Parkinson’s disease (also known as Parkinson disease or PD) is a degenerative disorder of the central nervous system that often impairs the sufferer’s motor skills and speech.
Parkinson’s disease is a disorder that affects nerve cells, or neurons, in a part of the brain that controls muscle movement.
Inspite of the best medical and surgical treatments for Parkinson’s disease, patients develop significant physical problems. Physiotherapists aim to enable people with Parkinson’s disease to maintain their maximum level of mobility, activity and independence through the monitoring of their condition and the targeting of the appropriate physical treatment. A range of approaches to movement rehabilitation, which with education and support are employed to maximise functional ability, minimize secondary complications and enhance quality of life over the whole course of the disease.
Parkinson’s disease is caused by the progressive impairment or deterioration of neurons (nerve cells) in an area of the brain known as the substantia nigra. Normally, these neurons produce a vital brain chemical known as dopamine which serves as a chemical messenger allowing communication between the substantia nigra and another area of the brain called the corpus striatum. This communication coordinates smooth and balanced muscle movement. A lack of dopamine results in abnormal nerve functioning, causing a loss in the ability to control body movements.
Characteristic Symptoms of Parkinson’s disease:
Tremors: Involuntary trembling of the limbs
Rigidity: Stiffness of the muscles
Akinesia: Lack of movement or slowness in initiating and maintaining movement
Postural instability: Characteristic bending or flexion of the body, associated with difficulty in balance and disturbances in gait.
The following are some of the other symptoms:
Specialised Physiotherapy management at Physioline is- to help improve gait, balance and flexibility, improve aerobic activity and movement initiation, increase independence, and provide advice to prevent fall prevention and other safety information.
Avoid Zimmer frames (flow of movement is interrupted) unless fitted with wheels and handbrake.
Occupational therapy – give advice and help maintaining all aspects relating to activities of daily living, both at work and at home; with the aim of maintaining work and family relationships; encouraging self care where appropriate, assessing any safety issues, making cognitive assessments and arranging any appropriate interventions.
Speech and language therapy – improving loudness and intelligibility of speech where possible, ensuring methods of communication are available as disease progresses, and to help with swallowing (reducing risk of aspiration).
Surgery and deep brain stimulation – Treating Parkinson’s disease with surgery was once a common practice, but after the discovery of levodopa, surgery was restricted to only a few cases.
Deep brain stimulation is presently the most used surgical means of treatment, but other surgical therapies that have shown promise include surgical lesion of the subthalamic nucleus and of the internal segment of the globus pallidus, a procedure known as pallidotomy.
The progression of symptoms in PD may take 20 years or more. In some people, however, the disease progresses more quickly. There is no way to predict what course the disease will take for an individual person.
PD is not considered to be a fatal disease by itself, but it progresses with time. The average life expectancy of a PD patient is generally lower than for people who do not have the disease. In the late stages of the disease, PD may cause complications such as choking, pneumonia, and falls that can lead to death.
DETAILED TREATMENT:- Kindly contact Physioline for the detailed assessment and treatment program which is individualised according to every patient.