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Title: | The role of the physiotherapist in quantifying movement fluctuations in Parkinson's disease. | Authors: | Churchyard A.;Iansek R. ;Morris M. | Institution: | (Morris) Geriatric Research Unit, Kingston Centre, Melbourne, Vic., Australia (Morris) School of Physiotherapy, La Trobe University (Iansek, Churchyard) Movement Disorders Program, Kingston Centre (Iansek) Department of Geriatric Neurology, Monash University (Morris) Geriatric Research Unit, Kingston Centre, Warrigal Rd, Cheltenham, Vic. 3192, Australia | Issue Date: | 20-Oct-2012 | Copyright year: | 1998 | Publisher: | Australian Physiotherapy Association (P.O. Box 437, Hawthorn BC VIC 3122, Australia) | Place of publication: | Australia | Publication information: | Australian Journal of Physiotherapy. 44 (2) (pp 105-107), 1998. Date of Publication: June 1998. | Abstract: | Although a variety of medications are used in the treatment of Parkinson's disease, all have short term effects. As a result, motor performance varies over time. A key role of the physiotherapist is to measure fluctuations in the severity of movement disorders in relation to the dose and timing of anti-Parkinsonian medication with a view to: (i) optimising motor performance; (ii) targeting therapeutic interventions for times of greatest need; and (iii) communicating findings to the interprofessional team. For an informed approach to the measurement of medication-induced motor fluctuations, clinicians require an understanding of the pathophysiology of Parkinson's disease, the mode of action of medications and the validity of existing methods used to quantify changes in performance resulting from pharmaceuticals and rehabilitation. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/S0004-9514(14)60370-6 | ISSN: | 0004-9514 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/33767 | Type: | Article | Subjects: | vertigo/si [Side Effect] visual disorder/si [Side Effect] vomiting/si [Side Effect] xerostomia/si [Side Effect] adamantane derivative/dt [Drug Therapy] amantadine/ae [Adverse Drug Reaction] amantadine/dt [Drug Therapy] apomorphine/ae [Adverse Drug Reaction] apomorphine/dt [Drug Therapy] benserazide plus levodopa/ae [Adverse Drug Reaction] benserazide plus levodopa/dt [Drug Therapy] benzatropine mesilate/ae [Adverse Drug Reaction] benzatropine mesilate/dt [Drug Therapy] biperiden/ae [Adverse Drug Reaction] biperiden/dt [Drug Therapy] bromocriptine/ae [Adverse Drug Reaction] bromocriptine/dt [Drug Therapy] bromocriptine mesilate/ae [Adverse Drug Reaction] bromocriptine mesilate/dt [Drug Therapy] cabergoline/ae [Adverse Drug Reaction] cabergoline/dt [Drug Therapy] carbidopa plus levodopa/ae [Adverse Drug Reaction] carbidopa plus levodopa/dt [Drug Therapy] cholinergic receptor blocking agent/dt [Drug Therapy] dopamine/cb [Drug Combination] dopamine/dt [Drug Therapy] dopamine receptor stimulating agent/dt [Drug Therapy] levodopa/dt [Drug Therapy] lisuride/ae [Adverse Drug Reaction] lisuride/dt [Drug Therapy] mesylic acid/ae [Adverse Drug Reaction] mesylic acid/dt [Drug Therapy] monoamine oxidase B inhibitor/dt [Drug Therapy] orphenadrine/ae [Adverse Drug Reaction] orphenadrine/dt [Drug Therapy] pergolide/ae [Adverse Drug Reaction] pergolide/dt [Drug Therapy] procyclidine/ae [Adverse Drug Reaction] procyclidine/dt [Drug Therapy] selegiline/ae [Adverse Drug Reaction] selegiline/dt [Drug Therapy] trihexyphenidyl/ae [Adverse Drug Reaction] trihexyphenidyl/dt [Drug Therapy] physical capacity ankle edema/si [Side Effect] article cognitive defect/si [Side Effect] confusion/si [Side Effect] drug monitoring hallucination/si [Side Effect] human *motor dysfunction motor performance nausea/si [Side Effect] orthostatic hypotension/si [Side Effect] paranoia/si [Side Effect] *Parkinson disease/dt [Drug Therapy] pathophysiology physiotherapist *parkinson disease / *drug therapy pathophysiology physical capacity physiotherapist vertigo / side effect visual disorder / side effect vomiting / side effect xerostomia / side effect drug monitoring cognitive defect / side effect article ankle edema / side effect confusion / side effect hallucination / side effect human *motor dysfunction motor performance nausea / side effect orthostatic hypotension / side effect paranoia / side effect |
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