Physical and Occupational Therapy for Parkinson's Disease: Improving Quality of Life

Key Takeaways

  • Research shows that people with Parkinson's who participate in exercise programs 2-3 times weekly can improve walking speed by 7-18% and reduce fall risk by up to 70%.
  • Physical therapists focus on large-amplitude movements and voice exercises (LSVT BIG/LOUD protocols), while occupational therapists address fine motor skills like buttoning clothes and handwriting.
  • Therapy interventions work best when started early in the disease process—motor improvements decline significantly once patients reach Hoehn and Yahr stage 4-5.
  • Adaptive equipment recommendations include weighted utensils for tremor control, button hooks, zipper pulls, and shower chairs, with most covered by Medicare Part B when medically necessary.
  • Sessions typically involve 45-60 minutes of targeted exercises including balance training, dual-task activities, and freezing episode management techniques that patients must practice daily at home.

Parkinson's disease is a neurological condition that can cause a range of symptoms, including slow movement, tightness, pain, and weakness in the muscles and joints. While there is no cure for Parkinson's disease, physical and occupational therapy can be a critical factor in managing symptoms, improving movement, tremors, postural instability, and weakness in the muscles and joints.

The Role of Physical Therapy in Parkinson's Disease

Physical therapy focuses on improving movement, function, and relieving pain through exercises and techniques. A physical therapist can teach you exercises to strengthen and loosen muscles, many of which can be performed at home. Physical therapy can help with:

  • Balance problems

  • Lack of coordination

  • Fatigue

  • Pain

  • Gait

  • Immobility

  • Weakness

It's important to note that some physical therapists may apply diathermy, a form of heat therapy, which could be dangerous for patients with deep brain stimulators.

Accessing Physical Therapy Services

Many hospitals offer outpatient physical therapy services, but you may need a doctor's referral. If you feel you can benefit from physical therapy, don't hesitate to ask your doctor for a referral. Most treatments can be completed in one to three office visits, with the first appointment focusing on evaluation and exercise recommendations.

Physical and Occupational Therapy for Parkinson's Disease: Improving Quality of Life

Additional Services Provided by Physical Therapy

In addition to exercises and techniques, physical therapists can provide recommendations for therapy at home, outpatient facilities, or nursing and rehabilitation facilities. They can also perform work capacity evaluations to support disability claims based on physical performance.

The Role of Occupational Therapy in Parkinson's Disease

Occupational therapy helps people with Parkinson's disease stay active in daily life by improving skills, providing alternative methods for completing tasks, and introducing helpful equipment. An occupational therapist may also recommend changes to your home or workplace to promote independence.

Areas of Focus in Occupational Therapy

  • Arm and hand therapy

  • Handwriting aids

  • Home modification information

  • Driver evaluation and vehicle modification information

  • Cooking and homemaking adaptations

  • Eating and dinnerware adaptations

  • Energy conservation techniques

  • Computer modifications

  • Workplace or work equipment modifications

  • Leisure skill development

  • Manual or electric wheelchair use

  • Bathtub and toilet equipment use

  • Dressing and grooming aids

Accessing Occupational Therapy Services

Like physical therapy, many hospitals offer outpatient occupational therapy services, and you may need a doctor's referral. The number of sessions varies for each person, with the first appointment focusing on evaluation and recommendations, and subsequent appointments monitoring progress and reviewing or expanding the program.

In conclusion, physical and occupational therapy can play a crucial role in managing symptoms, improving movement, and enhancing daily living for people with Parkinson's disease. If you or a loved one has been diagnosed with Parkinson's disease, consider talking to your doctor about a referral to a physical therapist or occupational therapist to help maintain independence and improve quality of life. For more information on Parkinson's disease and available resources, visit the Parkinson's Foundation website.

The Bottom Line

Both therapies are most effective when started early and combined with consistent home practice, potentially slowing functional decline for several years. Medicare typically covers 20-30 sessions per year when prescribed by a physician. If you're experiencing movement difficulties or daily task challenges with Parkinson's, Doctronic can help connect you with appropriate therapy referrals.

Related Articles

Does Mounjaro Affect Fertility?

Understanding Mounjaro and Its UsesMounjaro is a prescription medication commonly prescribed for managing type 2 diabetes. It belongs to a class of drugs that help regulate [...]

Read More