Kara Doctor – Parkinson’s Disease – A Perfect Balance: A Practical Approach to Intensive Exercise for Both Brain and Body

Outline

PARKINSONS DISEASE OVERVIEW AND REVIEW OF ANATOMY

• Prevalence
• Incidence
• Economic impact
• Anatomy
• The subthalmaic nucleus

COMMON SYMPTOMS

• Types of parkinsonism
• Common motor symptoms
• Sensory disorders
• Loss of function
• Depression and apathy
• Swallow dysfunction
• Hypophonia

EXERCISE BENEFITS

• Types of exercise
• Neuro plasticity
• Early intervention
• Activity dependent improvement
• Baseline measurements
• Heart rate/perceived exertion

DEEP BRAIN STIMULATION

• Overview
• Candidacy Requirements
• Clinicians role in education
• Patients expectations and limitations
• Indications/Contraindications

BASELINE AND OUTCOME MEASUREMENTS LAB

• UPDRS Testing: The Gold Standard
• Tinetti balance and gait assessment
• Hoehn and Yahr Staging System
• Schwab and England ADL score
• Montreal Cognitive Assessment Test
• Neurological Examination

MEDICATIONS

• Levodopa drugs
• Levodopa Agonists
• Supplements
• Adverse effects vs. benefits
• Impact on exercise and functional mobility

THERAPEUTIC EXERCISE TECHNIQUES AND LAB

• Exercise techniques- rigorous exercise
• Strength training/Big body movements
• Facial and lingual exercises
• Voice exercise techniques
• Compensatory techniques to improve swallow
• Oculomotor exercises