Symptoms of Parkinson's Disease
begins with a resting "pill rolling" tremor of one hand, cardinal signs include: tremor, rigidity, resistance to passive motion that is not velocity dependent (cogwheel or lead pipe), akinesia, postural istability, festinating gait, falling backwards (retropulsion) or fowards (propulsion) mask face, micrographia
There are side effects due to medication such as hallicinations, a drop in blood pressure when standing (orthostatic hypotension), and nausea
Treatment OT perspective
Occupational therapy can help people with Parkinson's disease stay active in daily life. By improving pt. ADLs, showing pt. different ways to complete tasks, or introducing pt. to assistive devices. May also recommend home or work modifications.
Treatment Medical Management
Surgical interventions and medications (Levodopa, sinemet, dopamine agonists, anticholinergics for rigidity and tremors, and dopamine releasers