Parkinson’s Disease

History: M.P. is a 70 year old female who came to The Center for Balance for balance deficits as a result of Parkinson’s disease. Patient initial diagnosis of Parkinson’s disease was 7 years ago. Patient is retired and enjoys general activities around the house and yard, singing, and going to dinner. Patient complains of difficulty with balance during all upright activities; walking, turning, reaching. Patient states she has trouble controlling her legs and trunk, “they do not want to move, I get stuck”. Patient also states she has had a history of falling due to her symptoms. Patient complains of dizziness 4-5/10 (10 being severe dizziness, 0 being no dizziness), fear of falling 5/10 (10 being a high fear of falling, 0 no fear of falling). Patient complains of dizziness, “as a fuzzy feeling, my head and legs do not know what they are doing”.

Treatment: Patient underwent an individualized functional vestibular and balance training program including vestibular adaptation exercises, functional static and dynamic balance exercises, fall prevention program, and patient education. Patient also performed movement initiation and awareness exercises through our Tai Chi functional exercise program.

Results: Upon discharge from physical therapy, patient was experiencing no dizziness or fear of falling during activities of daily living. Patient balance scores were normal.  Patient was discharged from therapy with instructions to continue her home exercise program and to augment treatment with exercising (water aerobics, senior exercise program, general fitness activities.