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

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

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£59.99

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    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.

    Audience

    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.

    Table of Contents

    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
    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

    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 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.

    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