Bursting Out of Parkinsonian Bradykinesia and Postural Abnormalities

Credit

Handouts/Brochure

Speaker

Benjamin J. White, PT, DPT, MBA, C/NDT, LSVT BIG Related seminars and products

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Benjamin White, PT, DPT, MBA, C/NDT, LSVT BIG, is an expert in neurological rehabilitation and clinical leadership. He has experience in leadership within multiple clinical settings including home health, skilled nursing, outpatient, acute, and inpatient rehab. He is known for generating both employee and patient satisfaction as they move toward their desired goals. His expertise lies specifically in the following diagnoses: stroke, Parkinson’s, concussion, and vestibular rehabilitation.

Dr. White has a history of physical therapy in the state of Texas for over a decade. He has owned his own practice and worked within multiple healthcare settings. He now serves as the market director representing inpatient rehab in the state of Tennessee for HCA Healthcare.

Dr. White is an award-winning clinical instructor, a renowned national speaker, and has published numerous articles on the topics of neuroplasticity and stroke. He has a history of serving the Parkinsonian population in their homes and in the community assisting them to return to their own desired optimal function from an emotional and functional realm.

Speaker Disclosures:
Financial: Benjamin White receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Benjamin White has no relevant non-financial relationships.

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Objectives

1. Grasp the neuroanatomy behind bradykinesia and dyskinesia. 
2. Connect postural alignment with balance and speed of mobility. 
3. Demonstrate expertise in gait analysis and treatment within the Parkinsonian population. 

Outline

Varied forms of Parkinson’s Explored 

• Brief overview of Parkinson's disease (PD
• Key characteristics 
• Environmental factors 
• Role of biomarkers in subtypes of PD 
• Emerging Perspectives on Genetic Forms of Parkinson's Classification 
• Prevalence and impact 

Traditional Classification of Parkinson's Disease

• Idiopathic Parkinson's disease (iPD)
• Secondary Parkinsonism
• Atypical Parkinsonian disorders (APDs)

Subtypes Based on Clinical Presentation and Neuroimaging Techniques

• Tremor-dominant
• Non-tremor dominant
• Motor and non-motor symptoms variability

Bradykinesia / Dyskinesia 

• Understand clinical presentation and functional impact 
• Individualized treatment planning
• Tailored interventions for patient-specific symptoms.
• Consistent practice of therapeutic exercise
• Effectively balance repetition with endurance levels 
• Routine functional assessments
•  Treatment adjustments to accommodate adapting needs

Integrative and multidisciplinary care approach

• Collaborative efforts of the care team  
• Holistic care to address both motor and non-motor symptoms 

Patient Education and Empowerment

• Self-management strategies
• Participation in treatment decisions and lifestyle modifications.
• Reducing Fear of Fall (FoF)

Gait and Movement Analysis

• Identify gait performance as a key motor symptom in Parkinson’s Disorder
  • Elevated balance and fall risk concerns 
  • Impact on ADL’s and Quality of Life (QOL) 

Early Identification and Differential Diagnosis

• Assess gait performance for early identification
• Differentiate Parkinson's gait patterns from competing neurological conditions

Objective measurements of Parkinson’s gait parameters: 

• Stride length, Velocity, Amplitude, and Variability
• Freezing of gait
• Shuffling
• Foot drag
• Ataxia 

Postural Alignment and Case Scenarios 

• Objective tests and measures for:
  • LOB, Postural Sway, Weight Distribution

 Analyze essential posture markers: 

• Center of gravity (CoG)
• Center of pressure (CoP)
• Impaired proprioception/vision 

Evaluate posture in multiple positions: 

•  Sitting and Standing

 Interventions to reduce rounded & forward posture

•  Enhance Flexibility and ROM
• Physical and verbal cueing 

Create a stable base with positional changes: 

• LSVT BIG

Target Audience

• Athletic trainers
• Chiropractors
• Exercise Physiologists
• Occupational Therapists
• Occupational therapy assistants
• Physical Therapists
• Physical therapy assistants
• Strength and Conditioning Coaches
• Other Rehabilitation and Fitness Professionals