Although there is no cure for Parkinson’s, rehabilitation services can help people manage their symptoms and maintain their quality of life. “Our goals are to improve a patient’s ability to function at all stages of the disease, maximizing muscle strength, flexibility and range of movement,” says Marjorie Johnson, a speech pathologist with Struthers Parkinson’s Center.

“We want patients to stay safe, independent and live well with Parkinson’s disease for as long as possible.” As the disease progresses, Parkinson’s can affect every system of the body. Specialized care from rehabilitation therapists can be a benefit at all stages of the condition.

Early stages
During the early stages of Parkinson’s, physical changes are subtle and may affect only one side of the body. Patients typically slow down physically and experience a gradual loss of flexibility, manual dexterity and muscle conditioning.

“During these early years, our goals are to help people keep their body strong, conserve energy and maintain their range of motion and posture. We also help patients develop self awareness and learn to use cues,” Johnson says.

Some people may benefit from working with a speech pathologist, who can help with voice monitoring, voice care and strategies to keep memory and thinking skills sharp. “Staying healthy and ahead of the game are the most important things people can do during this time,” Johnson adds.

Middle stages
During the middle stages, symptoms of Parkinson’s can vary greatly. Taking medications on time can prevent symptoms from fluctuating throughout the day. Many people tend to experience greater difficulties with speech and communication, and often have difficulty expressing thoughts. A speech pathologist may work with patients to increase voice strength and flexibility, and help them articulate more slowly and clearly.

People may experience changes in walking, balance and visual perception. Johnson recommends people work with a physical therapist on walking patterns and balance, especially if they experience freezing and falling. Those with perception difficulties may benefit from marking doorways or stairs, strategies which can be taught by an occupational therapist. Some may want to begin using assistive devices, such as a cane or walker.

Advanced stages
As people enter more advanced stages of Parkinson’s, they will need additional help from rehabilitation specialists to maintain their ability to function and learn to compensate for lost abilities. Flexibility and mobility tend to become more limited, and pain and discomfort may increase. The role of the caregiver is increasingly important. “At this stage, patients may require a walker or wheelchair, and some may need to address concerns, such as incontinence. Some patients may have swallowing difficulties and increased difficulty with communication. Strengthening exercises and alternative communication methods may be appropriate,” Johnson explains.

“At Struthers Parkinson’s Center, we support patients and families every step of their journey — doing all we can to enhance their abilities and quality of life,” she adds.

To learn more about rehabilitation services, call 952-993-5495, or visit Struthers Parkinson’s Center.