Treatment FAQ

occupational therapist's who are leading way in parkinson's treatment

by Eli Streich Published 3 years ago Updated 2 years ago

How can occupational therapists support individuals with Parkinson's disease?

Occupational therapists are trained to support individuals with Parkinson's disease to maintain their usual level of self‐care, work and leisure activity for as long possible ( Reed 1992 ).

Can people with PD work with occupational therapists?

Plenty of people with PD will work with both types of therapists as part of their treatment plan. Lisa Carson, OTD, OTR/L is an occupational therapist at Washington University in St. Louis, Missouri, who works closely with our APDA Greater St. Louis Chapter.

How can occupational therapists help with occupational therapy?

Occupational therapists can provide appropriate strategies such as using suitable worded verbal cues and suggesting equipment to aid transfers including chair risers, riser recliner armchairs, and level-access showers instead of a bath.

How can occupational therapists help improve hand coordination?

An occupational therapist can help evaluate and make recommendations to improve hand coordination: Engage in enjoyable and stimulating hand exercises, such as gardening or knitting Use toothbrushes, hairbrushes, silverware and writing tools with larger handles

What professionals are involved in Parkinson's disease?

A Parkinson's specialist is a doctor, usually a neurologist or geriatrician (specialists in the care of older people) with particular expertise in Parkinson's. Make sure you're referred to a specialist because Parkinson's is a complex condition that is difficult to diagnose, and can require complex drug treatment.

Do occupational therapists work with Parkinson's?

Occupational therapy is used to help people with Parkinson's disease (PD) to continue with their daily tasks as the disease progresses. Occupational therapists can help evaluate and plan these activities that are crucial to the well-being and independence of people with PD.

What is the role of a physiotherapist in Parkinson disease?

A physiotherapist can provide advice and suggest strategies to help you at any stage of your Parkinson's. If appropriate, a physiotherapist can provide treatment to prevent, stabilise or reduce any problems you experience relating to your general mobility and the way you function in your daily activities.

Which has been the most effective treatment for Parkinson's disease?

Carbidopa-levodopa. Levodopa, the most effective Parkinson's disease medication, is a natural chemical that passes into your brain and is converted to dopamine. Levodopa is combined with carbidopa (Lodosyn), which protects levodopa from early conversion to dopamine outside your brain.

How does speech therapy help Parkinson's disease?

If you have Parkinson's disease, a speech-language pathologist can help you: Maintain as many communication skills as possible. Teach you techniques to conserve energy, including using nonverbal communication skills. Introduce you to assistive devices and techniques to help improve your communication.

What does Bradykinesia mean?

Bradykinesia means slowness of movement, and it is one of the cardinal symptoms of Parkinson's.

Can Parkinson be cured by physiotherapy?

There is currently no cure for Parkinson's disease presently. However, medication, physiotherapy and in a few cases surgery might prove beneficial. Medication: Though medications don't cure the patient of Parkinson's, it provides a lot of control on the symptoms of the disease, which brings much relief to the patients.

What does a physiotherapist do?

Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. They maintain health for people of all ages, helping patients to manage pain and prevent disease.

What is the newest Parkinson's treatment?

The device, called Exablate Neuro, was approved in November by the U.S. Food and Drug Administration to treat advanced Parkinson's disease on one side of the brain. The approval was based on findings from the UMSOM clinical trial and effectively expands access to focused ultrasound beyond clinical trial participation.

What is the first line treatment for Parkinson's disease?

Sustained-release carbidopa-levodopa is considered first-line treatment for these patients. Inadequate response can be handled by a trial of immediate-release carbidopa-levodopa and then addition of a dopamine agonist when maximum levodopa doses are reached.

What are the three approaches in Parkinson's disease treatment?

Three surgical procedures are performed to treat Parkinson's disease — ablative or destructive surgery, stimulation surgery or deep brain stimulation (DBS), and transplantation or restorative surgery.

How to find occupational therapy for PD?

