What is Parkinson's disease gait?

Written by Zhang Hui
Neurology
Updated on September 27, 2024
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Patients with Parkinson's disease have a distinctive gait; typically, their torso leans forward, and their arms do not move much. When they walk, they exhibit a hurried gait with short, scurrying steps. That is, they take small steps that progressively get faster and faster, making stopping very difficult when they reach their destination. This is a typical scenario often referred to as a "scampering gait." Many experienced doctors can frame a preliminary diagnosis of Parkinson's disease just by observing the patient’s walk. Parkinson's disease also leads to unstable posture and gait, increasing the risk of falls and fractures. Therefore, it's important to take precautions at home by installing handrails to assist the patient in standing and walking, preventing accidental injuries.

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Written by Zhang Hui
Neurology
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Where to treat Parkinson's disease

Parkinson's disease is a very common neurodegenerative disease in neurology. Therefore, if Parkinson's disease is suspected, treatment can be sought in the neurology department, which is available in most hospitals. Many neurologists have extensive experience in treating Parkinson's disease. The treatment primarily includes medication and surgery. Medication therapy mainly refers to the administration of anticholinergic drugs or dopamine receptor agonists, as well as preparations of Levodopa. These medications can help improve symptoms, such as reducing muscle rigidity and tremors. Surgical treatment mainly refers to deep brain stimulation, which is suitable for patients who have been clearly diagnosed with Parkinson's disease for over five years and whose primary symptom is tremor, without significant dementia.

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Written by Zhou Yan
Geriatrics
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What is the best way to exercise for Parkinson's disease?

Patients with Parkinson's disease should undergo comprehensive treatment and full management. Drug treatment is the core treatment plan, but it is also necessary to include physical rehabilitation and psychological therapy. For physical therapy, patients should be encouraged to exercise more, as this can help improve symptoms and slow the progression of the disease. The type and intensity of exercise should be chosen based on the patient's motor symptoms. Tai Chi, jogging, brisk walking, and aerobics are all suitable forms of exercise, and it is advisable to exercise four times a week, with each session lasting about 30 minutes. Evidence has shown that Tai Chi can improve patients' balance disorders, and long-term persistence in exercise can help improve their quality of life.

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Written by Zhang Hui
Neurology
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Can Parkinson's disease be cured?

Firstly, it must be noted that Parkinson's disease is a neurodegenerative disease which currently cannot be cured. Although Parkinson's disease cannot be cured, there are many methods available to slow the progression of the disease and improve the quality of life for patients. Patients must take medication regularly under the guidance of a doctor. The treatment methods for Parkinson's disease mainly include: First, patients should strengthen their functional training and engage in as much physical activity and exercise as possible, which can help in treating the disease. Second, regular medication is necessary, mainly referring to drugs used for treating Parkinson's disease. These include dopamine receptor agonists, anticholinergic drugs, and Levodopa preparations, all of which can have good effects, but these medications also have certain side effects and require regular follow-up visits at outpatient clinics. (Specific medications should be taken under the guidance of a physician.)

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Written by Zhang Hui
Neurology
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What department should Parkinson's disease go to?

Parkinson's disease is classified as a neurological disorder, so once considered for Parkinson's disease, registration is naturally in the department of neurology. Many neurologists are very familiar with Parkinson's disease and also have rich experience in diagnosis and treatment. Especially some neurology experts who specialize in Parkinson's disease have their own unique views on the pathogenesis, etiology, and clinical manifestations of the disease. Parkinson's disease is a chronic, degenerative neurological condition primarily divided into motor symptoms and non-motor symptoms, severely impacting the quality of life and work of patients. Symptoms include bradykinesia, resting tremor, muscle rigidity, etc. Treatment involves anticholinergic drugs and dopamine receptor agonists. (Note: This answer is for reference only. Medication should be administered under the guidance of a professional physician, and self-medication should be avoided.)

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Written by Zhang Hui
Neurology
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Is tremor Parkinson's disease?

Tremor and Parkinson's disease are two completely different concepts. Tremor is not necessarily Parkinson's disease, and Parkinson's disease does not necessarily involve tremor. Tremor is just a clinical symptom that can appear in many diseases. In addition to Parkinson's disease, there are also some essential tremors which are genetic. Patients usually experience tremors in their hands when maintaining certain postures, and may also have head tremors. This is a relatively benign disease with a generally good prognosis. Additionally, patients with hyperthyroidism may also experience limb tremors, but this is not Parkinson's disease. Moreover, many patients with Parkinson's disease experience bradykinesia and rigidity, and might not necessarily have limb tremors. Therefore, these two concepts are different; tremor is not necessarily Parkinson's disease.