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When do I need to see a physical therapist?

Friday May 24, 2013

Chances are you will benefit from a physical therapy (PT) evaluation and treatment if you have movement symptoms associated with Parkinson’s disease or other brain condition. However PT does more than simply treat movement symptoms. The objectives of PT vary with individual needs but do include these general goals:

  • Evaluate movement problems and recommend therapy early in disease before problems and bad habits occur
  • Reduce symptoms of disease associated with imbalance, rigidity, slowness, involuntary movements
  • Reduce or delay symptoms of disease progression through targeted exercise such as balance and falls
  • Optimize independence
  • Optimize your home exercise program with a focus on general health, stamina, disease symptoms and long-term compliance
  • Evaluate and recommend specific braces, orthotics, and ambulatory assist devices such as canes and walkers
  • Improve safety, enhance confidence and reduce fear of activity such as fear of falling
  • Neuro re-education designed to combat the abnormal movement associated with physiologic brain changes of disease, programs such as ‘Big and Loud’
  • Promote neuroplasticity or enhanced brain activity through movement
  • Promote healthy lifestyle changes to improve activity levels, quality of life and well-being both now and long-term

Don’t wait.

What is most important is that you advocate for yourself and take a proactive stance by seeking out a therapist even before you have problems. Most people wait until symptoms are significant or cause serious problems such as falls, pain or joint disease.
Advocate for your care.
Ask your doctor of healthcare provider if you can have a referral to a rehabilitation specialist.
Use this checklist to see how rehabilitation and other specialists can be of help to you and as a guide for discussion with your doctor or therapist.
Download and complete your Comprehensive-Care-Worksheet.

Monique L. Giroux, MDMonique L. Giroux, MD
Medical Director, Northwest Parkinson's Foundation

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