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Wednesday, July 17, 2024
HomeMust ReadDisadvantages Of Physiotherapy For Parkinson's Disease

Disadvantages Of Physiotherapy For Parkinson’s Disease

How Does Physical Therapy Help Parkinson’s Disease

Alternative Therapies in Parkinson’s Disease

Physical therapy cannot cure Parkinson’s disease, because at this time, neurological damage cannot be reversed. But therapy can help you compensate for the changes brought about by the condition. These “compensatory treatments,” as they’re called, include learning about new movement techniques, strategies, and equipment. A physical therapist can teach you exercises to strengthen and loosen muscles. Many of these exercises can be performed at home. The goal of physical therapy is to improve your independence and quality of life by improving movement and function and relieving pain.

Physical therapy can help with:

  • Balance problems
  • Immobility
  • Weakness

Important note: Some physical therapists may apply diathermy to relieve muscle aches and pains. This could be dangerous to patients who have deep brain stimulators.

Who Are The Doctors That Perform Physiotherapy

Physiotherapists are the doctors that do Physiotherapy. They are trained in various medical science disciplines like anatomy , physiology , and neuroscience .

Physiotherapists have the knowledge and skills essential for the prevention of injuries, and the diagnosis and treatment of patients suffering from any physical disorders.

Physiotherapists are specialized in the examination, diagnosis, and treatment of:

  • Patients with cardiothoracic disorders, that is conditions involving the heart, lungs, and other chest organs.
  • Patients with neuromuscular disorders, that is conditions involving the muscles and the nervous system.
  • Patients with musculoskeletal disorders, that is diseases affecting the bones, muscles, ligaments, tendons, and soft tissues of the body.

Physiotherapy can be used in the treatment of the following conditions:

Parkinsons Disease And Preparing For Surgery

People with Parkinsons disease sometimes face procedures or surgeries due to other medical conditions not related to PD. These could be relatively simple procedures such as a colonoscopy or endoscopy, common surgeries such as cataract removal, gall bladder removal or hernia repair, or more complex surgeries such as open-heart surgery or transplant surgery. I am frequently asked about specific concerns that arise when contemplating surgery for someone with PD.

People with PD, as well as people with other brain disorders, are more prone to side effects from anesthesia as well as negative effects from the stress of the surgery itself. Its important to remember that not everyone is affected in the same way, and this doesnt mean people with PD cannot have the surgeries and procedures they need. It is however important to be educated about what potential problems may arise so that you are as prepared as you can be.

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Build A Support System

Support comes in many different forms. Family caregivers, friends, physical therapists, fitness coaches and peers who are also living with Parkinsons can all play a vital role in keeping a PD patient motivated and active. Working out with a partner or a group provides valuable social interaction and tends to encourage consistency and commitment.

PD-specific group exercise programs like Dance for PD and Rock Steady Boxing are offered through a sizeable network of partners and affiliates to help patients stay active, socialize and manage their symptoms.

When confidence in mobility and functionality are lost, seniors with PD gradually begin moving less, avoid leaving the house or even cease caring for themselves. While this behavior is understandable, a sedentary lifestyle will lead to more severe stiffness, rigidity and depression. Being still only exacerbates symptoms, lessens quality of life and speeds up progression of the disease. There is no one best exercise or physical therapy plan for Parkinsonsonly what works best for each patient.

What Are The Symptoms Of Itb Syndrome


Although actually treating and getting rid of ITB Syndrome can be difficult the actual symptoms of ITB Syndrome are fairly easy to recognise and diagnose:

  • Pain on the outside of the knee. This is most usually a dull ache that worsens with running and initially at least can seem very minor. Often the patient will not be able to remember a clear event where it went, rather they will be able to describe a slight niggle on the outside of their knee that has progressively worsened over several runs. If the patient has continued to run through this pain they may well be getting some occasional sharp pain and be struggling to walk without a limp.

An important point to note is that these could be the symptoms of quite a few other conditions and not just ITB Syndrome and it is important that you get it confirmed by a professional that you actually do have ITB Syndrome.

