- Page navigation anchor for RE: A broader perspective needed in Canadian guideline for Parkinson diseaseRE: A broader perspective needed in Canadian guideline for Parkinson disease
Some years ago I was in a hotel elevator attending a botulinum toxin congress. An orthopedic surgeon and PT were there as well. An older couple tried to enter the elevator, it was clear the woman was shuffling and was either apraxic or freezing due to the prominent threshold. Her husband eventually gently pushed her along and in British politeness, she apologized for the delay and seemed ashamed. I smiled and said we are here for a spasticity and movement disorders conference, we understand. At the ground level, she could not exit. It was an older hotel with gold plated thresholds. As she shuffled in place, I held the door and said, take a deep breath and take the three biggest steps you can. She did. I slowly walked towards the street with them, she was a bit more relaxed now. I explained the principle of rhythm, loud determined voice, copying. There were two large gold thresholds ahead to cross the vestibule and exit. She was again stuck in place. I just smiled and said okay, you are in an American GI movie, let's go, LEFT, right, LEFT, right, LEFT RIGHT LEFT and she marched out onto the road. I just smiled and got on the bus to our event. How could she not know this? I see little Parkinson disease in my practice of neurorehabilitation and spasticity, but the principles are the same. Function is what the patients care about. We know that unfortunately, over 90% of stroke patients arriving at hospital are note candidates or will not receive clot alleviating the...
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- . RE: A broader perspective needed in Canadian guideline for Parkinson disease. 2020;:-.
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