Parkinson's Focus Today: Questions About Parkinson's Disease

Wednesday, March 11, 2009

Questions About Parkinson's Disease - part IV

Below is a summary chart of the new Movement Disorder Society revision of the Unified Parkinson's Disease Scale (UPDRS)

MDS-UPDRS Table

Part I Non-Motor Aspects of Daily Living	Part II Motor Experiences of Daily Living	Part III Motor Examination Entire Body	Part IV Motor Complications: Dyskinesias and Fluctuations
Cognitive impairment	Speech	Speech	Time spent with dyskinesias (involuntray movement)
Hallucinations and psychosis	Saliva and Swallowing	Facial expression	functional impact of dyskinesias
Depressed mood	Eating tasks	Rigidity	painful off-state dystonia (levadopa decrement)
Anxious Mood	Dressing	Hand Movements	Motor fluctuations in off-state
Apathy	Hygiene	Rapid alternating movements of hands (pronation-supination)	Functional impact of motor fluctuations
Features of dopamine dysregulation	Handwriting	Toe tapping	Complexity of motor fluctuations
Sleep problems	Performing hobbies and other activities	leg agility	-
Daytime sleepiness	Turning in bed	Rising from a chair	-
Pain & other sensations	Tremor impact on activities	Gait	-
Urinary problems	Getting in and out of bed	Freezing of gait	-
Constipation problems	Walking and balancing	Posture	-
Lightheadedness on standing	Freezing	Global spontaniety of movement (body bradykinesia)	-
Fatigue	-	Postural hand tremor	-
-	-	Kinetic hand tremor	-
-	-	Rest tremor amplitude	-
-	-	Constancy of rest tremor	-

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EXERCISE REGULARLY to OFFSET PD SYMPTOMS and TO FEEL BETTER

Don't be afraid to try the exercises you find in the margin or articles. Check indices for specifics.
Begin with ones which you feel are possible. If you have space or flexibility issues, try another.
These exercises are for symptoms you might have now or develop.
For PD you need to repeat exercises regularly because the disease continues to work against improvements.
And what if they help you to breathe better? To sleep better, to swallow safely? To find ways to maintain your balance? To button your shirt?
What if...Those endorphins are waiting for release.

TURN UP THE VOLUME

An exercise to add adding volume when speaking:

Place your hand on your diaphragm- the stomach area-when reading aloud-that way you can feel what is or is not occurring.

Feel the in-out movement as you breathe? This tells you that you are projecting your voice using your diaphragm, propelling the air from your lungs, rather than speaking from the "top" of your chest..

Little or no movement tells you that you are using your breath alone and not the muscles which propel that air from your lungs. You may not have to speak to the back of the hall, but you might need to speak across a room or even across the table. And don't you hate being asked to repeat yourself?

* * * * * * Smiles * * * * * *

Some people are working backstage, some are playing in the orchestra, some are on stage singing, some are in the audience as critics and some are there to applaud.

Know who, when and where you are.

It's not always going to be the same...Anon

"When we honestly ask ourselves which person in our lives means the most us, we often find that it is those who, instead of giving much advise, solutions, or cures, have chosen rather to share our pain and touch our wounds with a gentle and tender hand"

".....every time there are losses there are choices to be made. You choose to live your losses as passages to anger, blame, hatred, depression and resentment, or you choose to let these losses be passages to something new, something wider, and deeper" Henri Nouwen

"The human race has only one really effective weapon and that is laughter." Mark Twain

"Pessimist: One who, when he has the choice of two evils, chooses both." Oscar Wilde

"Be the change you want to see in the world." ..."God has no religion" Mahatma Gandhi

"Every artist was first an amateur." Ralph Waldo Emerson

"There is no reason anyone would want a computer in their home." -- Ken Olson, president, chairman and founder of Digital Equipment Corp.,1977

"64K ought to be enough memory for anybody." -- Bill Gates, 1981

"The longer we dwell on our misfortunes the greater is their power to harm us" Voltaire

"We don't stop playing because we grow old; we grow old because we stop playing." George Bernard Shaw

"Now, here, you see, it takes all the running you can do, to stay in the same place. If you want to get somewhere else, you must run at least twice as fast as that!"

" It's a poor sort of memory that only works backwards."

"She generally gave herself very good advice, (though she very seldom followed it)" Lewis Carroll

"If a man does not keep pace with his companions, perhaps it is because he hears a different drummer. Let him step to the music which he hears, however measured or far away." Henry David Thoreau

"Experience is not what happens to you. It is what you do with what happens to you." Aldous Huxley

"The most wasted of all days is one without laughter." - E.E. Cummings

"Old age ain't no place for sissies." Bette Davis

"Nobody can make you feel inferior without your permission." Eleanor Roosevelt

"If a woman has to choose between catching a fly ball and saving an infant's life, she will choose to save the infant's life without even considering if there is a man on base." --Dave Barry

"Do not confuse motion and progress. A rocking horse keeps moving but does not make any progress." Albert A. Montapert

"When a doctor recommends you take a test or have some surgery, ask whether the doctor would suggest that his or her spouse or children go through such a procedure. Contrary to popular belief, doctors can't cure everyone. So why cause unnecessary pain with surgery? I think music and animal therapy can help more than most doctors imagine" Shigeaki Hinohara, 97 year old practicing physician at St Lukes International Hospital in Tokyo and teacher at St Luke's College of Nursing.

Please note:

The information and/or reference materials contained herein are intended solely to provide background information. Although there may be medical information, this site specifically does not provide medical advice nor engage in the practice of medicine. Under no circumstance will we recommend a particular treatment for specific individuals. In all cases for medical advice about the conditions, symptoms, exercises, treatment, medications, supplements mentioned herein, a physician should always be consulted.

The purpose of this site is to provide information from the personal viewpoint of a Parkinson's disease patient and his caregiver.

Articles published here are the property of Parkinson's Focus Today

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Wednesday, March 11, 2009

Questions About Parkinson's Disease - part IV

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