Parkinson’s Disease

Conditions

How it’s caused

Parkinson’s is a progressive neurological condition that leads to disorders of movement causing difficulty with functions such as walking, talking, and writing. Parkinson’s occurs as a result of a loss of nerve cells in the part of the brain known as the substantia nigra. These cells are responsible for producing a chemical known as dopamine, which allows messages to be sent to the parts of the brain that coordinate movement. The Brain Injury Physio assesses purposely, conscientiously, systematically and methodically which impairments ( in function ), limitations in activities ( disabilities ) and participation problems are of most immediate concern to the patient. Common symptoms of Parkinson’s Disease include:

• Tremor
• Slowness of movement
• Difficulties with initiation of movement
• ‘Freezing’ when walking
• Stiffness
• Reduced Mobility
• Reduced balance and risk of falling

How it’s treated

Following detailed assessment, the Brain Injury physiotherapist provides an individualised exercise programme. The goals of therapeutic interventions are:

• Work on bed mobility and transfer techniques
• Stretches and strengthening exercises
• Balance programmes
• Advice on falls prevention. Prevention of fear to move or to fall
• Provision of equipment where appropriate ( rollator, wheelchair )
• Strategies to help improve walking and initiation of movement
• Teaching relatives and carers stretches, positioning and correct handling techniques