Parkinson’s Treatment in Dwarka Vikaspuri Uttam Nagar
If you are searching for Parkinson’s Treatment in Dwarka Vikaspuri Uttam Nagar
, then your search is over here. First, we have to know what Parkinson’s is.
Do you know!
After every 9 minutes somebody is diagnosed with Parkinson’s disease, here is a short piece of information to help create awareness about this chronic neurological condition
Parkinson’s disease
Due to the death of the nerve cells in the Substantia Nigra, bodily movements are affected since these cells produce the neurotransmitter dopamine, which transmits signals between the brain and the body to ensure smooth functioning. This causes a disease known as Parkinson’s disease.
Parkinson’s disease is characterized by tumors at rest, rigidity and slowness or difficulty in initiating and executing movements, this is collectively known as Parkinsonism.
Parkinsonism is a syndrome with numerous causes, one of the most common of which is Parkinson’s disease.
RISK FACTORS-
• Advancing age
• Sex
• Family history
• Low oestrogen level
• Agricultural work
• Low level of vitamins
• Head trauma
• Genetic mutation
SECONDARY PARKINSON’S-
Parkinson’s caused by other factors such as neoplasm, multiple cerebral infarction and brain infection. Also sometimes it is drug-induced which is irreversible.
SIGNS AND SYMPTOMS-
Four Cardinal Signs
• Resting tremor
• Rigidity
• Akinesia-
• Bradykinesia
• Hypokinesia
• Hypophonia
• Micrographia
• Postural instability
• Stooped posture
• Cog-wheel appearance
• Disequilibrium
• Retropulsion
• Propulsion
• Sleep disturbances
• Frequent awakening
• Daytime sleeping
• Sensory impairment
• Pain
• Restlessness
• Akathisia
• Dysautonomia
• Sweats
• Fascial flushing
• Dyspnea
• Gastro-intestinal dysfunction
• Dysphagia
• Sexual dysfunction
• Orthostatic hypotension
• Cognitive and Psychiatric disturbances
• Anxiety
• Apathy
• Depression
• Psychosis
• Irritability
MANAGEMENT-
Parkinson’s disease a condition having no permanent cure, but the symptoms can be managed effectively by Medications and Physiotherapy.
1. Medical Management
• Drugs that act as neurotransmitter replacement such as 1-dopa, carbidopa with 1-dopa
• Anticholinergic drugs namely trihexyphenidyl, benztropine mesylate, procyclidrin
• Receptor agonists such as amantadine, bromociptine and pergolide mesylate
• Some other drugs like selegiline are also effective
2. Surgical Management
• Thalamotomy
• Pallidotomy
• Deep brain stimulations have shown good results
• Also striatal grafting of dopaminergic fetal tissue is effective
3. Physiotherapy Management
• Relaxation techniques
• Mat activities
• ROM exercises and stretches to prevent the build-up of contractures
• Back exercises and pelvic tilting
• Exercises to maintain posture
• Functional activities
• Reciprocal training
• PNF, NDT, and biofeedback for facilitation
• Balance exercises
• Progressive gait training
• Frenkel’s exercises
• Family education and home exercise module
ADVICES-
• The patient must use a firm bed to support his back and spine.
• There should be regular monitoring of orthostatic hypotension.
• Patient should be given frequent low protein meals.
• Vital capacity must be checked upon.
• Bowel and bladder evaluation based programs through urodynamic studies to ease the patient.
• To reduce blinking, artificial tears can be induced.
• To limit excessive drooling anticholinergics can be used.
• Also medicines should be given prior to meals.
We at Dr. Nasir Physiotherapy & Rehabilitation (DNPR) have Highly experienced Paediatric Physiotherapists and Neuro Physiotherapists for Parkinson’s Treatment in Dwarka Vikaspuri Uttam Nagar.
We provide Physiotherapy, Occupational Therapy, Speech Therapy and Special Education to children with our highly qualified and experienced team. in the area of VIKASPURI Najafgarh, Vikas Nagar Uttam Nagar, Janakpuri Dwarka
Physiotherapy at the home facility is also available.
