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Doctor insights on: Dementia Physiotherapy

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Rapidly progressive dementia, prognosis in elderly, 83?

Rapidly progressive dementia, prognosis in elderly, 83?

Undetermined: Dementia is a progressive disease. At this point in time medication can only slow it down, not stop it. If you are asking if the dementia will continue, it probably will at the same rate. ...Read more

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Dr. Maureen Nash
1,478 doctors shared insights

Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older ...Read more


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Is cognistar 60 injection helpful in alzeimers /stress dementia?

Is cognistar 60 injection helpful in alzeimers /stress dementia?

I have never Used it: But to my knowledge there are not enough studies to indicate it's effectiveness. ...Read more

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Dr. Adam Hebb Dr. Hebb
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Gait freezingafter deep brain stimulation surgery for Parkinson's disease any suggestions?

Dr. Adam Hebb Dr. Hebb
2 doctors agreed:
Gait freezingafter deep brain stimulation surgery for Parkinson's disease any suggestions?

Complex Issue: Gait is a very complex neurological function that relies on many systems functioning together. I would recommend that you see a specialist in dbs programming to help you maximize function. ...Read more

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Is there any programs aimed at elders to rehabilitate dementia, Alzheimer's etc?

Is there any programs aimed at elders to rehabilitate dementia, Alzheimer's etc?

Few: There are some programs that claim that they can improve cognitive function of persons with dementia but they have not been proven to be effective. ...Read more

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Does occupational therapy help rehabilitate a stroke victim?

Does occupational therapy help rehabilitate a stroke victim?

OT can be helpful: After a stroke the function of the arm or hand may be affected. If this is the case the ability to do basic activities of daily living can be impaired. In this situation occupational therapy is part of standard rehabilitation along with other therapy disciplines like phyical therapy and if needed speech therapy. ...Read more

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Donepezil effectiveness for vascular and Lewy body dementia?

Donepezil  effectiveness for vascular and Lewy body dementia?

Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read more

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What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness? Physiatrist , orthopod, neurosurgeon? Xrays best?

What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness?  Physiatrist , orthopod, neurosurgeon?  Xrays best?

See below: Harrington rods surgically implanted usually for severe scoliosis. This is a major surgery and is usually determined by an orthopedic spine specialist. ...Read more

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Passive rom exercise with cerebral palsy?

Passive rom exercise with cerebral palsy?

Yes: If you have stiffness or restricted rang of motion passive range of motion and stretching should help ...Read more

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Does Azilect (rasagiline) help to improve speech in Parkinson’s patients?

In theory, it should: Theoretically, Azilect (rasagiline) (an MAO-B inhibitor) should help with many of the symptoms of Parkinson's for a certain period of time. However, as with all treatments for this disease, they are notoriously unpredictable. I've attached an article which I hope might help. Good luck! http://www.reprintsdesk.com/landing/hf.aspx?h=523154&hr=716110317&a=1&u=0&r=826399194 ...Read more

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Aricept (donepezil hcl) useful for dementia Lewy body?

Aricept (donepezil hcl) useful for dementia Lewy body?

Seems to be: As it increases acetylcholine in the brain and that can improve attention deficits and cognitive fluctuations. ...Read more

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Does physical therapy help degenerative disc disease?

Does physical therapy help degenerative disc disease?

Could look vey real: Physical therapy helps to strengthen the supporting joint muscles which it will lead to better joint support. In addition, exercise and healthy diet will help to lower body weight which it will help to decrease weight demand on the joints. ...Read more

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Would acupuncture help for progressive bulbar palsy?

Would acupuncture help for progressive bulbar palsy?

Unlikely: Acupuncture may be useful for pain, however, and could be used as palliation, but will have no effect whatsoever on progressive bulbar palsy, a variation of classical motor neuron disease. ...Read more

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How helpful is hyperberic oxygen therapy for cerebral palsy ans autism?

How helpful is hyperberic oxygen therapy for cerebral palsy ans autism?

The very small : Amount of literature out there is between absolutely no effect and ambivalent when compared to sham air. So, there is no proof it works. I am all for anything that might help, but too many people spend the little bit of life savings they have on these therapies with false guarantees and I do not think that it appropriate. Hbot is good for many things, CP and autism are not them. ...Read more

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Is physical therapy possible with degenerative disc disease and sciatica injury?

Is physical therapy possible with degenerative disc disease and sciatica injury?

Yes It is possible: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

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Could anti-depressant medications help an alzheimer's dementia patient feel better?

Could anti-depressant medications help an alzheimer's dementia patient feel better?

Alzheimer's: University of Pennsylvania and Washington University Medical School found that the antidepressant citalopram lowered the production of beta amyloid proteins in both mice and in healthy humans. Results were published in the Science Translational Medicine journal.. While the results of the study are certainly promising there is more work to be done before the antidepressant will be prescribed for Alzheimer’s prevention. ...Read more

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Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?

Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?

No: At the present time, there is no new or novel treatment in patients who already had a stroke. There is only prevention of future strokes. ...Read more

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Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?

Can a md. Deny medicare-paid hospice end-stage dementia patient  physical therapy  if patient's family requests it to maintain movement with new law?

Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read more

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Can dementia be cured?

Can dementia be cured?

Unfortunately, no.: Dementia is a progressive disease. Even available treatments only slow progression or tame symptoms. They do not provide a cure. ...Read more

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Is dementia hereditary?

Is dementia hereditary?

Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read more

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Can you inherit dementia?

Can you inherit dementia?

Some kinds.: Some types of dementia like alzheimer's disease with early onset at ages 40 to 60 have a large genetic component while other types of dementia like alcohol induced do not. ...Read more

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How is dementia diagnosed?

Clinically: Usually a clinical diagnosis, no blood work and no imaging test. ...Read more

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What are symptoms of dementia ?

