A Comprehensive Approach to Parkinson’s Disease

presented by Robert J. Schreyer

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This course is designed to be an entry level to intermediate level course discussing Parkinson’s disease (PD) from the basics to the advanced trends in treatment. This course will cover the pathophysiology of PD, while bringing a physical therapist an appropriate knowledge level and creating applicable analogies to assist a physical therapist in gaining a better understanding of why and how treatment techniques are effective. Throughout the course, the analogy of increasing Dopamine will be drawn on frequently to apply a pathophysiological analogy to treatment intervention. While the research is in support of exercise and activity increasing dopamine levels and neurotransmitter sensitivity as a whole, this is used as an analogy and is not intended to claim that all interventions have a direct measurable effect on dopamine. As the course material deepens, the current concepts and trends in PD research will be explored and real patient models will participate in demonstrations. The use of individuals with Parkinson’s disease and Parkinsonism is used to demonstrate the real life effectiveness of these PT interventions, and in addition to provide the therapist taking this course with real life examples. The current research in Physical Therapy for PD is exciting and Dr. Schreyer truly hopes to incite an excitement in the field regarding PT for PD. With the excellent claims in the research and the outstanding results that are being seen throughout the rehabilitation field, now is the time to expand your knowledge and practice to individuals with PD.

Meet Your Instructor

  • Robert J. Schreyer, PT, DPT, NCS, MSCS, CSCS

    Dr. Schreyer is co-owner of Aspire Physical Therapy & Fitness P.C., and co-owner of the Aspire Center for Health + Wellness, New York City's first all-inclusive health & wellness center. In addition to his Practice, Dr. Schreyer is also a Faculty Professor at Touro College in the Doctorate of Physical Therapy program where he teaches Human Anatomy, Prosthetics & Orthotics, Clinical Neurology, and Neurological Rehabilitation while conducting research on a regular basis. Dr. Schreyer has also served as an adjunct professor at Columbia University and Hunter College. He is a licensed Physical Therapist (NY/NJ), Board Certified Neurological Specialist (NCS), Multiple Sclerosis Certified Specialist (MSCS), and Certified Strength & Conditioning Specialist (CSCS) with extensive training in the evaluation and treatment of individuals with neurologic conditions. Dr. Schreyer received his Doctorate of Physical Therapy (DPT) degree from New York University and is a graduate of Rutgers University, receiving a Bachelor's of Science in Exercise Science. He is very well-versed in the physical therapy arena, having practiced in two world renowned rehabilitation centers, Mt. Sinai and Kessler Institute for Rehabilitation. Dr. Schreyer has worked with individuals with a wide array of diagnoses from spinal cord, stroke, amputations, Multiple Sclerosis, Parkinson's disease and brain injury, to orthopedic injuries. Dr. Schreyer continues his education with ongoing continuing education courses and certifications. He was recently certified in the specialized Parkinson's treatment LSVT BIG, and is seeking further knowledge on a daily basis. Dr. Schreyer has recently had the honor of Co-authoring a Chapter on Multiple Sclerosis in the popular physical therapy textbook Physical Rehabilitation with Susan O’Sullivan. Dr. Schreyer is also featured throughout the text providing demonstrations of treatment techniques for individuals with Multiple Sclerosis, Parkinson’s disease, Spinal Cord Injury and General Deconditioning. Dr. Schreyer takes great pride in his ongoing research and has been both an invited lecturer at National Conferences and has presented his research at National Conferences.

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Chapters & Learning Objectives

Download Learning Objectives
  1. Parkinson's Disease: A Comprehensive Summary

    1. Parkinson's Disease: A Comprehensive Summary

    In this informative chapter, gain knowledge of what Parkinson’s disease is, the medical management of the disease, and what is important for the therapist to know. Review a detailed description of the Dopaminergic system including the Basal Ganglia/Basal Nuclei feedback loop and the brain structures involved. Recognize the primary and secondary signs and symptoms along with the cardinal signs of Parkinson’s disease.

  2. Physical Therapy Evaluation of Parkinson’s Disease

    2. Physical Therapy Evaluation of Parkinson’s Disease

    In the second chapter of this course, receive a full understanding of the difference between a conventional patient evaluation and an evaluation for an individual with Parkinson’s disease. Develop the ability to differentiate between the sup-types of the disease, and determine the outcome measures for patients with Parkinson’s. Lastly, review normative value tests commonly used with this patient population.

  3. Physical Therapy Philosophies

    3. Physical Therapy Philosophies

    In this chapter, gain knowledge of the current trends in physical therapy research concerning patients with Parkinson’s disease. Learn generalized Parkinson’s disease specific treatment strategies and recommendations including: prevention, remediation, and compensation.

  4. Functional Approach to Parkinson’s Disease Intervention

    4. Functional Approach to Parkinson’s Disease Intervention

    This chapter will give the online learner an understanding of the Curre Principles behind a functional approach. Dr. Schreyer preforms movement analysis and gait analysis while breaking down functional tasks into parts. Lastly, develop the ability to identify biomechanical limitation, determine how this affects function, and create a function-specific treatment plan.

  5. Symptom-based Treatment Approach to Parkinson’s Disease Intervention

    5. Symptom-based Treatment Approach to Parkinson’s Disease Intervention

    In the final chapter of this course, Dr. Schreyer shares with the online user treatment strategies for Hypertonicity, Rigidity, Bradykinesia, and Postural Impairment.