#32: Parkinson’s Disease Evidence Review with Brandy Archie (CE Course)

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Full Course Details: Public course page
Learn more about our guest: Brandy Archie, OTD, OTR/L, CLIPP, CLVT

Read the article and discussion upon which this podcast is based.

Assessments mentioned in the episode

Parkinson’s Disease Questionnaire - 39 (PDQ-39)
Unified Parkinson’s Disease Rating Scale (UPDRS)

See all Parkinson’s Assessments

Course Description

Released May 16, 2022 from Aurora, NE

This prestigious guideline on Parkinson’s Disease (PD) treatment, that we’ll be covering in this podcast episode, recommends that rehab therapies are started at the time of diagnosis and continued throughout the disease course.

Sadly, as a profession we are underserving our clients with PD.

This article will update you on key information about the PD disease process, the pervasiveness of non-motor symptoms, and the effectiveness of different treatments.

The knowledge we are gaining about PD should definitely be impacting your sessions. (Hint: please be talking about exercise!) It should also be pushing us to consider new care models for our patients with chronic conditions. To discuss what this looks like in practice, it’s our honor to welcome back to the podcast Brandy Archie, OTD, OTR/L, CLIPP, CLVT. Brandy is an OT entrepreneur who serves older adults including PD clients.

Primary Journal Article Explored

When you log in, be sure to check out the OT Potential Club’s written breakdown of the following research article. Then, share your questions and thoughts with fellow practitioners.

Armstrong, M. J., &; Okun, M. S. (2020). Diagnosis and treatment of parkinson disease. JAMA, 323(6), 548.

Supporting Research and Journal Articles

Tsukita, K., Sakamaki-Tsukita, H., &; Takahashi, R. (2022). Long-term effect of regular physical activity and exercise habits in patients with early parkinson disease. Neurology, 98(8).

Radder, D., Sturkenboom, I. H., van Nimwegen, M., Keus, S. H., Bloem, B. R., & de Vries, N. M. (2017). Physical therapy and occupational therapy in Parkinson’s disease. The International journal of neuroscience, 127(10), 930–943.

Resources for Clients with Parkinson’s Disease

Learning Objectives

  • You will be able to identify the non-motor symptoms of PD that OTs can help manage.
  • You will recognize why the habit of exercise is such an important consideration for OTs in this area.

Agenda

Intro (5 minutes)

Breakdown and analysis of journal article (5 minutes)

  • Real quick: why was this paper written?
  • Parkinson’s disease is one type of parkinsonism
  • What causes Parkinson’s disease?
  • Clinical presentation and symptoms for OTs to recognize
  • Subtypes of Parkinson’s disease
  • Diagnosis and Assessment
  • Treatment
  • Takeaways for OT practitioners

Discussion on practical implications for OTs (with guest Brandy Archie) (50 minutes)

  • Can you tell us the story of how you found OT?
  • Tell us about the different settings you’ve worked in where you saw Parkinson’s patients—and the main focus of your services in each.
  • What were your initial impressions of the article?
  • Parkinson’s disease has such a complex presentation. How can we introduce all of the areas OTs can help with our evals?
  • What are your favorite ways to provide education to your patients?
  • What does it look like to encourage our patients in the habit of exercise?
  • What are some of your main considerations when you are recommending adaptations to the environment?
  • What community resources should patients with Parkinson’s be considering getting plugged into?
  • What would it look like for OTs to truly see Parkinson’s patients on a regular basis throughout the duration of this disease course?
  • Do you think there are new business opportunities for OTs to focus on Parkinson’s utilizing telehealth?

Contact Hours

1 hour (0.1 AOTA CEUs)

Target Audience/Educational Level

Our target audience is occupational therapy practitioners who are looking to learn about Parkinsons disease treatment. The educational level is introductory.

Instructional Methods/Registration/Special Needs Requests/Cancellation Policy

This course is an independent/self-study course delivered via podcast on iTunes, Spotify and Google Play. Explore your listening options on the OT Potential Podcast page.

If you need accommodations to take this course, please contact us and we will address your needs on an individual basis.

If this course were to be canceled, please see our cancellation policy on our terms page.

Course Completion Requirements

In order to receive a certificate for this course, you must first listen to the podcast in its entirety. Then, you will need to take the test (found at the top of this page) and earn 75% or higher. If you pass, a certificate will be automatically generated and sent to your email.

