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.
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
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
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.
Nonmotor symptoms of PD, such as a
- 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:
Nonmotor symptoms might include:
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:
Because PD affects each person differently, we will partner with you to manage your specific situation—now and as your condition changes.
Following a diagnosis of PD, our senior physiotherapists will conduct a comprehensive evaluation, including tests to examine your
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:
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.