers to highlight and take notes throughout the text. When purchased through the Human Kinetics site, access to the e-book is immediately granted when the order is received.

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.   

PartI. 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

Medications

Challenges of Parkinson’s Disease

Deep Brain Stimulation

 

Chapter 3. Exercise and Rehabilitation Considerations

Flexibility

Resistance Training

Cardiorespiratory Endurance

Lifelong Self-Maintenance

 

Chapter 4. Equipping Caregivers

Caregiver Burden and Educational Needs

Resources for Caregivers

 

Part II. Dyskinesia

 

Chapter 5. Postural Variations and Dystonia

Camptocormic Posture

Drop-Head Posture

Ankle and Foot Dystonia in PD

 

Chapter 6. Tremors

Essential and Resting Tremors

Physical Management of Tremors

 

Part III. Balance

 

Chapter 7. Postural Instability

Definitions

Postural Control Strategies

Evaluation of Postural Stability

Interventions for Postural Instability

Stepping Strategy

 

Chapter 8. Balance Evaluation

Parkinson’s Disease Fall Risk Factors

Balance Evaluation and Treatment

 

 Part IV. Transfers

 

Chapter 9. Chair Transfers

Activity Analysis

Chair Transfer Kinematic Patterns

Evaluation of Chair Transfers

Therapeutic Interventions

 

Chapter 10. Bed Mobility

Bed Mobility Assessment

Therapeutic Interventions

 

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

Gait Velocity

 

Chapter 13. Compensatory Strategies for Gait Interventions

Rhythmic Auditory Stimulation (RAS)

Attention Strategies

Visual Cues

 

Chapter 14. Freezing

General Issues in Freezing

Evaluating Freezing

Freezing Interventions

 

Chapter 15. Turning While Ambulating

Factors Contributing to Turning Instability

Evaluating Turns

Interventions to Improve Turns

 

Chapter 16. Walkers, Canes, and Footwear

Matching Walkers to Patients

Canes

Footwear

 

Appendix A. Rating Scales and Questionnaires

Appendix B. Tests

Appendix C. Documentation

Appendix D. Patient Handouts and Interventions

Glossary

References

Index

About the Author

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 AmericanCollege 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 ChicagoMedicalSchool and is certified by the AmericanCollege 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.

--The Midwest Book Review

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Health Professionals' Guide to the Physical Management of Parkinson's Disease PDF
Miriam Boelen

Health Professionals' Guide to the Physical Management of Parkinson's Disease PDF

$60.00 USD

Health Professionals’ Guide to Physical Management of Parkinson’s Disease is also available as an e-book. The e-book is available at a reduced price and allows readers to highlight and take notes throughout the text. When purchased through the Human Kinetics site, access to the e-book is immediately granted when the order is received.

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.   

PartI. 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

Medications

Challenges of Parkinson’s Disease

Deep Brain Stimulation

 

Chapter 3. Exercise and Rehabilitation Considerations

Flexibility

Resistance Training

Cardiorespiratory Endurance

Lifelong Self-Maintenance

 

Chapter 4. Equipping Caregivers

Caregiver Burden and Educational Needs

Resources for Caregivers

 

Part II. Dyskinesia

 

Chapter 5. Postural Variations and Dystonia

Camptocormic Posture

Drop-Head Posture

Ankle and Foot Dystonia in PD

 

Chapter 6. Tremors

Essential and Resting Tremors

Physical Management of Tremors

 

Part III. Balance

 

Chapter 7. Postural Instability

Definitions

Postural Control Strategies

Evaluation of Postural Stability

Interventions for Postural Instability

Stepping Strategy

 

Chapter 8. Balance Evaluation

Parkinson’s Disease Fall Risk Factors

Balance Evaluation and Treatment

 

 Part IV. Transfers

 

Chapter 9. Chair Transfers

Activity Analysis

Chair Transfer Kinematic Patterns

Evaluation of Chair Transfers

Therapeutic Interventions

 

Chapter 10. Bed Mobility

Bed Mobility Assessment

Therapeutic Interventions

 

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

Gait Velocity

 

Chapter 13. Compensatory Strategies for Gait Interventions

Rhythmic Auditory Stimulation (RAS)

Attention Strategies

Visual Cues

 

Chapter 14. Freezing

General Issues in Freezing

Evaluating Freezing

Freezing Interventions

 

Chapter 15. Turning While Ambulating

Factors Contributing to Turning Instability

Evaluating Turns

Interventions to Improve Turns

 

Chapter 16. Walkers, Canes, and Footwear

Matching Walkers to Patients

Canes

Footwear

 

Appendix A. Rating Scales and Questionnaires

Appendix B. Tests

Appendix C. Documentation

Appendix D. Patient Handouts and Interventions

Glossary

References

Index

About the Author

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 AmericanCollege 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 ChicagoMedicalSchool and is certified by the AmericanCollege 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.

--The Midwest Book Review

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