N Parkinsons Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Term | Definition |
life expectancy of Parkinsons pt | around 30 years so not very different from non-Parkinsons |
causes of Parkinsons dx | usually idiopathic. occasionally-encphalitis, alcohol abuse, ext exposure to toxins, TBI, vascular insults, phychotorphic drugs |
Parkinsons pathology | dopamine producing cells die (regulates posture & mvmt) 70-80% of neurons that produce dopamine are damaged & replaced w/lewy bodies before onset of symptoms-contain neurophilaments & hyaline |
4 cardinal signs of Parkinsons | rigidity, bradykinesia, tremor, postural instability |
Parkinsons rigidity | resist to passive mvmt, speed doesnt matter), leadpipe(constant resist), cogwheel (let go then catch) leads to fatigue |
Parkinsons bradykinesia | akinesa(trouble starting mvmt), hypokinesia (decrease speed, ROM), freezing |
Parkinsons freezing circumstances | break in pattern, trying to go thru door, negotiat an obstacle, turn almost to bed or chair, multitask |
Parkinsons managing strategies for freezing | step over line on floor, rhythm, music, sing to self, 4 step strategy (1 stop, 2 put wt on heels, 3 lat wt shift 4 think abt taking BIG step) |
Parkinsons tremor | resting/pill rolling (1st symptom initially seen unilaterally, progresses to all 4 limbs) |
Parkinsons postural instability/balance | loss of auotmatic postural adjustments, delay, decrease, loss of equilibrium rx (inner ear), they are fall risk |
Parkinsons posture | fwd head, lose trunk ext, increase kyphosis, more shd ADD & IR, hip & knee flex contracture, ankle plantarflex (walk on toes), later bedridden w/elbow, wrist & hand contractures |
Parkinsons gait | loss of reciprocal arm mvmt & trunk rotation, slow, small shuffling steps (balls of feet), festinating gait (chase COG), may freeze, will start to have bed mob probs |
Parkinsons rest of clinical pic | masked face, dysphagia, drooling, voice changes (quiet, slur), dementia in 1/2, decrease attn &concentration, depression, micrographia, pn, slow processing of info, fatigue, decond, decrease chest mob, contractures |
Parkinsons dx | 2 out of 4 cardinal signs, no major test |
Parkinsons meds | 1ST-selegiline, then sinemet. sinemet main one, only works 5-7 yrs, comb levadopa (Ldopa) & carbidopa, has kind of on/off cycle if used a long time, off periods have dykenesia & psychotic episodes |
Parkinsons prognosis | gradual decline-death from pneumonia or infection (from being bedridden) |
Parkinsons sx | pallidotmy-remove or disconnect globus pallidous. deep brain stimulator-decrease symptoms (stimulates brain kind of like dopamine) |
Parkinsons progression- early | at home, Ind w/ADL, start to have difficulties, may be seen in OP or given HEP, work on fall prevention, educate on energy conservation |
Parkinsons progession- moderate | decrease in functional mob, may start to use AD or WC, not out in community as much, decrease bed mob & trsfs, increase assist from caregivers, increase adaptation for compensatory strategies & equip, increase falls & injuries, more energy conservation |
Parkinsons types of mvmts | big mvmt, encourage ext, trunk & extremity rot, wt shift, rocking, reciprocal mvmt |
Parkinsons motor learning strategies | help them understand what they need to be working on, mentally rehearse, parts to whole, rhythmic initiation, rhythmic rotation, start proximal |
Created by:
jessigirrl4
Popular Physical Therapy sets