Physical Therapy Management Across the Stages of Parkinson’s Disease: Moving from Evidence to Practice
Faculty: Miriam Rafferty PT, PhD, Board Certified Neurologic Therapist
At the conclusion of this course, participants will be able to:
1. Describe the typical physiological and motor learning characteristics of Parkinson’s disease and how they impact rehabilitation.
2. Describe evidence-based evaluation tools to assess functional mobility, gait, balance, and fall risk in people with PD.
3. Identify evidence-based treatment strategies to address the following domains in people with PD: functional mobility, strength, flexibility, and aerobic conditioning.
4. Explain gait training and cueing strategies for people with PD on and off the treadmill.
5. Identify fall risk factors and assessment methods for people with PD.
6. To describe international best practice standards for physical therapy evaluation and treatment of people with Parkinson’s disease across the stages of the disease.
7. To compare physical therapy delivery models that focus on restoration, compensation, or skilled maintenance of function.
8. To design physical therapy delivery plans for case examples of people with early, middle, and advanced stage Parkinson’s disease.
Parkinson’s disease is a complex neurodegenerative condition that causes progressive loss of mobility and quality of life. Both motor and non-motor symptoms of Parkinson’s disease are important to consider in the delivery of physical therapy. This comprehensive course will provide up-to-date information regarding the management of Parkinson’s disease including medical and physical therapy management addressing all levels of the International Classification of Function, Disability, and Healt. Evidence-based physical therapy evaluation, outcome measurement, and treatment strategies will be presented in the context of international best practice standards and treatment delivery models in the US health system. Interventions discussed include gait, balance, cueing, functional mobility, and exercise prescription. Additional attention will address complex problems in Parkinson’s disease, such as the impact of nonmotor symptoms on physical therapy, strategies to improve maintenance of home exercise participation, motor learning, and freezing of gait.
Outline and topics
Overview of Parkinson’s Disease
PD Medical and Surgical Management Part 1: Diagnosis and Team Management Approach
PD Medical and Surgical Management Part 2: PT Implications of Pharmacologic and Surgical Approaches
Impact of Nonmotor Symptoms in PD Part 1: Cognition
Impact of Nonmotor Symptoms in PD Part 2: Mood and More
Motor Learning and Neuroplasticity Applied to PD
Introduction to PD Evaluation and Documentation
PD Outcome Measures Overview
Test and Measures – across the ICF model
International PD Guidelines in the Context of the US Healthcare System
Introduction to PT Interventions and Exercise Prescription
Aerobic and Strengthening Exercise Prescription
Balance, Flexibility, and Posture Exercise Prescription
Basic Gait Training Principles
Treating Postural Instability
Complex Gait Training in Parkinson’s Disease: Cueing and Freezing of Gait
Functional Mobility Training
Addressing Quality of Life, Personal, and Environmental Factors
Case Integration 1 – Early Stage PD
Case Integration 2 – Middle Stage PD
Case Integration 3 – Late Stage PD
The online course will be launched in Aug, 2019
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