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

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

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    Ebook

    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.   

    Table of Contents

    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

    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. 

    Reviews

    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