TY - CHAP M1 - Book, Section TI - Pharmacologic Management of Parkinson’s Disease and Other Movement Disorders A1 - Jobst, Erin E. A1 - Panus, Peter C. A1 - Kruidering-Hall, Marieke Y1 - 2020 N1 - T2 - Pharmacology for the Physical Therapist, 2e AB - CASE STUDYL.S. is a 78-year-old man who was referred to physical therapy after a progressive reduction in his physical capabilities secondary to Parkinson’s disease diagnosed 7 years ago. The patient stated that he did not require medication initially, but 6 months ago he was started on a combination of levodopa and carbidopa when his signs and symptoms had worsened and his neurologist felt it was time to begin medication. The patient’s chief complaints are generalized stiffness, slow movement, and a resting tremor in his hands and arms. He also feels that he has gotten very weak over the last several months. During the initial evaluation, the physical therapist observed that the patient had a minimal stooped posture. L.S. also had limited passive and active range of motion in bilateral hips and upper extremities in flexion, abduction, and external rotation. His overall functional strength was diminished for his age and he had extremely poor endurance. Upon interview by the therapist, L.S. revealed that he had lost 25 lb over the last 6 months and that his appetite had diminished drastically. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1192815893 ER -