Parkinson's The Fife story Physiotherapy

Physiotherapy services West ICASS (Community) Whitefield Day Hospital East Acute

Guidelines Published 2014 available from http://www.parkinsonnet.info/euguideline Referral and treatment approached linked to stage of Parkinson's Early referral is important (NICE 2017) Downloadable information can support in self management

Physiotherapy input Detailed assessment including outcome measures Tailor intervention to stage, physical impairments and personal goals Ensure do not offer interventions with no or limited effectiveness Communicate with MD team Support to non PT specific exercise – Dance, Tai Chi, general exercise etc

Parkinson's UK audit Regular audit – happening again in 2017 Figures collated and allow benchmarking against national outcomes PREM available Action plan template provided

Exercise and activity Establishing early exercise habits is an essential part of overall disease management People with Parkinson's who exercise a minimum of 2.5 hours a week experience a slowed decline in quality of life. Exercise can improve gait, balance, tremor, flexibility, grip strength and motor coordination It may also provide neuro-protective benefits (research ongoing)

Exercise and activity Physical activity is vital Specific regimes: Walking / Cycling Yoga, Tai Chi, Pilates Dance Swimming Specific regimes: Keep moving (to be replaced by Autumn 2017) PD Warrior Focus on rotational movement and posture plus strength and balance

Walking: Freezing and Cueing Physiotherapists can advise around the best way to manage freezing and other walking problems Auditory Visual Cognitive Advice about walking aids

‘Something is better than nothing!’ Finally What ever stage you are in your journey with Parkinsons…. ‘Something is better than nothing!’