Rehabilitation for PD

Rochester, L

doi:10.1007/978-3-319-97897-0_11

Rehabilitation for PD

Lookup NU author(s): Professor Lynn Rochester ORCiD

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Abstract

© 2019, Springer Nature Switzerland AG.Falls are common and debilitating for people with Parkinson’s disease. The cause of falls in PD may be difficult to discern and requires a nuanced assessment. This case describes a patient with moderate disease severity and excellent cognition who fell frequently. Routine clinical assessment revealed very little. The cause of falls only became apparent when he was tested under more complex conditions (walking plus a second task) because he was then unable to compensate with attentional drive. Response to perturbation was impulsive and unsafe. Management consisted of movement strategy training (auditory cues) to reduce freezing and withdrawal of dopa agonist medication to moderate impulsivity.