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9 Cards in this Set
- Front
- Back
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What is Parkinsons Disease?
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It is a progressive degeneration of the neurons in the substantia nigra. This area of the brain produces dopamine. Dopamine trasmits msgs in the brain. In Parkinson, dopamine is deminshed due to the disease
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What is the incidence of Parkinsons Disease?
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1M in the USA: 3 out of 100 >60 yrs old, 15% < 50 yrs old. Affects men more than women
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What is the etiology of Parkinsons?
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-small percentage caused by intoxication of herbicides, inflammatin of the brain from encephalitis
-Majority of cases etiology unknown. -theories include virus -Heredity may be a cause |
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What are the Signs and Symptoms?
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MS rigidity
tremors: intention and rest bradykinesa change in gait and posture affects speach handwriting (micrographia) loss of bal loss of motor skills drooling difficulty swallowing, chewing Sleep disturbances |
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What is the course/progression?
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5 stages in mobility changes:
1.Unilateral: min functional impariments, major is the tremors 2.bilateral: W/O impairement to bal, mild disfunction to trunk mobility and postural reflexes: problems turning in bed and getting in/out of car 3.Bilateral:Bal, mild-mod functional impairments 4.Bilateral:Incraease impairment of bal, but still able to walk, of manipulations and dexterities (eating, dressing, bathing). 5.Bilateral: W/C bound |
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What is the Prognosis of Parkinsons?
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NO cure!
Can slow it down. |
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What is the medical TX?
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Meds (Levodopa) and surgery can relieve symptoms.
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What are the precaustions/ contraindications?
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Falls
Freezing triggered by doorways and elevators Dysphagia Need to stand to relieve pressure sores Care w/bending down (poor bal) No rubber soles Remove rugs |
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What are the OT Goals, TX, AE?
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Maint or increase strength & ROM
Prevent contractures & deformaties Improve coordination skills Increase level of ADLs Maint max level of mobility Improve leisure participation Exercise: TiChi, walking in water(Bal Exercise) PROM & Splinting AE:weighted utensils, scoop dishes, caps w/lids, wrist weights, fasteners long handled shoe horn, reachers, electric razor/toothbrush, ransfer bench, pressure release mattress, w/c cushion head alignment. |
