Balance Dysfunction in Parkinsons Disease: Basic Mechanisms to Clinical Management

People with Parkinson's disease (PD) suffer from progressive impairment in their mobility. Balance dysfunction underlies gait-related disability and falls, the most important cause of physical and psychosocial disability. The recognition and evaluation of balance dysfunction by the clinician are an essential component of managing PD. Too often, balance is an overlooked component of gait disturbances in PD and turning is almost never measured in clinical settings. Few non-specialists appreciate the complexity of neural control of balance, based on the last 30 years of research. Patients with Parkinson's disease are a good model for understanding what can go wrong with neural control of balance because every balance system is affected. In Balance Dysfunction in Parkinson's disease, the authors characterize: 1) a useful framework for understanding balance dysfunction in PD to help clinicians evaluate they types of balance control affected in their patients, 2) dynamic balance dysfunction during turning in PD, and 3) the effects of medication, deep brain stimulation, and rehabilitation intervention on balance control in PD. This book is the first to review the four main postural control systems and how they are affected by PD: (1) balance during quiet stance, (2) reactive postural adjustments to external perturbations, (3) anticipatory postural adjustments in preparation for voluntary movements, and (4) dynamic balance control during walking and turning. They authors also summarize the effects of levodopa, deep brain stimulation, and rehabilitation intervention for each balance domain. This book is recommended for anyone interested in how and why balance control is affected by PD and effects of current therapies on balance, including clinicians, neurologists (especially movement disorders specialists), physical therapists, students, translational neuroscientists and clinical researchers. First comprehensive review of research to date on balance dysfunctions in PDDiscusses translating current neuroscience research to practice on neural control of balanceProvides evidence on the effects of current interventions on balance control INDICE: 1. How is Balance Controlled by the Nervous System? 2. Why is Balance so Important in Parkinson's Disease? 3. How is Balance during Quiet Stance Affected by PD? 4. How are Postural Responses to External Perturbations Affected by PD? 5. How are Anticipatory Postural Adjustments in Preparation for Voluntary Movements Affected by PD? 6. How is Dynamic Balance During Walking Affected by PD? 7. How and Why Is Turning Affected By PD? 8. Is Freezing of Gait a Balance Disorder? 9. How Should the Clinician Approach Imbalance in PD? 10. Future Perspectives on Balance Disorders in PD

• ISBN: 978-0-12-813874-8
• Editorial: Academic Press
• Encuadernacion: Rústica
• Páginas: 250
• Fecha Publicación: 01/09/2019
• Nº Volúmenes: 1
• Idioma: Inglés