Those patients who complaining with balance and postural disability and frequent fall can be a case early Parkinson. Although this patient shows good strength in antigravity group of muscles, normal sensations still they feel unstable, postural instability & poor balance and frequent falls.
So in these patients this postural instability and poor balance can’t be explained in this patients & many a time regular strengthening & balance training doesn’t help.
So the probable cause is early Parkinsonism (GRADE I, unilateral involvement). As a therapist we spend more time with these patients. We are the people who notice these problems during balance training of these Patients. So it is physiotherapist’s moral responsibility to evaluate these patients on the guidelines of extra pyramidal disorders/parkinsonism and refer these patients to neurologist and report your finding. In these patients therapy alone doesn’t give optimum results we require the medical management to control extra pyramidal symptoms.
Common complains of these patients are-
1. Postural instability
2. Slowness of movement
3. Weakness of one side of body
4. Leaning toward one side.
5. Stiffness & rigidity
Gajanan Bhalerao's SCHOOL OF NEURO REHAB & AQUATIC THERAPY
…….Speciality centre for Stroke, Brain and spinal cord injury Rehabilitation
Its really important that early diagnosis of parkinson’s disease should be reported. As earlier the diagnosis, earlier the rehab can start and according to recent research, rehabilitaton techniques can give best outcomes when started in the early stages.
the latest advancements in rehab for parkinson’s is the LSVT BIG approach to motor dysfunction which gives promising results when started in the earlier stages.
LikeLike
Thanks Devashish for your valuable suggestion.
we need make aware all therapist to how to pick up early changes in parkinson and do early diagnosis. As we are the one who spends more time whith them. and we can pick up minor changes in their postural instability and performance.
LikeLike