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Welcome to Neo Physio, we start today with a humble beginning, but our experience provides you with fast and effective relief for all musculoskeletal, Neuromuscular, Pediatric, and cardiothoracic pain.

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Parkinson’s Disease

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Parkinson’s Disease


  • Parkinson‚Äôs Disease is ¬†a progressive ¬†disorder ¬†of ¬†the ¬†central nervous system along with symptoms of motor and non motor
  • The affected motor symptoms are rigidity, brady kinesia, tremor and postural
  • The non motor symptoms are loss of sense of smell, constipation, rapid eye movements,¬† ¬†sleep¬† ¬†disorders,¬† ¬†mood¬† ¬†disorders,¬† ¬†orthostatic hypertension are in early stages of Parkinson‚Äôs Disease.
  • The Parkinson‚Äôs Disease is 1st described by James Parkinson in 1817 he named the condition as ‚Äėshaking palsy‚Äô.
  • The term parkinsonism is used to describe a group of disorders with primary disturbance in the dopamine system of basal


  • Annual incidence ‚Äď 20 persons affected in 100000
  • Sex incidence ‚Äď male affected more then female
  • Age of onset ‚Äď the disease affects in above 50


The Parkinson’s Disease divided into

  • Primary Parkinson‚Äôs Disease
  • Secondary Parkinson‚Äôs Disease
  • The causes of primary Parkinson‚Äôs Disease is unknown. Its come from idiopathic More then 70% of cases will affected by the primary Parkinson‚Äôs Disease.
  • Secondary Parkinson‚Äôs Disease will be occurred by various causes includes virus, toxin, drugs.

Clinical features

  • The tremor will be present in the early 1stits started from hands then its spread into all the four limbs.
  • Rigidity
  • Cogwheel rigidity Lead pipe rigidity
  • The patient thumb will move forward and backwards during rest time its disappear during
  • Brady kinesia – slowness of movement
  • Akinesia ‚Äď loss of spontaneous
  • The gait becomes shuffling and festinant
  • Kyphosis with head leans forward
  • Stooped posture
  • Mainly the flexor muscles are shortened
  • Mask like face, the facial expressions are loss
  • Hand writing reduces in size
  • Dysarthria (slurred speech)
  • Dysphagia (swallowing difficulties)
  • Sialorrhea (excessive increase of saliva)
  • Eye movements may be affected
  • Depression occurs about 50% of cases
  • anxity


The diagnosis of Parkinson’s Disease in early stage is difficult

  1. SPECT(Single photon emission tomography)
  2. PET(positron emission tomography) it should be conform the disease
  3. Hoehn-yahn classification of disability scale
  4. Unified Parkinson’s Disease rating scale

Special test

  • Romberg test
  • Multi directional reach test these test for asses the static balance.


Medical management

  1. Levadopa,carbidopa
  2. Dopamine agonist
  3. Monoamine oxidase B inhibitors
  4. Anti cholinergics
  5. Amantidine
  6. Deep brain stimulation

Physical Therapy management by Neo Physio

  • Relaxation exercise- relaxation of excessive tension of muscle
  • Flexibility exercises ‚Äď increasing range of motion
  • Mobility exercise- to improve functional activity
  • Balance exercise
  • Resistance exercise ‚Äď to strengthening the muscle
  • Co ordination exercise
  • Gait training
  • Breathing exercise
  • Aerobic exercise
  • Home exercises
  • Physiotherapy for parkinson’s in Coimbatore can be treated at home at your comfort by Neo Physio

Nutritional Management

The parkinson’s disease affected patients are generally advice to follow a high calories low protein diet.

Written By - Niranjan Eganthar PT

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Welcome to Neo Physio, we start today with a humble beginning, but our experience provides you with fast and effective relief for all musculoskeletal, Neuromuscular, Pediatric, and cardiothoracic pain.

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