Regarding the four main symptoms of Parkinson’s, Mehrdad Bahramian added: “Slow movement is one of the symptoms of this disease and these patients do all their movements slowly so that the onset of movement is very slow and boring and then the patient loses control of his movements.” And becomes unbalanced.
The physiotherapist said that seizures are another symptom of Parkinson’s disease, adding that the hands and feet and in some cases the head of these patients experience tremors at rest in the early stages of the disease, which disappear with movement or attempt to move. But with the progression of the disease in the active state, there is concussion.
Bahramian mentioned the stiffness of the limbs as another symptom of this disease and continued: The stiffness of the limbs is due to the increase in muscle tone in these patients; This stiffness and resistance is present in the whole range of motion and causes premature fatigue in these patients.
He added: “One of the serious problems of these patients that causes a lot of falls is this imbalance.” The patient is unable to maintain his balance and his balance is disturbed by the slightest sudden movement.
The physiotherapist added: “Parkinson’s patients take short steps, their body is bent forward, their movements are slow at first, but then they become faster.” They have a fixed and staring look. Their facial expressions do not reflect their feelings. Their speech is slow and with a monotonous melody. Excessive sweating, increased saliva and decreased blood pressure.
Bahramian said: “For these patients, drug combinations that contain dopamine and antidepressants and anti-diarrhea drugs are prescribed.”
Regarding the rehabilitation of Parkinson’s patients, he said: “Physiotherapy is used in these patients in stages 2 to 4, and in stage 5, first the symptoms should be reduced with the help of brain stimulation and medication, then rehabilitation should be started.” Rehabilitation of these patients is very important and is very important in reducing their symptoms and increasing their independence.
The physiotherapist said: “In the rehabilitation of these patients, muscle strengthening is done in groups, gait is improved, balance is improved and attention is increased while moving.” Various exercise therapy techniques are used to strengthen the muscles of the arms and legs.
Bahramian said: “In these patients, rotating the trunk relative to the limbs and vice versa can be beneficial, for which a coppersmith wheel can be used.” The patient stands on this plate and tries to hold the trunk steady and turn the legs to the sides by taking two rods.
He added: “Patients who are not able to stand can do these movements while sitting.” By raising the arms and turning them to the sides or bringing the left hand to the right foot, and vice versa, and to correct the patient’s gait, he should follow the physiotherapist’s instructions without looking at the legs and try to correct his gait.
The physiotherapist said: “Practicing walking on foot is also very helpful, which is why we ask the patient to take a bar to maintain balance, then put the heel forward and then put the toe back and repeat this movement several times.
Bahramian pointed out: Parkinson’s patients must walk 30 to 40 minutes a day outdoors. Also, these patients must move their joints in full range several times a day.