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Parkinson Disease Physiotherapy



Parkinson disease (PD) is the second most common degenerative brain disorder affecting adults. (Alzheimer disease being the most common.)

People of all ethnic groups can develop PD, but it occurs less among African American and Asian populations.

Parkinson disease was first defined as only a “motor” (movement) disease, but Parkinson research has shown that it also causes “nonmotor” symptoms (such as lightheadedness when standing up) in other systems of the body.

People with PD are at risk of falling and sustaining other injuries due to their movement and balance challenges.

Treatment includes a combination of medication and physiotherapy—and in some cases surgery. Our senior physiotherapists often partner with people with PD and their families to

  • manage their symptoms
  • maintain their fitness levels
  • and help them stay as active as possible

What is Parkinson's Disease?

Parkinson disease is related to a loss of nerve cells in the brain that produce a chemical called dopamine. Dopamine and other brain chemicals are normally in balance and are important for the control of

  • body movements
  • thought processes
  • decision making
  • moods
  • other behaviors

The exact cause of PD is not yet known.

Family history, aging, or exposure to certain environmental toxins may contribute to the onset of Parkinson's disease. It is a chronic degenerative disease, which means that it gets worse over time; however, people usually do not die from it.

The severity and symptoms of PD can vary widely.

Some people have the disease for 20 to 30 years and experience a slower decline in mobility and thinking over a longer period of time.

Others may experience difficulty with physical movements and thought processes within 5 to 10 years, as the disease progresses more rapidly.

Signs and Symptoms

Nonmotor symptoms of PD, such as a

  • decreased sense of smell
  • sleep problems
  • lightheadedness when first standing up

- can begin many years before motor (movement) symptoms develop.

Motor symptoms of PD, which typically include

most often begin at or around age 60. However, early-onset PD can affect people at a younger age.

The motor symptoms of PD can be very mild at first. A common early symptom is a tremor in 1 hand, most often when you are at rest. It might look like you are rolling a pill between your thumb and forefinger.

Tremors also can occur in your legs or jaw when you are at rest. Since the tremors are most apparent during rest, they usually go away when moving and typically don't interfere substantially with daily functions.

As the condition progresses, people with Parkinson's disease may notice other motor symptoms, such as:

  • Movements that become smaller, possibly resulting in:
  • shuffling when walking
  • the arms swinging less when walking
  • the voice becoming quieter
  • Muscle stiffness or rigidity, causing discomfort in the neck, trunk, or shoulders
  • Pain due to muscle stiffness
  • Postural instability, resulting in poor balance and a greater risk of falling
  • Movements that become slower during daily activities such as dressing, showering, or moving in bed
  • A feeling of the feet being "frozen" to the floor, making it hard to take a first step, or to turn around when walking
  • Stooped posture
  • Difficulty speaking at a normal voice level
  • Difficulty swallowing
  • Difficulty performing tasks that were once easy to do, such as gardening or swinging a tennis racquet or golf club
  • Difficulty making facial expressions
  • Difficulty holding and releasing urine (bladder urgency and incontinence)

Nonmotor symptoms might include:

  • Difficulty paying attention to a task for a long period of time or dividing attention between 2 or more tasks
  • Fatigue
  • Lack of motivation
  • Light-headedness
  • Depression
  • Anxiety
  • Disturbed sleep

How Is It Diagnosed?

There is not one definitive test for PD, and that makes it a little difficult to diagnose.

Typically, a diagnosis is usually made based on a person’s medical history and a neurological examination. If our senior physiotherapist s suspects that you have symptoms of PD, you may be referred to a neurologist for further examination.

A diagnosis of PD may be made if a person is found to have:

  • Slowing of motion and
  • Tremor when resting, or muscle rigidity
  • A significant improvement in symptoms when taking a medication to treat PD
  • Initial symptoms on 1 side of the body only

how our senior physiotherapists can help

Because PD affects each person differently, we will partner with you to manage your specific situation—now and as your condition changes.

You are not alone!

Following a diagnosis of PD, our senior physiotherapists will conduct a comprehensive evaluation, including tests to examine your

  • posture
  • strength
  • flexibility
  • walking
  • endurance
  • balance
  • coordination
  • attention with movement

Based on your test results, we will develop an individualized treatment plan to help you stay as active and as independent as possible. Your Parkinson physiotherapy program will include exercises and techniques to combat the symptoms of PD.

Depending on the nature and severity of your condition, your treatment program may focus on activities and education to help you:

  • Improve your fitness level, strength, and flexibility
  • Develop more effective strategies to get in and out of bed, chairs, and cars
  • Turn over in bed more easily
  • Stand and turn to change directions more efficiently
  • Improve the smoothness and coordination of your walking
  • Improve your ability to perform hand movements
  • Decrease your risk of falling
  • Improve your ability to climb and descend stairs and curbs
  • Perform more than 1 task at a time more efficiently
  • Participate in activities that are important to you

Some of the medications designed to manage PD symptoms may have an immediate positive effect. For example, movement is typically much easier shortly after you begin taking certain PD medications.

We will know how to time treatments, exercise, and activity based on both the schedule and the effects of your medications to get the best results.

Parkinson’s disease can make daily activities seem frustrating and time-consuming. Our senior physiotherapists will become a partner with you and your family to help you combat and manage the symptoms of PD.

As your condition changes, your physiotherapy treatment program will be adjusted to help you be as independent and as active as possible.

Some people with PD benefit from using a cane or a walker. We can work with you to determine if any of these devices may be helpful to you.

If you need physical assistance to help you with moving in bed or getting out of a chair, we can team with you and your family to develop strategies to make moving easier and help prevent injury.

In addition, our senior physiotherapists and senior occupational therapists can make suggestions on changes to your home environment to optimize safe and efficient daily function at home.

If you need, we can also provide house call/home visit physiotherapy for your loved ones too.



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book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY &  SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility, and breathing. It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and shorten downtime. It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here