Outline

There is a review of Parkinson’s disease and related disorders.

• History of Parkinson’s

INSON’S MEDICATIONS.

• Basic methods of action for primary PD medication
• Common ancillary medications for:
  • Psychological symptoms
  • Orthostatic hypotension
  • Incontinence
  • Daytime fatigue/sleepiness
  • Cognitive changes
• Timing of PT/OT/ST interventions in conjunction with meds

There is a recent diagnosis of a male with a young onset.

There are advanced antidotes for Parkinson’s.

• Deep brain stimulator surgery (side effects and issues)
• Enteral suspension of carbidopa/levodopa
• Ablative surgeries
• On the horizon – subcutaneous continuous release of apomorphine and carbidopa/levodopa, A2A receptor antagonists and other targets

FEMALE WITH S/P DBS SURGERY is a case study.

There is an overview and history of the rehabilitation team.

• Center of Excellence Model
• Interdisciplinary and transdisciplinary team models around the world

There are some observations of Parkinson’s team development.

• Key training and competencies
• Roles of key members including discipline-specific competencies
  • Gait and balance deficits
  • Functional transfers
  • ADLs
  • Communication and swallowing deficiencies

Assessment and documentation.

• Intake and evaluation
• Key metrics of clinical progress including minimum detectable-change

There are special topics.

• Dual task treatment for PD with PT/OT/ST team
  • Key concepts with research underpinning
  • Techniques for team approaches
    • Sequencing activities
    • Safety awareness
    • Memory deficits
• Marketing a team-based Parkinson’s program
  • Including sample presentations for consumer populations as well as medical presentations
  • Sample press release
• Differential diagnosis of atypical Parkinson’s disorders
  • Specific clinical features
    • Progressive supranuclear palsy
    • Corticobasal ganglionic degeneration
    • Multiple system atrophy

FEMALE HISTORY OF UNSPECIFIED PARKINSONISMS is a case study.