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Induced Pluripotent Stem Cells

iPSCs are usually derived from adult somatic cells, such as ï¬broblasts by overexpressing self-renewal and pluripotency factors . Besides pluripotency and self-renewal properties, iPSCs have some advantages as a source for cell-replacement therapies. For instance, the opportunity to obtain the reprogrammed cells directly from the patients, thus potentially reducing the risk of transmissible infections and immune reactions following cellular therapy . Rather, using iPSCs in basic and clinical researches has no ethical limitations. In other words, for treatment of PD, patients own somatic cells can be differentiated into a pluripotent state to produce dopaminergic neurons which could be transplanted into the patientâs brain . iPSCs are counterparts of embryonic pluripotential stem cells in morphology, proliferation, surface antigens, and ability to differentiate into three germ layer cells . Several basic and clinical investigations elucidated promising role of iPSCs in regenerating dopaminergic neurons as the underlying factor in treatment of PD. Transplantation of these cells into the striatum ameliorated PD symptoms . Although, the use of iPSCs has various advantages, the risk for tumor formation is a serious obstacle to use these cells in clinical transplantation trials. Accordingly, it is needed to minimize this risk and the probability of genetic mutations before translating iPSCs related basic science into clinical setting in PD .

Medicare And The Therapy Cap Removal

In the past, Medicare has limited the amount of physical, occupational and speech therapy a person could receive in a given year. In some years, there was an exceptions process that allowed individuals to access therapy above the limit if the services were deemed medically necessary. This process needs to be renewed by lawmakers every few years, creating uncertainty and the possibility that therapy will not be covered.

In 2018, the exceptions process was made permanent, meaning people on Medicare can no longer be denied therapy if they need it to manage their health conditions.

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Consult A Physical Therapist

A skilled physical therapist can recommend exercises and activities to help clients with all kinds of conditions manage their symptoms. Physical therapists are also well versed in how medication and exercise can work together, ensuring patients get the most from their comprehensive treatment plans.

It is important to make PT part of the care plan for Parkinsons disease upon diagnosis. In the past, physical therapy for Parkinsons patients would often be delayed until the later stages of the disease, usually after an accident like a damaging fall. Now, it is thought that earlier intervention may potentially help slow the progression of symptoms. Establishing with a PT early on will ensure a seniors symptoms, mobility and functional abilities are carefully monitored and provide them with the personalized guidance they need throughout the disease process.

What Are The Benefits

(DBS) Deep Brain Stimulation The Latest Advancements
  • Symptom reduction: DBS often reduces symptoms significantly. These include motor symptoms like stiffness, tremor, slowness and dyskinesia. DBS has also been shown to aid in on/off fluctuations, improve mood and quality of life, and increase overall energy level.
  • Little to no damage: In contrast to previous methods, DBS does not damage portions of the brain, nor remove nerve cells.
  • Utilizing DBS in addition to levodopa could decrease a persons need for medication, thus, decreasing medication access and cost issues, as well as levodopa side effects.
  • Individualized treatment: Electrodes and stimulation frequency and intensity can be controlled by physicians and the individual with DBS, and can be subjectively altered when needed.

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How Many Physical Therapy Visits Will I Need

Treatments in physical therapy often can be completed in one to three office visits. The first appointment includes an evaluation and recommendations for exercises. The following appointments check your progress and review and expand your home program. Most hospitals can provide additional sessions of outpatient therapy if needed.

How Can Threespires Physiotherapy Help With My Itb Syndrome

Physiotherapy is extremely helpful if you have ITB Syndrome and one of our physiotherapists who is experienced with managing and treating ITB Syndrome will be able to help. We can help in a number of ways:

  • Assessment & Diagnosis of ITB Syndrome: this as mentioned earlier is a vital part of managing your ITB injury and the sooner you have an assessment the sooner you will know what you are dealing with. Our physiotherapists will be able to comprehensively assess your knee, make a diagnosis and also identify underlying biomechanical causes of your ITB Syndrome such as core weakness.
  • Management Plan: once a diagnosis of ITB Syndrome has been made it is vital that you get a clear and comprehensive plan to optimise your recovery. Your physiotherapist will be able to identify the best strategy for helping with your ITB and will be able to advise on the best exercises, the optimal recovery and management plan and how to get back to your chosen activity.
  • Exercises for ITB Syndrome: your physiotherapist will be able to determine which are the most appropriate exercises to help strengthen your knee, help the ITB recover and also strengthen surrounding structures and areas of the body.
  • Treatment for ITB Injuries: In conjunction with load management and exercises your physio will be able to use soft tissue and hands on techniques to treat any areas of your legs that have become overloaded and tight.
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    Establish A Regular Exercise Routine

    Outside of seeking physician approval, its important to understand that the best exercise for Parkinsons disease is the kind that patients enjoy and will stick with. Forming a new habit can be daunting, but long-lasting physical fitness regimens are the most effective against PD symptoms regardless of their intensity. Activities that raise your heart rate and promote deep breathing are ideal, but every little bit helps. If an activity isnt clicking after giving it a fair try, then move on to something else that might be more promising.

    Three Advantages Of Mrgfus For Pd Tremor


    MRgFUS is a noninvasive outpatient procedure. No scalpel is needed to cut skin, no drill is needed to bore a hole in the skull, and nothing is implanted in the brain. Its three main advantages for PD-related tremor are:

  • No infection risk associated with surgical thalamotomy or surgical implants
  • Test sonications to confirm precise targeting prior to full ablation
  • When successful, the results are immediately evident.
  • A few words of caution: MRgFUS is not effective in every case. As with MRgFUS for ET, treatment will be directed to the hand in which tremor is worse, since treating both hands increases the risk of side effects. Clinical studies show that some patients have short term side effect such as headaches, dizziness or nausea but these quickly resolve. However, the effect may not be durable. Patients who have suffered with significant tremor for years may experience less effective tremor control, or gradual recurrence of tremor. Finally, MRgFUS does not cure PD, nor will it have an effect on other PD-related problems.

    However, the consensus among researchers is that MRgFUS is a very promising treatment for PD-related tremor, especially as an alternative to invasive surgical procedures. If you or a loved one suffers from severe PD tremors, contact the Sperling Medical Group for more information about MRgFUS.


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    How Physiotherapy Can Help If You Have Parkinsons Disease

    Parkinsons disease is a progressive neurological disorder that affects the smooth control of muscle movement. It can lead to difficulties in initiating, controlling and coordinating movement. There are both physical and non-physical symptoms.

    Physiotherapy plays an essential role alongside the wider health care team to maintain function and quality of life for people living with Parkinsons. Working in conjunction with the Neurologist, Movement Disorder Clinical Nurse Specialist, Speech Pathologist, Dietitian, Occupational Therapist and when needed a Psychologist, Physiotherapists aim to educate and teach self-management strategies for living with Parkinsons disease, both for patients and their carers.

    There are five stages of the disease clinically identified by the Hoehn and Yahr scale. Stages one and two represent the initial stages. Symptoms may include a resting tremor, loss of sense of smell, and difficulty writing or using hands in a fine and delicate way. At this point usually only one side of the body is affected.

    Stages three and four are middle to late stages where symptoms can be noticed on both sides. Posture becomes more stooped and shuffling. Turning over in bed and general rotational movements of the body stop happening. Balance and falling can start to become a problem, and people may need assistance from their partner or other supports to help them around the house. Toward stage four people usually find they feel safer walking with a stick or walker.

    Setting Movement Goals With Your Therapist

    Every client works with their physical therapist to set individualized movement goals. Physical therapists can help you build your exercise routine based on the latest research, re-learn challenging tasks or staying safe and independent in the home. Some of the most common movement goals for people with Parkinsons include:

    • Learning about exercises
    • Improving walking, balance or posture
    • Addressing fall risk
    • Treating pain

    Before your first visit, think about your movement goals and write down your problems and questions. This will help you to organize your thoughts.