Memory problems: Memory problems, word finding problems, word substitutions errors, getting lost in places that are familiar are often early symptoms. Also forgetting how to use tools that you used to know how to use. ...Read more

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How to know you may have dementia?

May be challenging: We do accept that subjective cognitive impairment may be a valid complaint of an impending dementia. But many medications can cause cognitive clouding, especially in older folks, and thyroid problems, vitamin deficiency, and elevated homocysteine could be issue. Small strokes and early onset of alzheimers perhaps. Neuropsych testing is best approach, but start with your doc. ...Read more

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What are the symptoms of dementia?

What are the symptoms of dementia?

Early dementia: Behavioral and psychological symptoms (bps) are common in the older population and may be an indication of early dementia. Van der linde rm et al 2012 found that wandering and persecution were independently associated with progression to dementia. Early co morbid conditions include obsessive compulsive disorders with evolving paranoid symptoms such as fear of stealing behaviors. ...Read more

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What kind of condition is dementia?

Neurological: Dementia is a clinical term that means a progressive impairment of thinking abilities (often but not always memory) that interferes with the person's abilities to perform their usual daily activities. Many types of disorders can cause dementia. Some, such as low thyroid, low vitamin B12 or severe depression are treatable. Others such as alzheimer's disease have some treatments but cannot be cured. ...Read more

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What causes dementia and its symptoms?

What causes dementia and its symptoms?

Damage to the brain: Dementia is a general term for a number of different types of illnesses each of which affect important brain functions. The symptoms a person has depend on the areas of the brain affected. ...Read more

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Is physiotherapy invented by the west?

Is physiotherapy invented by the west?

In 460 BC: "physicians like hippocrates and later galenus are believed to have been the first practitioners of physical therapy, advocating massage, manual therapy techniques and hydrotherapy to treat people in 460 bc." according to wikipedia: http://en.Wikipedia.Org/wiki/physical_therapy. ...Read more

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Personal needs for.Toilet and dementia?

Personal needs for.Toilet and dementia?

Incontinence: As dementia worsens, not only does their cognition decline but their body muscles weaken so it becomes more difficult to get out of bed/chair and walk to the bathroom. There's usually a progression from having a difficult time in getting to the bathroom in time, to using a bedside commode, then to diapers. All dementia patients progress to complete incontinence of bowel and bladder at some point. ...Read more

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What are the different forms of dementia?

What are the different forms of dementia?

Forms of dementia: Some forms of dementia are Alzheimers, Fronto-Temporal dementia, vascular dementia, Lewy body dementia, cortico basal ganglia degeneration, and dementia due to an illness like MS. ...Read more

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Which are the different forms of dementia?

Answer below: Alzheimers (60% - 65%), less common are vascular dementia, lewy body dementia, picks disease (frontotemporal), alcoholic, B12 deficiency, hiv, dementia pugilistica (head trauma), a few rare prion diseases such as jacob kruetzfeld (spongioform encephalopathy), and mixed. Some reversible encephalopathies are occasionally classified as dementias, but not true dementias. ...Read more

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What are noncognitive symptoms of dementia?

What are noncognitive symptoms of dementia?

Behavior and dementi: Behavioral disturbances are frequently the most challenging manifestations of dementia and are exhibited in almost all people with dementia. Common behavioral disturbances can be grouped into four categories: mood disorders (e.g., depression, apathy, euphoria); sleep disorders (insomnia, hypersomnia, night-day reversal); psychotic symptoms (delusions and hallucinations); and agitation. ...Read more

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So what are the earliest symptoms of dementia?

So what are the earliest symptoms of dementia?

Earliest Symptoms: Short term memory loss, difficulty performing familiar tasks, changes in mood, behavior, or personality, language problems, word-finding difficulties, decreased judgment, loss of initiative, problems keeping track of things, disorientation to time or place, if you’re experiencing any of these symptoms or are concerned about a friend or relative, talk with your doctor about your concerns. ...Read more

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What are the symptoms of temporofrontal dementia?

What are the symptoms of temporofrontal dementia?

Personality change: There are several distinct types of ftld or fld. One type presents with apathy or disinhibited personality changes. This can slightly resemble depression or mania. Other types present with the gradual loss of the ability to speak starting with nouns. Finally a third form involves speech becoming more telegraphic then finally the person is mute. ...Read more

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At which point is medication for dementia necessary?

At which point is medication for dementia necessary?

For symptoms : Dementia cannot be treated directly. There are medicines for many symptoms or interventions involving the environment or training caregivers. Dementia specific medicines like aricept, namenda, Exelon (rivastigmine) can help prevent or treat anxiety, agitation and aggression. ...Read more

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What are considered well accepted benefits and risks for physiotherapy.?

Lots more pluses: Than minuses. See your doctor, get a diagnosis and therapy prescription and go. The results are correlated to how much work you put in, and compliance with your home exercise program. It's also been shown that having faith in your therapist will improve your outcome. ...Read more

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What is subcortical dementia?

Definition: In most kinds of dementia, autopsy reveals widespread degeneration in the cerebral cortex - such as the plaques and tangles which are the hallmark of alzheimer's disease. Alzheimer's disease and frontotemporal dementia are therefore sometimes classed as "cortical dementias." in other kinds of dementia, there is targeted damage to regions lying under the cortex, giving rise to sub cortical dementia. ...Read more

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Dr. Jay Rosenfeld
3,590 doctors shared insights

Physical Therapy (Definition)

Physical therapy can provide back exercises to relieve tension on discs and nerves in the back in order ...Read more


Dr. Dennis Giannini
3,251 doctors shared insights

Physiotherapy (Definition)

Physiotherapy programs, or physical therapy, work to improve movement capacity in those recovering ...Read more