Physiotherapy Physiotherapy services West ICASS Community Whitefield Day Hospital East ICASS Community Acute Guidelines Published 2014 available from httpwwwparkinsonnetinfoeuguideline ID: 806915
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Slide1
Parkinson's The Fife story
Physiotherapy
Slide2Physiotherapy services
West
ICASS (Community)
Whitefield Day Hospital
East
ICASS (Community)
Acute
Slide3Guidelines
Published 2014 available from
http://www.parkinsonnet.info/euguideline
Referral and treatment approached linked to stage of Parkinson's
Early referral is important (NICE 2017)
Downloadable information can support in self management
Slide4Physiotherapy input
Detailed assessment including outcome measures
Tailor intervention to stage, physical impairments and personal goals
Ensure do not offer interventions with no or limited effectiveness
Communicate with MD team
Support to non PT specific exercise – Dance, Tai Chi, general exercise etc
Slide5Parkinson's UK audit
Regular audit – happening again in 2017
Figures collated and allow benchmarking against national outcomes
PREM available
Action plan template provided
Slide6Exercise and activity
Establishing early exercise habits is an essential part of overall disease management
People with Parkinson's who exercise a minimum of 2.5 hours a week experience a slowed decline in quality of life.
Exercise can improve gait, balance, tremor, flexibility, grip strength and motor coordination
It may also provide
neuro
-protective benefits (research ongoing)
Slide7Exercise and activity
Physical activity is vital
Walking / Cycling
Yoga, Tai Chi, Pilates
Dance
Swimming
Specific regimes:
Keep moving (to be replaced by Autumn 2017)
PD Warrior
Focus on rotational movement and posture plus strength and balance
Slide8Walking: Freezing and Cueing
Physiotherapists can advise around the best way to manage freezing and other walking problems
Auditory
Visual
Cognitive
Advice about walking aids
Slide9Finally
What ever stage you are in your journey with
Parkinsons
….
‘Something is better than nothing!’