Are you looking for a more personalized plan? If so, request a referral for occupational therapy from your neurologist or movement disorder specialist. Ask them if they can recommend an occupational therapist with knowledge of PD. You can also contact your state OT association, or local rehabilitation facility or home care agency, to find an OT. You can find more information on the American Occupational Therapy Association website at www.aota.org.

How does occupational therapy help with PD?

An occupational therapist can help evaluate and make recommendations to improve hand coordination:

What Is Occupational Therapy?

In life with PD, you may have encountered speech or physical therapists. Where does occupational therapy fit in and how is it different? First, note that the word “occupation” in OT means “activity.” Our job in OT is to identify strategies that will allow you to continue doing activities that are important to you. Each person with PD will have different goals based on his or her symptoms and disease progression, as well as individual lifestyles, interests and priorities. Whether you have been living with PD for one month, five years or 20 years, and whether your goal is playing tennis or spending time with family, our approach is the same: to find ways to match your personal strengths with activities and an environment that will help you reach your goal.

How to improve hand coordination?

We use our hands throughout the day in all activities. People with PD may notice changes in the ease in which they perform hand and finger motions. An occupational therapist can help evaluate and make recommendations to improve hand coordination: 1 Exercise hands and fingers regularly 2 Engage in enjoyable and stimulating hand exercises, such as gardening or knitting 3 Use toothbrushes, hairbrushes, silverware and writing tools with larger handles 4 Use both hands in tasks - don’t favor one hand over the other 5 Schedule tasks that require greater hand control for times when you are well rested and medications are working well

How can you adapt your surroundings to support your chosen activity?

How can you adapt your surroundings to support your chosen activity? For example, will it help to choose a different physical or social setting for the activity, or to use different objects and tools? Take a look at your environment. Create a quiet space with conveniently arranged furniture to make activities easier. Look into adaptive devices such as a tub seat to make showering safer or a swivel seat cushion in the car to make getting in and out easier. Additionally, think about the social environment and choose places where people will understand your needs.

Can a therapist help with PD?

People with PD can and should keep doing the activities they love to do. If PD symptoms get in the way, an occupational therapist can help. Together, you will set realistic goals, identify challenges and strategize solutions. Identify what is important to you and figure out a way to continue doing it.

What is occupational therapy for Parkinson's?

Occupational therapy is used to help people with Parkinson’s disease (PD) to continue with their daily tasks as the disease progresses. Occupational therapists can help evaluate and plan these activities that are crucial to the well-being and independence of people with PD.

How does occupational therapy help with relationships?

Occupational therapists may also help with changes in relationship dynamics by promoting the maintenance of normal roles, daily routines, and social habits as much as possible. They provide support to patients to continue working, and serve as a link between a patient and the workplace.

What can an occupational therapist do to help with eating and drinking?

Occupational therapists also assess if modified eating and drinking equipment are required to minimize difficulties.

Why do people with PD get tired?

Fatigue management: People with PD find that they become tired more quickly, which may be due to the effort of staying upright and inefficient movement strategies . Occupational therapists can review routines and help prioritize tasks, restructure activities according to energy levels, and introduce regular resting periods, including good sleep.

How to help a person with PD walk?

Mobility: This includes helping people with PD concentrate on walking, avoiding all non-essential talking when moving, pausing when speaking, and touching something solid to aid balance while walking and standing. Occupational therapists also teach patients how to change direction without abrupt turns to optimize stability. They may also check for the need of walking aids and home modifications.

How to help people with PD?

Self-care routines: This helps people with PD whose personal care routines have become slow and tiring, which may increase the risk of falls.

Is Parkinson's News Today a news website?

Parkinson’s News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

What are the modifications for Parkinson's?

Modifications may include: 1. Changing the nature, time, and duration of an activity.

What is OT therapy?

OT also deals with rehabilitation and motion. However, it is focused more on enabling the person to engage in daily activities as seamlessly as possible. Occupational therapists also suggest adaptations and modifications to the person’s environment. 3. Physical therapists focus primarily on anatomy and the person’s strength, functional capacity, ...

What is the difference between occupational therapy and physical therapy?

