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Profile of Functional Limitations and Task Performance Among People With Early- and Middle-Stage Parkinson Disease

Margaret Schenkman, Terry Ellis, Cory Christiansen, Anna E. Barón, Linda Tickle-Degnen, Deborah A. Hall, Robert Wagenaar

Discussion Podcast: Outcome Measures for People With Parkinson Disease

Participants: Margaret Schenkman, PT, PhD, FAPTA, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado, Aurora, Colorado; and Kathleen Gill-Body, PT, DPT, NCS, Newton-Wellesley Hospital, Newton, Massachusetts, and MGH Institute of Health Professions, Boston, Massachusetts. Moderator: Rebecca Craik, PT, PhD, FAPTA, PTJ Editor-in-Chief.

Files in this Data Supplement:

  • Discussion Podcast - In their article "Profile of Functional Limitations and Task Performance Among People With Early- and Middle-Stage Parkinson Disease" (September 2011), Dr Margaret Schenkman and colleagues used cross-sectional data from 5 different studies to summarize the expected values, by disease stage, of variety of tests and measures used to quantify the functional performance of people in the early and middle stages of Parkinson disease (PD). According to Schenkman, this database of typical values will allow clinicians and researchers to interpret the functional status of individual patients and study participants with PD. In this podcast, Schenkman is joined by Dr Kathleen Gill-Body, a neurologic clinical specialist and a member of PTJ's Editorial Board, and PTJ Editor-in-Chief Rebecca Craik to discuss how benchmarks can best be used in clinical practice. Can these data be used for goal setting and prognosis? Are certain measures more appropriate for particular stages of PD? Would a combination of measures, rather than a single measure, better identify early functional deterioration in people with PD?

    Running time: 22:58 (15.9 MB).

    Discussion Podcast: Outcome Measures for People With Parkinson Disease
      
    Length: 22:58

    Quick Grabs

    Schenkman: "Some people with Parkinson disease have more trouble with balance; others might have more trouble with motor organization; others might have more trouble with strength."

    Gill-Body: "Having a defensible decision-making process involves understanding what the patient's problems are and then focusing on those tasks."

    Gill-Body: "What do I (the clinician) do with the numbers? What do I do with the data?"

    Schenkman: "We now know from this body of work a range that we could expect for our patients, and we can begin to identify outliers."

    References

    Continuous Scale Physical Functional Performance (CS-PFP) Test. Available at: http://www.coe.uga.edu/cs-pfp. Accessed October 28, 2011.

    Cress ME, Petrella JK, Moore TL, Schenkman ML. Continuous-Scale Physical Functional Performance Test: validity, reliability, and sensitivity of data for the short version. Phys Ther. 2005;85:323-335.

    Dibble LE, Christensen J, Ballard DJ, Foreman KB. Diagnosis of fall risk in Parkinson disease: an analysis of individual and collective clinical balance test interpretation. Phys Ther. 2008;88:323-332.

    Zampieri C, Salarian A, Carlson-Kuhta P, et al. The instrumented timed up and go test: potential outcome measure for disease modifying therapies in Parkinson's disease. J Neurol Neurosurg Psychiatry. 2010;81:171-176.

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