geriatric disorders
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Is common neurodegenerative disease of theelderly .typically beginning in the 60s 0r 70s
Definition:Chronic progressive disease of the CNSDegeneration of the dopaminergic neuron at
the substantia nigra =depletion of dopamine
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Genetic environmental trigger
Lack of dopamine
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RigidityBradykinesia
Resting tremorPostural in stability
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Increase the resistance to the passive motion Slowness and difficulty in maintain the
movement Dependence in daily tasks Involuntary movement: present at rest , dis
appear in voluntary movement
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Carbidopa- levodopa Dopamine agonists
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Cognitive status:Mini mental status exam scorePsychological function:Depression symptomsPhysical status :ROM
MMTPOSTUREBALANCEGAIT
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Exercises:According to your finding but mainly used
ROMStrength exercisesBalance exercisesGait trainingResistance exercisesRelaxation
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Dementia is a term used to describea some symptoms including:
Forgetfulness (progressive)Difficulty doing familiar tasks
Confusion
Poor thinking
Decline in intellectual functioning
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Memory impairment: impaired ability tolearn new information or to recall old
information One or more of the following: aphasia
(language disturbance); apraxia (impairedability to carry out motor activities despiteintact motor function); agnosia (failure torecognize or identify objects despite intactsensory function)
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the cognitive deficits result in functionalimpairment (social/occupational
Physical changes
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Alzheimers disease (approximately 70%)Vascular dementia (Strokes and TIAs)Parkinsons diseaseFrontotemporal dementia (FTD)DepressionOther, less common causes
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Physiotherapy has been reported to have
very positive effects on demented patients.Through treatment physiotherapists arehoping to slow the loss of cognitive functionas evidenced by some of the literature.Regular movement, particularly following aregime recommended by a physiotherapist,improves flexibility and strength.
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Dementia can result in issues ,less balanceleading to a higher risk of falls which,
amongst the elderly in particular, can lead tobroken bones and dislocations. Balance andstability exercises help reduce the risk offalling
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Demented patients can often becomeaggressive and depressed. Regular movementhas been shown to stabilise their mood, easing
depression and keeping them calm. Similarly alevel of activity is beneficial in terms ofimproving sleep patterns which can often bedisrupted by dementia. Physiotherapists will usemany tools to get demented patients practicinga regular routine, these include householdroutines, exercises classes, and resistancetraining and stretching
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progressive neurologic disorder that results inmemory loss, personality changes, globalcognitive dysfunction, and functional
impairments.Loss of short-term memory is mostprominent early.In the late stages of disease, patients aretotally dependent upon others for ADLS
the most common form of dementia in theelderly, accounting for 60 to 80 % of casesestimated to affect more than 4 millionAmericans
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Memory loss for recent events
Progresses into dementia almost total
memory loss Inability to converse, loss of language ability Affective/personality disturbance Physical distrabance
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Clinical diagnosis History, mental status evaluation, physical
examination, limited laboratory testing, andin many cases, neuroimaging, more extensiveneuropsychological testing and a depressionscreen.
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Exercises to improve or maintain muscle strength Exercises to maintain range of movement Balance exercises to prevent risk of falls
Provision of mobility aids and equipment to keeppeople as active and safe as possible Home assessments to advise on safety within the
persons own environment and possible adaptationsto maximise independence
Advice to family and carers on ways to safely handlethe person
Providing a home exercise programme for the personto complete with support of their family if necessary
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Improved muscle strength
Improved range of movement Improved mobility Maintenance of safety Reduced risk of falls Improved confidence and quality of life Maintenance of independence for as long as
possible
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www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-
disease.html http://www.healthcentre.org.uk/physiothera
pists/physiotherapist-dementia.htm
http://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.healthcentre.org.uk/physiotherapists/physiotherapist-dementia.htmhttp://www.healthcentre.org.uk/physiotherapists/physiotherapist-dementia.htmhttp://www.healthcentre.org.uk/physiotherapists/physiotherapist-dementia.htmhttp://www.healthcentre.org.uk/physiotherapists/physiotherapist-dementia.htmhttp://www.healthcentre.org.uk/physiotherapists/physiotherapist-dementia.htmhttp://www.healthcentre.org.uk/physiotherapists/physiotherapist-dementia.htmhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.htmlhttp://www.manchesterneurophysio.co.uk/alzheimers-disease/physiotherapy-for-alzheimers-disease.html