Chapter 22: Managing the Client With Parkinson's Disease

For the Instructor Guide and Worksheet Key please contact user services at userservices@mheducation.com

OUTLINE

Objectives:

The student will appropriately:

1. Select and implement assessments and outcome measures for an individual with Parkinson's disease (PD).

2. Select and implement interventions for an individual with PD.

3. Be able to justify treatment interventions for individuals with PD based on current evidence and specific to PD.

Activity 1. Assessing the Client With Parkinson's Disease

Students perform mini-BESTest and 10-meter walk test. These are done on volunteers with PD who are recruited to assist with the lab or using the case studies provided with the lab.

Activity 2. Interventions for the Client With Parkinson's Disease

Students perform a variety of interventions intended to improve balance, gait, flexibility, strength, and endurance in people with PD. These are done on volunteers with PD who are recruited to assist with the lab or using the case studies provided with the lab.

Activity 3. Wrap-Up and Discussion

WORKSHEET

For additional information regarding the assessments and interventions that are discussed in this lab, students are referred to the Basal Ganglia Disorders: Parkinson’s and Huntington’s Diseases chapter in the Nichols-Larsen textbook.

Activity 1. Assessing the Client With Parkinson Disease

Take a brief history of your client including a fall history. Focus on mobility issues he/she is experiencing. If you don’t have a client and are using the case study (Appendix 22-1), summarize the key facts from the case study client’s history.

Document pertinent history:

Tests and Measures

Administer the following outcome measures and document the client’s scores or report the results from the case study client:

Mini-BESTest

See Appendix 22-2 for mini-BESTest instructions and score sheet.

The mini-BESTest is an abbreviated form of the BESTest. This test was developed to identify the postural control system(s) that underlie functional balance so therapists can better target treatment. It is recommended by the American Academy of Neurologic Physical Therapy (ANPT) PD EDGE Task Force (see ANPT Outcome Measures Recommendations (EDGE) website) for use with clients who have PD.

Your client’s score = ________

What do your client’s results on the mini-BESTest tell you about the client’s mobility and balance deficits?

10 Meter Walk Test

Measure out 10 meters. Place a mark on the floor or wall with tape or a small object to indicate the start, 2 meters from the start, 8 meters from start, and the end at 10 meters. Have the individual stand at the starting line and ...