This is this month’s article from the journal club I facilitate.
Tid bits I picked up:
— “Hypokinesia” is the term to describe the small amplitude of PD related movement where “bradykinesia” is the term to describe the slow speed of PD related movement
— People with PD exhibit these characteristics unless compelled to not do so either from internal or external cueing.
— They used MRI to look at the increased muscle volume, but had to exclude the participants that were tremor predominant from this portion of the study because they would be able to get good MRI scans due to the tremors. Had never thought about tremors affecting imaging.
— Results: A combo of any kind of exercise and meds are best practice to treat PD symptoms.
— Exercise improves measures of disease severity and mobility; however, does not improve participation. I wonder what the missing link here is? If their symptoms are better, why don’t the people feel they can more fully participate in social activities?
— And in talking with nursing, we decided that the usual schedule of PD meds at our hospital is not optimal for their treatment with exercise. Will be taking this up with admin to see if we can move the med time a bit to better coincide with therapy treatment schedules.