Parkinson's Disease

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Questions and Answers

Which of the following neurological changes is most closely associated with the primary cause of Parkinson's disease?

Increased activity in the basal ganglia
Elevated levels of serotonin in the cerebral cortex
Degeneration of the cerebellum
Reduced production of dopamine in the substantia nigra (correct)

What is the significance of the basal ganglia in the context of Parkinson's disease?

It is responsible for memory consolidation.
It plays a crucial role in motor control and movement regulation. (correct)
It regulates sensory perception.
It controls endocrine function.

Which of the following is the most likely reason for postural instability observed in individuals with Parkinson's disease?

Increased muscle strength
Enhanced motor control
Loss of reflexes that help maintain posture (correct)
Improved sensory feedback

A patient with Parkinson's disease is experiencing 'freezing episodes' during walking. Which primary symptom of PD is this most closely related to?

Bradykinesia (B) Signup and view all the answers

Which strategy would be most appropriate when providing massage therapy to a client with Parkinson's disease who has hypertension?

Modify positioning, techniques, and hydrotherapy. (A) Signup and view all the answers

Why are prolonged, vigorous, or painful techniques generally contraindicated for individuals with Parkinson's disease?

To avoid stimulating the sympathetic nervous system (D) Signup and view all the answers

Which of the following is a goal of massage therapy for a client with Parkinson's disease focused on addressing musculoskeletal imbalances?

Addressing postural changes and muscle imbalances (D) Signup and view all the answers

What home care advice would be most beneficial for a person with Parkinson's disease to maintain their functional abilities?

Maintain functional ability by moving joints through simple ROM and balance activity (A) Signup and view all the answers

Why might regular, moderate exercise be recommended as part of the home care for individuals with Parkinson's disease?

To improve motor control (D) Signup and view all the answers

What is the primary rationale for avoiding techniques that involve holding down tremors during a massage therapy session for someone with Parkinson's disease?

It can exacerbate the tremor or create discomfort and frustration. (A) Signup and view all the answers

If rigidity is present during an assessment, how will assisted free range of motion (AF ROM) likely be affected?

AF ROM should reveal a decrease in ROM. (B) Signup and view all the answers

During a passive range of motion assessment (P ROM) on a patient with Parkinson's, which of the following findings indicates cogwheel rigidity?

Intermittent resistance throughout the range of motion (C) Signup and view all the answers

A client with Parkinson's reports increased drooling. Which of the following secondary symptoms is most closely related to this?

Difficulty swallowing (B) Signup and view all the answers

A systematic neurological examination that includes testing reflexes and observing muscle strength, coordination, and balance is crucial for diagnosing:

Parkinson's disease (B) Signup and view all the answers

What potential effect does Levodopa (Sinemet) have on individuals with Parkinson's, concerning dopamine levels?

It increases the effects of dopamine. (B) Signup and view all the answers

Why is postural assessment, including palpation, an important part of the initial assessment for a client with Parkinson's?

To identify specific muscle groups affected by rigidity and bradykinesia. (C) Signup and view all the answers

During the treatment of a person with Parkinson's, what is the primary rationale for applying constant contact during compressions?

To stabilize the limb and minimize the effect of tremors. (D) Signup and view all the answers

When applying Swedish massage techniques to someone with Parkinson's disease, what is the primary intention behind using an inhibitory direction?

To address muscle rigidity and hypertonicity. (A) Signup and view all the answers

Which of the following is the MOST important consideration when recommending water walking (FIDS!) as a home care activity for a client with Parkinson's?

The client's comfort level and ability to maintain balance in the water. (C) Signup and view all the answers

A massage therapist is developing a treatment plan for a client with Parkinson's who presents with increased kyphosis. Which of the following massage techniques would be MOST appropriate to incorporate?

Techniques to address anterior chest and shoulder tightness. (B) Signup and view all the answers

Considering the common compensatory patterns seen in individuals with Parkinson's, what area would be MOST important to address with stretching?

Hip flexors and hamstrings. (D) Signup and view all the answers

If a client with Parkinson's reports experiencing increased discomfort in their joints, what type of home care would be MOST suitable?

Local modified hydrotherapy. (B) Signup and view all the answers

Why is it important to include diaphragmatic breathing (DB) as part of the treatment plan for Parkinson's?

To improve respiratory function and manage rigidity. (B) Signup and view all the answers

When planning treatment using Proprioceptive Neuromuscular Facilitation (PNF) and ROODS for a client with Parkinson's, which of the following should be prioritized?

Move with the tremor during the movement of limbs. (B) Signup and view all the answers

What is the MOST important reason for massage therapists to inquire about a Parkinson's client's current medications?

To understand potential side effects and contraindications for massage. (A) Signup and view all the answers

Flashcards

Parkinson's Disease

A progressive neurodegenerative disorder involving diminished basal ganglia function, causing slowed movements, tremor, rigidity, and other symptoms.

Etiology of Parkinson's

The cause of Parkinson's is unknown, but it involves the destruction of brain cells in the substantia nigra, leading to decreased dopamine production.

Bradykinesia

Impairment of voluntary motor control, slowness, or freezing, often presenting as difficulty initiating movements.