PT focuses on the physical rehabilitation of people recovering from injuries or disease. The goal of PT is to restore mobility. Physical therapists also educate people on managing their condition to maintain long-term benefits. 3

What is the best treatment for Parkinson's disease?

Physical and Occupational Therapy for Parkinson's. Despite medicines and surgical approaches for Parkinson’s disease (PD), the disease is progressive. Over time, it can cause significant disability. Physical therapy (PT) and occupational therapy (OT) can help people with PD maintain their usual activities for as long as possible.

What is the best treatment for PD?

Physical therapy (PT) and occupational therapy (OT) can help people with PD maintain their usual activities for as long as possible. PT and OT can also increase strength, endurance, balance. Plus, they may help relieve pain. 1,2.

What is PT and OT?

PT and/or OT are often used along with drugs for people with PD who are experiencing limitations in their activities. This can include things like personal care, work, and leisure activities. These therapies may also be recommended when the caregiver of the person with PD is having difficulties supervising or supporting the person with PD during daily activities. 1

What happens to PT and OT with PD?

Worsening motor skills can lead to: 4. PT and/or OT are often used along with drugs for people with PD who are experiencing limitations in their activities.

What to do if you have Parkinson's and no occupational therapy?

If there is no occupational therapy program in your area, talk to your doctor about alternative options and see whether telehealth is a possibility.

What is occupational therapy?

Daniece Lahoud (DL): Occupational therapy is a treatment that helps people perform their everyday activities safely and, as much as possible, independently. When diseases such as Parkinson's affect self-care (such as dressing or bathing), work (typing, for example) or leisure activities (such as going to church or out to eat), occupational therapists look at how a task is impacted and how we can help compensate or correct to make the task easier to perform.

What is the difference between a physical therapist and an occupational therapist?

DL: Occupational therapists focus on improving specific tasks and daily functions whereas physical therapists concentrate on overall movement. OTs look at every movement and problem through the lens of function — how it affects your daily life and tasks. If you have balance problems, for example, a physical therapist might help you work on overall balance while standing still and moving. OT would work on balance in specific activities, such as reaching down to put your socks on.

What is movement problem solving?

We analyze how a person performs a task that's giving them trouble, figure out how and why it's challenging, and provide solutions to make the task easier and safer to perform . Solutions are personalized because they depend on the task and the person's symptoms. They could include exercises to improve hand-eye coordination or grip strength if poor coordination or strength are to blame, or varied strategies (such as different positions to complete the task) or assistive tools. We often work on completing the difficult task together, and we prescribe exercises for our patients to do at home. While much of what we do focuses on the hands, arms and upper body, we take a holistic approach to the entire person so they can resume or enhance their daily activities.

Why do people go to OT?

Many people come to an OT when they see changes in their hands — it's harder to button, zip or write, for example. But if any regular task becomes challenging, consider seeing an OT. You may have trouble getting your money out to pay a cashier, bending down to put your socks on or dining out at a restaurant. OT is here to help you do the things you want and need to do more efficiently and effectively.

Does Medicare cover OT?

You do need a prescription from your physician, so if you find an OT online contact your doctor's office for a referral . Insurance (both private and Medicare) does typically cover OT.

Can you see an occupational therapist after Parkinson's?

DL: It's not a bad idea to see an occupational therapist (OT) soon after a Parkinson's diagnosis. You can see what occupational therapy offers and get a thorough assessment. OTs look at not only your upper body structure and movement, but also cognition, vision and other functions that can impact movement. Even if you don't need an OT right away, you will learn what's available and how you can use OT to your advantage in the future.

What is the role of occupational therapy in Parkinson's?

The role of the occupational therapist is to support the patient and help them maintain their usual level of self-care, work and leisure activities for as long as possible. When it is no longer possible to maintain their usual activities, occupational therapists support individuals in changing and adapting their relationship with their physical and social environment to develop new valued activities and roles.

What is the survey of occupational therapists?

A survey of therapists is needed to determine what methods of occupational therapy are currently being used by therapists to treat Parkinson's disease, and whether there is a consensus as to 'best-practice'.

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