Looking Toward The Future
As Carolyn and Lonzo look toward their future, they are filled with hope and positivity. Through the help of Dr. Ramirez and Ali, her shuffle and tremors have subsided. She can even walk backward now.
She moves faster than me, Lonzo said.
Ali said Carolyn and Lonzo work on dynamic stretching, balance exercises and gait training to help Carolyn maintain her strength.
Carolyn said without coming to UF Health to seek treatment, she probably would not have accomplished nearly what she has. Lonzo said the knowledge alone that theyve gained through Dr. Ramirez, Ali and the programs they participate in has been tremendous in easing the couples stress and anxiety. Dr. Ramirez said Carolyn has been a diligent, resilient patient, following medical and therapeutic advice.
Also, she has been an avid participant in clinical research and advocacy for Parkinsons disease in her community. We are so grateful for her support, he said.
To those who may be hesitant to seek treatment, or give their Parkinsons symptoms a name, Carolyn suggests: Step out of that place, recognize what it is and do something about it you will be OK. Put in the work and you will see progress.
Parkinsons Training For Fitness Health And Wellness Professionals
Online training program specifically designed to teach fitness professionals how to best meet the unique needs of PD patients
The importance of exercise and physical activity for people diagnosed with Parkinsons disease has been well documented. Exercise produces many benefits including increased physical functioning , improved gait and balance, cardiovascular fitness, and overall better quality of life. As such, great strides are being made to make exercise a part of the standard treatment of PD.
Take the training online
This on-line training program has been developed to assist fitness and health and wellness professionals so they may safely and effectively work with people with PD to develop exercise regimens that will support treatment of their symptoms and substantially improve their quality of life. It will also teach professionals about the signs and symptoms of PD and the important ways in which exercise can improve those symptoms, as well as how to describe common PD symptoms and clearly explain the benefits of exercise to those with PD.
APDA has partnered with the Oice of Continuing Professional Education at Rutgers University in New Jersey to create this user-friendly program .
The APDA Parkinsons Disease Training for Fitness Professionals is a 1-2 hour course with instructional videos. All of those who complete the training course will receive a certificate of completion.
Physical Therapy Continuing Educationapproved In Colorado
Allied Health Education offers live webinars & on-demand webinars for PTs & PTAs seeking physical therapy continuing education courses that are approved in Colorado.
We offer PTs & PTAs up to 10 live physical therapy continuing education webinars every month and over 200 convenient on-demand webinars that allow you to complete your continuing education requirements on your schedule.
Save 10% off your first Physical Therapy continuing education course! Simply enter the discount code save10 at checkout to save.
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Heather Cianci Pt Ms Gcs
Heather Cianci, PT, MS, GCS is a Geriatric Clinical Specialist and founding therapist at the Dan Aaron Parkinsons Rehabilitation Center at Pennsylvania Hospital in Philadelphia, PA. Heather received her Bachelors in Physical Therapy from the University of Scranton in Scranton, PA and her Masters in Gerontology from Saint Josephs University in Philadelphia.
She has been a physical therapist since 1994, with the majority of those years dedicated to working with patients with Parkinsons disease and Atypical Parkinsonisms. Heather is a certified LSVT® BIG clinician and PWR! clinician, as well as a graduate of the National Parkinson Foundations Allied Team Training Program and Rock Steady Boxing program for PD. Heather authored a chapter on rehabilitative strategies in Comprehensive Nursing Care for Parkinsons Disease , and a chapter on physical therapy in What if its not Alzheimers – A Caregiver’s Guide to Dementia – With Vital Information on Frontotemporal Degeneration . She also is the author of the 2nd – 4th editions of Fitness Counts, and a co-author of Activities of Daily Living: Practical Pointers, which are educational manuals for the NPF. In 2011 Heather became an LSVT® BIG trainer, traveling the US and Europe teaching physical and occupational therapists about exercise for Parkinsons disease.
You are here: Home / Course Catalog / A Practical Evidence Based Approach to Evaluating and Treating Individuals with Parkinsons Disease
Exercise And Physical Therapy
Research has shown that regular exercise benefits people with Parkinsons disease.
- reduces stiffness
- improves mobility, posture, balance and gait
Aerobic exercise increases oxygen delivery and neurotransmitters to keep our heart, lungs, and nervous system healthy. General exercise may also reduce depression. Learning-based memory exercises can also help keep our memory sharp .
What types of exercise are best for people with Parkinsons disease?
There is increasing evidence that aerobic and learning-based exercises could be neuroprotective in aging individuals and those with neurodegenerative disease. Facilitating exercise programs that challenge our heart and lungs as well as promote good biomechanics, good posture, trunk rotation and normal rhythmic, symmetric movements are the best. Dancing to music may be particularly good for decreasing stiffness.
Types of exercises that do this:
- Walking outside or in a mall
Types of exercises that promote cardiopulmonary fitness:
- Paced walking
- Hiking using walking sticks
- Swimming with different strokes with the eyes open and closed not only challenge motor learning but also increase heart rate and provide good cardiopulmonary conditioning.
- New bodyweight-supported treadmills can also be helpful to protect from falling, and to facilitate easier coordinated movements for fast walking with a long stride or jogging.
