1. Parkinson's The Fife story
Physiotherapy

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

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

4. 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

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

6. 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)

7. 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

8. 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

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