We as a Delhi parkinson physiotherapy provides Parkinson's disease physiotherapy in Delhi with physiotherapy treatment in Delhi for parkinson patients.
The aim of physiotherapy in Parkinson’s Maximise independence and functional potential & Minimise mise secondary complications.
SYMPTOMS
Tremor
Rigidity
Slowness in movement
Difficulty initiating movement
Lack of spontaneous movement
Lack of associated movements
Difficulty with repetitive
movements
Difficulty with two simultaneous movements
Increased effort and concentration to achieve norm
Two handed tasks more difficult
Slowness of speech; difficulty raising voice
Main areas of Difficulty
Posture
Balance
Gait
Fine movements – handwriting, buttons
Automatic movements – blinking, swallowing, coughing, swinging arms
Posture
Excessive flexion (bending) of neck, trunk, hips, knees;
Contractures (muscle shortening)
Reduced rotation – difficulty turning, to sit in chair, tight corners
Reduced arm swing
Slumping in chair
Balance
Reduced rotation
Increased flexion (stooping) leading to decreased balance and falls
Gait
Difficulty initiating walk
small steps
Festination
Freezing
Difficulty turning
Heel-toe gait
Physiotherapy exercise programme
Lying supine/prone
Standing back to wall
General exercises – promoting extension/rotation
Postural advice – in sitting position
Breathing exercises
Relaxation
Cues or Prompts
Verbal
Visual
Vestibular/proprioceptive
Gait management
Visual clues – step over cracks, cue-cards
Verbal cues – one/two, heel/toe, metronome, music, rhythm
Proprioceptive clues – for freezing, heel down, rock backwards/forwards, take step back
Turn in wide arc, forward
General
Break movement consciously into component parts
Do one task at a time
Use cues
Stay active and involved and keep moving!
As time goes on
Advise family/carer re cues, handling, positioning
Avail of community physiotherapy in own home
Avoid the problem of hypomobility
Encourage independence for as long as possible