Financial and Non-financial Disclosures

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.

We here at OT Potential have no financial stake in this topic. Our guest, Brandy Archie, does have a financial stake in her local business AccessAble, which informs her knowledge of this topic, and is geared towards older adults in Kansas City.

Speakers

Brandy Archie, OTD, OTR/L, CLIPP, CLVT:

Brandy-Photo

Dr. Brandy Archie received her doctorate in occupational therapy from Creighton University. She is a certified specialist in both Living in Place and Low Vision Therapy. Dr. Archie has over 15 years of experience in home health, neurological and elder focused practice settings.

She is the founding director of AccessAble Living, a company whose mission is to adapt environments to fit the needs of older adults and keep them living safely in their homes in the Kansas City area. She is also in development on an app called AskSAMIE which combines tech and clinical knowledge to create accessibility equipment recommendations tailored to each person’s disability and environment. It’s for clinicians and for family caregivers so if you’d like to know when the app is available go to AskSAMIE.com and sign up for alerts!

Sarah Lyon, OTR/L:

Sarah Lyon, OTR/L headshot

Sarah’s passion is helping fellow OT practitioners translate evidence into daily practice. Sarah earned her BA in religion from St. Olaf College, then earned her master’s degree in occupational therapy from New York University in 2011. Since then, she’s worked in numerous facilities, including a critical access hospital, an acute trauma hospital, and a state inpatient psychiatric hospital.

Sarah is the founder/owner of OT Potential. Read more about OT Potential here.

Ep32-AOTA-Badge

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Please share any other feedback below! Including, ideas for future programming, and most importantly, how you feel this podcast will impact your practice!

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Once again an awesome learning programme. Thank you so much.

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I’m so glad you enjoyed it! I so enjoy learning from Brandy!!

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So glad it was helpful!

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I would love to hear more about goal writing for outpatient therapy for progressive conditions like PD. How do you write goals with a degenerative disorder without it getting flagged as maintenance? I have worked with some PD clients in my private practice but feel like I have to dc them upon the first progress note as goals are not being met and clients are decreasing overall in function over time.

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Irvin, that is such a good question. I like to write functional based goals that are not dependent on physical ability if that makes sense. Here is an example:

“Patient will be mod I with self feeding without increased spills using appropriate adaptive equipment.”

So of course the problem is tremors in the hands and since that may be getting worse I don’t want to have my outcome measure be something like lbs of force for grip strength or ability to scoop 5 times without spilling any beads. Instead I can work towards finding a way that they can do self feeding effectively whether that be with positioning, a swivel spoon, wrist weights - whatever works. Then we have a means to achieve the goal although their motor skills are getting worse.

Does that help? if not let me know some more specifics and I’ll help you come up with more ideas.

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Love this @BrandyA! After you have your baby, let’s connect on maybe submitting a full doc example to the Club, like you’ve done before! Might be a great maternity leave activity for you :slight_smile:

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Personally, this was a subject dear to my heart. I have the opportunity work with individuals that live with disease. Thank you Brandy and OT potential for evidence based information!

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Absolutely! Glad to be of service!

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Hi, this was my first podcast of yours that I listened to, I found it really Informative with some fab ideas that I think will be really practical & easy to use. Thanks so much! :slight_smile:

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Welcome to the OT Potential Club, @eimear! I’m so glad you liked this podcast! Nothing warms my heart like hearing the content was really practical- that is always our goal!

14

Great information and nicely presented. I am a LSVT instructor and agree to that movement is most important part of their daily routine

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That means a lot coming from an LSVT instructor! You all do such good work!

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Thanks Brandy, This helps some. I have a client right now who has PD and he really does not want any adaptive equipment at this time and mostly wants support with increasing or maintaining strength, ROM, coordination, and balance. I feel I can help him but don’t know how to write up goals.

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What about something like:

  1. Patient will independently verbalize 3 strategies for improving stability and control with writing in order to use strategies as needed when tremors are impacting legibility.
  2. Patient will be independent with HEP for core strength and large body movements in order to improve balance when donning pants.

These are measurable but also identifies functional importance while giving you the latitude to work on them in many ways. Thoughts?

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That is helpful thank you Brandy

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Sure thing! Glad to collab!

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Thank you for sharing your knowledge but also for sharing your personal experiences. Demis

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