Types of exercise that do NOT challenge motor planning:
Is there any value in strength training?
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Rehab Clinical Tools Instructed In This Parkinsons And Ms Rehab Course To Enhance Your Functional Outcomes
- Evidence-based tools and measurement scales optimize the efficiency for proper assessment and treatment of Parkinsons and Multiple Sclerosis
- Rehab techniques demonstrate how to improve the energy efficiency of these patients while promoting functional movement
- Demonstrations of how to incorporate Tai Chi, Pilates, and Boxing into a comprehensive rehab program to increase a neurologically involved patients gait, coordination, strength, balance, and overall quality of life
Parkinson’s Foundation Professional Talk Series: Interprofessional Care Team Approach To Cognitive Changes In Parkinson’s
Parkinsons Foundation Cognition Talk Series is a 7-part online course focusing on cognition concerns and challenges of living with Parkinsons disease. Each section of the series is presented by a specialized health professional discussing cognition from their viewpoint.
Audience: This activity is designed for neurologists, movement disorder specialists, neuropsychologist, primary care providers, nurse practitioners, physician assistants, nurses, pharmacists, physical therapists, occupational therapists, speech and language pathologists, social workers, and any other health care practitioner interested in learning more about the cognition concerns and challenges of living with Parkinsons disease.
Free or Fee: $29.99 to receive CMEs/CEUs | Free with no CMEs/CEUs awarded
CME Credit: Oakstone Publishing designates this enduring material for a maximum of 3.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Oakstone Publishing and The Parkinson Foundation. Oakstone Publishing is accredited by the ACCME to provide continuing medical education for physicians.
Register Here:Register Now
For more information on online courses for Care Partners and People living with Parkinsons disease, .
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Government Spending Bill Eliminates Medicare Therapy Cap Increases Access To Care
Since 2011, the Parkinsons Foundation has worked with the Parkinsons community to address Medicare challenges related to services such as physical therapy, occupational therapy and speech-language therapy. In 2014, we advocated to remove the Improvement Standard, meaning that people with Parkinsons could no longer be denied coverage for therapy solely for lack of improvement. Now, the Parkinsons community can celebrate the next milestone in access to care for Medicare recipients.
In the early morning hours of Friday, February 9, Congress passed a spending bill to fund the government through March 23, 2018. In the legislation, Congress indicates it would like to increase the National Institutes of Health budget by $2 billion over the next two years . On top of this provision to advance investments in medical research, the spending bill also includes several measures to expand access to health care services.
“Exercise and movement are the keys to sustaining quality of life for people with Parkinson’s,” said Marilyn D. Phillips, PT, Parkinson’s caregiver to her husband with Parkinson’s and Parkinson’s Foundation Research Advocate. “Ending the therapy cap will have a major impact on the PD community, allowing much-needed physical therapy, occupational therapy and speech therapy services be rendered with less fear of losing access to care.”
New We Will Hold Our Community Exercise For People With Parkinson Disease Course Online For The First Time Ever On March 13 2021 For More Information And To Register Go To Our Courses Page
Who We Are:
We are passionate about exercise to combat Parkinson disease. MDT Education Solutions was founded in 2014 by a leading researcher and two physical therapists to help as many people as possible access exercise as an important tool for managing disease progression. Click here to learn more about the founders.
What We Teach:
We offer accredited continuing education courses. Our training does not endorse a protocol or one specific type of exercise. Instead, we provide health and fitness professionals with the tools to adapt many different types of exercises to meet the specific needs of people with Parkinson disease. Click here to learn more about the courses we offer.
Who We Train:
MDT Education Solutions equips health and fitness professionals, care partners, caregivers and people with Parkinson disease with the knowledge and resources to form and participate in community-based exercise programs. Click here to find an MDT trained provider in your area.
I thought the information provided was outstanding and very practical. The instructors make a great team! I appreciate your hard work and dedication in putting this together.
You made the training fun, interactive and personal. You shared your experiences in a way I could understand. You each have a supportive nature and made me feel I could approach you and ask questions.
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When And Why To Find A Speech
Our speech-language pathologists can be helpful at all stages of PD. You may be interested in seeing a SLP if you have experiences any changes in your swallowing, communication, or cognition impacting your participation or satisfaction in your home, work, or community.
Here are some reasons to find a SLP:
- Voice therapy
- Swallowing difficulties
Continuing Education Credit Faqs
How do I know if the workshop is approved or registered for CE credit for my profession and state?
We do the work upfront and when you select your profession and state, we only present courses that have CE approval or registration for that profession and state. You can also view the licensing approval or registration by profession on the Product page of any course
Why aren’t all online workshops approved or registered for my profession and state?
The approval or registration of online workshops varies by state and profession, and some licensing boards have longer approval or registration turnarounds than others.
How many credits do I receive for an online course?
Typically you will receive the same number of credits that you would get at a live workshop. Currently, all of our online workshops range from 1-6 credit hours . You can view the licensing approval or registration by profession on the Product page where you can see the exact number of credit hours for each profession and state.
Does Summit report to CE broker? ASHA?
