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1. Identify neuroanatomy structures affected by Parkinson’s disease and be able to explain common responses and changes to the structures with vigorous exercise
2. Articulate primary, secondary, and tertiary symptoms and complaints of Parkinson’s and parkinsonism
3. Determine when DBS should be introduced and articulate potential candidacy and efficacy of surgical treatment
4. Identify scales and scores that quantify symptoms of Parkinson’s to show a baseline, as well as improvement with treatment
5. Review medication for Parkinson’s, as well as common adverse effects and pitfalls
6. Develop exercise programs for progressive, resistance training and increase intensity exercise for persons with Parkinson’s disease

PARKINSONS DISEASE OVERVIEW AND REVIEW OF ANATOMY

• Prevalence
• Incidence
• Economic impact
• Anatomy
• The subthalmaic nucleus

COMMON SYMPTOMS

• Types of parkinsonism
• Common motor symptoms
• Sensory disorders
• Loss of function
• Depression and apathy
• Swallow dysfunction
• Hypophonia

EXERCISE BENEFITS

• Types of exercise
• Neuro plasticity
• Early intervention
• Activity dependent improvement
• Baseline measurements
• Heart rate/perceived exertion

DEEP BRAIN STIMULATION

• Overview
• Candidacy Requirements
• Clinicians role in education
• Patients expectations and limitations
• Indications/Contraindications

BASELINE AND OUTCOME MEASUREMENTS LAB

• UPDRS Testing: The Gold Standard
• Tinetti balance and gait assessment
• Hoehn and Yahr Staging System
• Schwab and England ADL score
• Montreal Cognitive Assessment Test
• Neurological Examination

MEDICATIONS

• Levodopa drugs
• Levodopa Agonists
• Supplements
• Adverse effects vs. benefits
• Impact on exercise and functional mobility

THERAPEUTIC EXERCISE TECHNIQUES AND LAB

• Exercise techniques- rigorous exercise
• Strength training/Big body movements
• Facial and lingual exercises
• Voice exercise techniques
• Compensatory techniques to improve swallow
• Oculomotor exercises

Kara M. Doctor, MS, PT, brings over 20 years of experience to the Physical Therapy field. She has been nationally certified in Allied Team Treatment for Parkinson’s disease. For the past 17 years, Kara has been treating patients with movement disorders, primarily Parkinson’s disease. She has been spokesperson and a lead presenter for deep brain stimulation support groups in Austin and has served on the board of directors for the Capital Area Parkinson’s Society (CAPS). Mrs. Doctor brings a wealth of knowledge with her vast experience in the treatment of patients living with Parkinson’s.

Speaker Disclosures:

Financial: Kara Doctor has an employment relationship with Neurology Solutions Consultants, PA. She receives a speaking honorarium for PESI, Inc.

Non-financial: Kara Doctor is a member of the Parkinson Action Network; and the Capital Area Parkinson’s Society.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/3/2019
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.0 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Speech-Language Pathologists & Audiologists
This course contains 5.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Kansas Speech-Language Pathologists: Approved for 6.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

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Other Professions
This self-study activity qualifies for 5.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapists Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Speech Language Pathologists
• Rehab Nurses
• Nursing Home Administrators