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Health Professionals' Guide to Physical Management of Parkinson's Disease


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Table of Contents

PartI. General Issues Chapter 1.Introduction to Parkinson's Disease and Its Physical Management Distinguishing Features of Idiopathic Parkinson's Disease and Secondary Parkinsonism Guidelines for Physical Management Chapter 2. Medical and Surgical Interventions Medications Challenges of Parkinson's Disease Deep Brain Stimulation Chapter 3. Exercise and Rehabilitation Considerations Flexibility Resistance Training Cardiorespiratory Endurance Lifelong Self-Maintenance Chapter 4. Equipping Caregivers Caregiver Burden and Educational Needs Resources for Caregivers Part II. Dyskinesia Chapter 5. Postural Variations and Dystonia Camptocormic Posture Drop-Head Posture Ankle and Foot Dystonia in PD Chapter 6. Tremors Essential and Resting Tremors Physical Management of Tremors Part III. Balance Chapter 7. Postural Instability Definitions Postural Control Strategies Evaluation of Postural Stability Interventions for Postural Instability Stepping Strategy Chapter 8. Balance Evaluation Parkinson's Disease Fall Risk Factors Balance Evaluation and Treatment Part IV. Transfers Chapter 9. Chair Transfers Activity Analysis Chair Transfer Kinematic Patterns Evaluation of Chair Transfers Therapeutic Interventions Chapter 10. Bed Mobility Bed Mobility Assessment Therapeutic Interventions Chapter 11. Floor Transfers Successful Floor Transfers What to Do After a Fall Part V. Gait Chapter 12. Gait Deviations and Instability Interventions for Gait Deviations Examination of and Interventions for Gait Instability Gait Velocity Chapter 13. Compensatory Strategies for Gait Interventions Rhythmic Auditory Stimulation (RAS) Attention Strategies Visual Cues Chapter 14. Freezing General Issues in Freezing Evaluating Freezing Freezing Interventions Chapter 15. Turning While Ambulating Factors Contributing to Turning Instability Evaluating Turns Interventions to Improve Turns Chapter 16. Walkers, Canes, and Footwear Matching Walkers to Patients Canes Footwear Appendix A. Rating Scales and Questionnaires Appendix B. Tests Appendix C. Documentation Appendix D. Patient Handouts and Interventions Glossary References Index About the Author

About the Author

Miriam P. Boelen, PT, has been a licensed physical therapist since 1978 and currently is senior staff physical therapist at NorthShore University HealthSystem/Glenbrook Hospital in Glenview, Illinois. As a movement disorder specialist since 1990, she has worked with patients in all stages of Parkinson's disease and those with implanted deep brain stimulators. Boelen has lectured extensively on issues related to the physical management of Parkinson's disease, including exercise, walking aids, caregiver instruction, and education. She has also taught patients how to regain a sense of control over their physical capabilities while clearing up misconceptions and allowing for renewed hope. Boelen is a member of the American Physical Therapy Association and the AmericanCollege of Sports Medicine. She wrote an article on the role of rehabilitative modalities and exercise in Parkinson's disease that was published in Disease-a-Month. She earned a B.S. in physical therapy from the University of Health Sciences at the ChicagoMedicalSchool and is certified by the AmericanCollege of Sports Medicine as a health fitness specialist.


Health Professionals' Guide to Physical Management of Parkinson's Disease is a valuable, practical, efficient resource for health care staff teams who work with the PD population. --The Midwest Book Review

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