Yes. Once you complete your online course, post-course requirements, and the printing of your certificate, please follow the below steps.
Online course completions are reported to ASHA following the below schedule:
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Presenter: Charles Plishka Pt Dpt Ncs
Charles Chuck Plishka, PT, DPT, NCS is a national and international speaker, and earned his Bachelor of Arts degrees from the University of Pittsburgh in Pennsylvania, and Doctor of Physical Therapy degree from Creighton University in Omaha, Nebraska. He is a board certified clinical specialist in Neurologic Physical Therapy and is currently pursing a Fellowship with the Neuro-Optometric Rehabilitation Association. He works in Baton Rouge, Louisiana at Our Lady of the Lake Regional Medical Center, in the acute care setting and teaches continuing education on neurologic topics, including vestibular therapy, brain injury, Parkinson disease, and Multiple Sclerosis. He is the Secretary and International Relations Coordinator for the Vestibular Rehabilitation Special Interest Group of the American Physical Therapy Association , and the President of the International Vestibular Physical Therapy Group of the World Confederation for Physical Therapy . He is a member of the American Physical Therapy Association, and the Movement Disorder Society. Charles received his certificate of specialization in Neurology in 2017
Parkinson’s Disease And The Parkinsonisms: Differential Diagnostics And Treatment
This presentation focuses on the key clinical signs and symptoms that differentiate idiopathic Parkinson’s disease from vascular parkinsonism and Parkinson plus syndromes. Participants will learn about best evidence for the physical therapy treatment of individuals with PD and Parkinson Plus syndromes and apply information to case studies. This course is directly related to the practice of physical therapy and is appropriate for the PT and PTA.
Course created on October 19, 2016
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Interprofessional Practice For Parkinson’s: Lsvt Big And Lsvt Loud
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.
Video Runtime: 84 Minutes Learning Assessment Time: 37 Minutes
When And Why To Find A Physical Therapist
Physical therapists can be helpful at all stages of Parkinsons Disease. Here are some reasons to find a PT:
- For education and self-management advice.
- To learn about the exercise routines that have been associated with improvements in mobility, quality of life and disease severity.
- If you have questions about the type, intensity, frequency or duration of exercise.
- If you have questions about safety when exercising.
Our physical therapists can help you improve your strength, flexibility, and posture. As a result of physical therapy for Parkinsons disease and movement disorders, you can feel more agile and strong while you are moving, thereby reducing your risk of injury and falls.
Compensatory strategies and exercises trained are specific to your area of need and your personal goals. We will help you incorporate a plan of care that includes education, caregiver training, and/or development of home and community programs to ensure carryover and long-term success.
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Gait & Balance Abnormalities
Parkinsons Disease Exam
Patients with Parkinsons disease can develop an alteration of the postural reflexes that causes instability in gait and balance control. Such alterations usually develop later in the course of the illness and are a major cause of disability, especially because of the high risk for falls that derives.
Using the exam to pick up postural instability is of the utmost importance for the management of patients with PD, since it will trigger either a medication adjustment or a physical therapy intervention both aimed at falls prevention.
We have three tests for this part of the PD exam:
1) Standing up from a chair
2) Free walking
3) Provoked pull test maneuver for balance
Passive Manipulation Of Limbs
To test for the presence of rigidity, we need to passively manipulate the limbs of the patient. However, If the disease is in its early stage or the symptoms are well controlled with medications, we may not be able to see rigidity. We will need to use some activation maneuvers, that basically consist in performing repetitive movements with the limb contralateral to the one that is being tested.
Also, there are two types of rigidity:
– Lead-pipe rigidity: where the tone is uniformly and smoothly increased throughout the entire range of movement
– Cogwheel rigidity: where a tremor is superimposed on the hypertonia, making the movement irregular due to intermittent increase and reduction of tone
Upper Extremity Testing
For the upper extremity the most sensitive joint where to check for rigidity is the wrist. To uncover rigidity, passively rotate the wrist and feel for a resistance to the movement. It is very important that the arm of the patient is fully relaxed when rotating the wrist. To do this, place your proximal hand under the patients forearm, while your distal hand grabs and rotates the wrist of the patient. When rigidity is present, the range of motion will be preserved but you will feel a resistance in performing the movement.
Wrist rotation with activation maneuver.
It is also possible to test for rigidity in the elbow by passively flexing and extending the forearm.
Elbow flexion-extension with activation maneuver.
Lower Extremity Testing
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When And Why To Find An Occupational Therapist
Our occupational therapists can be helpful at all stages of PD. You may be interested in seeing an occupational therapist if you have experienced any changes in the ability to take care of yourself or fulfill any role/routines which are important to you.
Here are some reasons to find an OT:
- For skilled education and self-management
- To learn about adaptive equipment of medical equipment that can help you stay independent in all daily activities
- home safety/home modification/fall prevention/environmental modification education
- community engagement
- generalized strengthening and intervention for gross motor and fine motor coordination
- cognitive retraining
- family/caregiver training
Treatment will include learning compensatory strategies, modifications and use of adaptive equipment or durable medical equipment to keep you independent and safe in all your daily activities and roles.