Document Type

Case Report


Physical Therapy & Rehabilitation Science

Degree Name

DPT (Doctor of Physical Therapy)

Session and Year of Graduation

Fall 2018


Laura Frey Law


Background: Parkinson’s disease (PD) is a progressive neurodegenerative disease that affects 7-10 million people worldwide. It is the second most common neurodegenerative disease behind Azheimers and is expected to grow 4-fold by the year 2040. Patients with PD can experience a myriad of motor symptoms including resting tremors, bradykinesia, rigidity, postural instability, altered gait patterns, freezing of gait, and balance/coordination impairments. Case Description: The patient is a 69 year-old male presenting to the outpatient orthopedic clinic with a referral from a local neurologist to evaluate and treat with a diagonosis of Parkinson’s disease. His primary complaints were that he has poor balance, cognitive decline, and that he moves very slowly with a shuffling pattern. The patient’s desired goals are to reduce his fall risk and improve his walking velocity, so that he can be more independent and safe in the community Intervention: The patient completed 9 therapy sessions consisting of some form of gait training and PWR!Moves. The PWR!Moves program was focused on high amplitude and maximum effort moves that were implemented in 5 different positions that concentrated on 4 specific skills including antigravity extension, weight shifting, axial mobility, and transitional movements in order to improve the symptoms associated with PD. Outcome Measures: The Berg Balance Scale was used to assess the patient before and after the intervention. The patient also self-reported many noticeable improvements following the treatment intervention. Discussion: The purpose of this case report was to present a treatment approach consisting of gait training and PWR!Moves for a patient with PD in an outpatient orthopedic setting. Similar to results reported in the literature regarding high amplitude movement interventions, the patient in this case report significantly improved his Berg Balance Scale score and demonstrated an improved gait pattern at his last physical therapy visit.


Parkinson’s Disease; neurology; gait training; physical therapy; rehabilitation


11 pages


Copyright © 2018 Jared Hanus