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    What Are The Disadvantages Of Physiotherapy

    The advantages of physiotherapy are many, but there are some disadvantages as well.

    • Pain: The patient may have to experience some pain during the therapy. For this, some pain relievers may be given.
    • Inflammation: Inflammation or swelling of the body is commonly seen when undergoing physiotherapy. It is considered to be normal because physiotherapy sessions involve stretching and movements of the muscles, tendons, and ligaments to strengthen them. The body may in turn respond to an increase in swelling or edema . Ice packs are known to be effective in reducing swelling and edema.
    • Results are not guaranteed: Physical therapy or physiotherapy cannot guarantee completely treating any condition. This may discourage the patient to stop the physiotherapy sessions mid-way. This may cause re-injury and pain in the long term.
    • Cost: Physiotherapy is a long-term procedure and can be expensive.
    • Psychological stress: The pain and long-term treatment involved with physiotherapy can increase the stress levels of a patient.
    • Limited equipment: Intensive treatment may require larger machinery and equipment which may be too costly or not readily available with all physiotherapists.
    • Age factor: Physiotherapy is mostly needed in the elderly having some physical disorders. There may be several exercises that may be beneficial for them, however, they are unable to perform these exercises due to their aged body.

    Box 1 Three Conceptual Categories Of Training Interventions As Based On Their Relevance To Fog

    Medications for Parkinson’s Disease – Professor Mal Horne, The Florey
  • 1.


    Exercise or training-based interventions aimed directly at alleviating imminent FOG episodes or better prepare patients for upcoming FOG while the interventions are applied, and possibly in times beyond. This includes mixed intervention studies, of which at least one training component is directly aimed at reducing FOG episodes or circumventing FOG-provoking circumstances. Examples are: cueing offered to help patients overcome FOG episodes action-observation training strategies designed to relieve FOG in FOG-provoking situations and fall-prevention training including strategies to overcome imminent FOG episodes, such as through the use of cueing. FOG was assessed as a primary or other outcome in these studies.

  • 2.


    Exercise or training-based interventions aimed at training the motor- and/or non-motor correlates of FOG with the aim to reduce the severity or amount of FOG following the intervention, but not aimed at the immediate alleviation of imminent FOG episodes or circumventing FOG-provoking circumstances while the intervention was applied. Examples are cognitive training cognitive-motor dual-task training balance training curved treadmill training regular treadmill training with cueing that was aimed at improving gait parameters other than FOG and obstacle avoidance training. FOG was assessed as a primary or other outcome in these studies.

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    Physiotherapy And Parkinson’s Disease

    Introducing the Physiotherapy and Parkinsons disease video series

    Parkinsons disease can cause both motor and non-motor symptoms, and medication can successfully help in reducing them. Paired with medication, physiotherapy can benefit the person with Parkinsons disease, particularly for the motor symptoms.

    It is advised to start working with a physiotherapist specialized in Parkinsons soon after the diagnosis is made. A physiotherapist will set up a routine that works for each person and their individual Parkinsons problems. This can include stretching and even dancing, as well as help in managing your gait and changing positions. Such activities can help with muscle and joint stiffness and can improve flexibility and posture, thus improving daily life activities!

    Together with Mariella Graziano, who has been a physiotherapist for Parkinsons disease for 30 years, and thanks to the participation of volunteers, the Luxembourg Parkinsons Study has created a series of 4 videos on dancing, stretching, cueing and changing positions!

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    How Can An Occupational Therapist Help

    Occupational therapists are specialists who promote health and well-being. In PD, their primary objective is to enable patients to participate in the activities of everyday life by working with them to improve their ability to engage in tasks they want to, need to, or are expected to do. In many cases, this may require modifying an occupation or the environment to better support occupational engagement.

    These therapists provide assessment, treatment, and recommendations in areas such as:

    Occupational therapists may also help with changes in relationship dynamics by promoting the maintenance of normal roles, daily routines, and social habits as much as possible. They provide support to patients to continue working, and serve as a link between a patient and the workplace. Therapists also help with social, recreational, and leisure activities, and driving. .

    Parkinsons News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.


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