PARKINSONS & PARKINSONISM-MANAGEMENT (POSTURAL INSTABILITY)

SUMMARY

1. Reminding patients to extend hips whilst standing: offsetting forward trunk flexion.

2. Relaxation techniques, including shoulder-girdle exercises with a broom-stick handle or pulley.

3. Back flexion & extension exercises: to improve balance & posture in sitting & standing.

4. Pelvic-tilt exercises: to maintain postural alignment.

5. Quadriceps & hip extensor strengthening: to assist in climbing stairs & arising from sitting position.

6. Passive & active-assisted stretching exercises: for rigidity and bradykinesia.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].