Treatment of the severe rigidity in the morning by Parkinson

Van de Rakt, Jan and Mccarthy-Grunwald, Steven ORCID: https://orcid.org/0000-0003-4873-5068 (2024) Treatment of the severe rigidity in the morning by Parkinson. Journal of General Medicine and Clinical Practice, 7 (16).

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Abstract

Background/ Aim: Treatment of people with Parkinson will be continued through the whole life of this person. All away until the last phase often in a Nursing home and often is he/she dependent of an wheelchair /bed. The part of the disease in the beginning is well documented and the number of treatments are enormous and of an great high degree, but this degenerative disease will change the possibilities dramatic and then is treatment an lot more difficult and thus also the results are often minimal. This phase asked for our attention, intervention and measurements to develop a treatment with an evident base.

Design: The approach done by people with dementia that are in the Foetal attitude was the start that our attention also goes to people with Parkinson in the last phase. Because the amount of stiffness was so height that the resemblance was great with paratonia. Paratonia is an pathological neurological tone increase that can lead to an attitude that is hardly to change and people where often cognitive total absent. Elements of this “picture’ say we also by people with the last phase of Parkinson and often in morning and measurements of the tone give us the clarity that also there was an high pathological neurological tone.

Result: The intervention though pressure on the feet by hard pillows and/or orthosis gave an reaction of “pushing away” and that is an movement. Movements does not possible when the tone was so high especially in the morning. Then this tone was around Mas-P = 4 but through this “stimulation” movements, this tone decreases almost 2 levels to Mas-P= 2. This tone decrease makes the whole morning ADL with the transfers and eating better possible and give the quality of live an positive kick.

Discussion and conclusion: The treatment possibilities for people at the end of the disease of Parkinson are limited but there are possibilities. This article about the reaction of hard pillows and/or orthosis with the investigation of the reaction though tone measurements should be an start for further good research how we can hold the quality of life as high as possible.

Item Type:	Article
Journal / Publication Title:	Journal of General Medicine and Clinical Practice
Publisher:	Auctores Publishing
ISSN:	2639-4162
Departments:	Institute of Health > Nursing
Additional Information:	This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Depositing User:	Anna Lupton
Date Deposited:	03 Oct 2024 09:04
Last Modified:	03 Oct 2024 09:15
URI:	https://insight.cumbria.ac.uk/id/eprint/8430

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