April 21, 2014 Jordon Schmucker Reynold English 106

Flaws with Physical Therapy The title of this article is Movement Disorders in People With Parkinson Disease: A Model for Physical Therapy. This article was written by Meg E Morris a professor of Physiotherapy. In this article it introduces how people that are diagnosed with PD or also known as Parkinson disease are force to rely on clinicians having four key things. The first one is up to date knowledge of the pathogenesis of movement disorders. The second is the ability to recognize common movement disorders in people with PD. Next they need the ability to implement a basic management plan according to a persons stage of disability. And finally problem solving skills that enable treatment plans to be tailored to individual needs. After having read and understood this article and how everything works with treatments from Physical Therapist for different diseases. In this article it is said that there is a model of physical therapy management for people with PD. The problem I find is that the model is based on contemporary knowledge of the movement disorders in basal ganglia disease. I understand the fact that there are a lot of similarities of these diseases and that it does help the patients, but I find it wrong that they use knowledge from one disease to treat another. I believe that for treating patients with a disease there treatments should be based on the patients specific disease, and the condition of the disease. Each and every patient deserves its own specific care to his or her disease. Parkinson disease is common among older people, affecting more than 1 in every 100 people over the age of 75 years and 1 in every 1,000 people over the age of 65 years. Its interesting that 10% of the United States is over the age of 65 making there somewhere around one million US citizens with PD. This disease is found more so in your older age it is very rare that you are diagnosed in your middle adult

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live somewhere around your 30s or 40s. Both basal ganglia and Parkinsons disease are motor movement disorders. In this article they explain how Physical Therapists would treat basal ganglia disease with a well research model for people with this disease. The part that I disagree with is yes how they use models for patients, I find that very wrong. I also find it wrong that they use that exact model to treat patients with Parkinsons disease. Yes I understand that these are both very similar diseases both being motor movement disorders, but at the same time they are different diseases for a reason so why would you treat them the same? The job of the Physical Therapist is to help their patients learn to cope with motor movement disabilities, but every patient may be more serious than others so once again a model wont work if every patient is different. For an example some patients with PD may just have weaker muscles but still be able to function fine, as were some others with PD may not be able to walk, or even talk. So what are you going to do teach people who can still walk how to live with not being able to walk? That would be a waste of time it would be pointless give that they are able to walk. If they are able to walk you should try to keep them walking. It is true that over time the disease will continue to get worse at a very slow rate but rather than have them learn to live with not doing things like walk and talk, why not have a model to help them exercise to slow the process down even more. So that maybe they can continue to research the disease and find a way to reverse it so that maybe that individual person that you are treating wont have to experience not walking or not talking. Yes I agree that the model is doing good for the patients by helping them live with it by why not help the patients to prevent or slow the process of these diseases? I also agree that a Physical Therapist is very limited to what they can do to help in a situation such as this but with more research and time you can make the

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process slower and less painful. Working in the medical field is a very difficult thing to do, but if thats what you do, you have to do everything in your power to help the patients not just follow a model. This article explains how they came up with a model for Physical Therapists to help patients with PD live with movement disorders, such as not being able to walk or even talk at that matter. Rather than doing what needs to be done for each individual patient we find the easy way out like always by making a model. Im not trying to say the model is a bad thing at all, Im sure a lot of good comes from it but rather just following a model and not actually caring for the patient we should not have a set model everything should be based upon what that one patient may need and care for them to make sure they get what is needed. Dont take the easy way out and do whats right.

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Works Cited Movement Disorders in People With Parkinson Disease: A Model for Physical Therapy. Meg E Morris. June 2000, Print. Research Report. David M. Walton, Lenerdene Levesque, Martin Payne, and Julie Schick PHYS THER published ahead of print February 20, 2014, print. Jill C. Heathcock, Catie Christensen, Karah Bush, Marisa Butler, Jeffrey J. Buehner, and D. Michele Basso PHYS THER published ahead of print April 17, 2014, print. Shoenberg BS. Epidemiology of movement disorders. In: Marsden CD, Fahn S, eds. Movement Disorders. London, England: Butterworth;1987 :1732. Print.