Approach to the Exam for Parkinson's Disease
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- čas přidán 30. 08. 2018
- This video is brought to you by the Stanford Medicine 25 to teach you the exam to diagnose Parkinson's Disease confidently as well as monitor response to treatment or progression of disease.
The video is lead by Dr. Kathleen Poston. She is faculty at Stanford and a neurologist with an expertise in movement disorders. She is an active researcher in the field of Parkinson's Disease and an wonderful clinician. (The patient is this video, Larry, is a patient of Dr. Poston's.)
* All exams are demonstrated with examples of real abnormalities thanks to our amazing patients! Special thank you to Larry for being the primary patient in this video. Larry is an amazing teacher and person!
The four cardinal parts of the exam for Parkinson's Disease (covered in detail in this video) are:
1) Bradykinesia (required for diagnosis of
2) Rigidity
3) Tremor (usually rest tremor but also kinetic and intentional tremor)
4) Issues with gait and postural instability
The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.
Visit us:
Website: stanfordmedicine25.stanford.edu/
Blog: stanfordmedicine25.stanford.ed...
Facebook: / stanfordmedi. .
Twitter: / stanfordmed25
It’s so immensely inspiring to see an actual patient in videos like these. It reminds me why I’m bending over my books all day. Thank you Larry and thank you, Stanford Med!
hi fellow doge, parkinsonism interests me as well
Goge
Hello
Larry: here's an internet hug!
Thanks Larry
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Please tell Larry he has good wishes from all over the world!!
Thank you doctor for this wonderful presentation!
I still can't stop thanking Larry enough :)
Joshy, thank you for the message. I will make sure Larry see yours and others. - Errol Ozdalga
I8
Over 700,000 of us probably did the first few exercises "just to see".
Yup lol
Thank you Larry!! I hope you know how many medical schools your video is used at all over the country, and thus how many students you have helped learn. Getting to learn from real patients makes all the difference in the world and reminds me what all this work is for. Excellent video.
Way to go, Larry! I hope he's still going strong, now four years later. I always appreciate folks who are willing to let the rest of us learn "off" of them and their troubles.
THANK YOU!!
Amazing video. Please tell Larry that we all wish him good health and happiness. :)
Believe me, we make sure he see's all the comments. Thank you for yours.
You said what I wanted to say, thank you Larry!
+1 hereu, greetings from Barcelona to all of you, and for Larry of course!
This was great, I have been researching "what are the warning signs of parkinson disease?" for a while now, and I think this has helped. Have you heard people talk about - Piyaliyah Prominent Prepotence - (search on google ) ? It is a smashing exclusive product for discovering how to reverse Parkinsons disease minus the headache. Ive heard some interesting things about it and my mate got excellent success with it.
Just wonderful, I've been looking for "what is the drug of choice for parkinson's?" for a while now, and I think this has helped. You ever tried - Piyaliyah Prominent Prepotence - (do a google search ) ? It is a good exclusive product for discovering how to reverse Parkinsons disease without the hard work. Ive heard some super things about it and my friend got excellent success with it.
What a fantastic teacher and educator you are, Dr. Poston! You are also a compassionate and thoughtful doctor!
I have essential tremors that are a reflection of my anxiety. Sometimes I think, “Do I have Parkinson’s?” because I shake so bad, but this CZcams instructional helps me know that I don’t have anything more than tremors
essential tremor is different than anxiety tremor.
You have risk of having Parkinson (long term stress can effect essential tremors but it isnt direct cause. Essential tremors doesnt mean you are parkinson tho)so I suggest you to get your anxiety in check and stay away from antipsychotics. Go yo doctor to see if you need medication for it. Try to sleep enough.
Talk to your PCP about Lorazepam or Flexiril for your anxiety and spasticity. I'm on both. A genetic condition I have leaves me an high risk for MS or Parkinson's.
Bradykinesia 1:38
Rigidity 5:03
Tremor 8:07
Gait & Balance 11:00
Postural instabilities instead
Thank you!
Larry is so CUTE! WE LOVE YOU LARRY
Thank you Dr. Posten and Larry. Now I'm not so scared when I go to have mine done. I certainly appreciate how well you explained everything.
Thanks Larry! Though you may not see the message, but thanks a lot! You are the greatest teacher to us!
Dr. Kathleen Poston has ample charms. All the best for Larry.
Thank you Larry and Dr.Poston. Wish you all good things.
Thank you Larry, that was very helpful, and thanks to standford medicine 25 for uploading great videos.
wasn't that good of him to participate like this? WOW..eye-opening and YES, GOOD health to you Larry!
Best explanation ever in my whole medical life
Thank you Larry, as others have said it makes a world of difference seeing a real person rather than another page or PowerPoint slide! So good of you to take part.
Thank you Larry for volunteering!
Thank you so much Larry Sir for teaching us! I hope you're doing just fine after 5 years! Also Thanking Dr. Kathleen for teaching us and being such gentle towards Larry. God bless!!
Just Thank You, GREAT INFORMATION AND VIDEO THANKS. I'm 62 and fighting Parkinson's, walking and have a part time job. Great Information, Happy Easter. THANKS
I just came back from an initial exam for Parkinson's tremor. I believe the nurse practitioner that examined me must have just watched this video beforehand. My responses very closely resemble Larry's to even include the predominance of symptoms on the left side.
Best wishes to Larry!
Dr. Kathleen Poston. thanky so much and thank you LARRY
Thank you mister Larry and Dr Poston for helping us in our education about PD. All the best to the greatest volunteer patient Larry!
Thank You Dr. Poston and Larry. Excellent demonstrations and very helpful.
I under went most of those examinations and was given a preliminary diagnosis of PD just before Xmas. We thought my Tremors was due to my Extreme Anxiety and PTSD (both diagnosed). But watching YT videos such as this (& MJ Fox) is helping me understand my situation. The buttoning up process is a real challenge for me, same with shoe laces but it's all making sense to me and my Doctor now. Thank you.
You have it
Prior to my diagnosis of PD three years ago I noticed a tremor in my left hand. Because I am a Vietnam Veteran my primary care Doctor scheduled an appointment with a Neurologist. Before I met with the Neurologist I looked at a lot of videos which discussed PD symptoms, but this is by far the best video for PD that I have seen. Thank you for posting it.
Im observing slight trembling im my right finger..especially after using phone ..can u pls help me
Thank you, Larry & Doctor.
God bless you both!
Thank you so much Dr Poston and Larry, and everyone involved in producing this very helpful video. I wish everyone great health
Thanks a lot for your continuous honorable contribution to International education .
From Iraq
This was amazing and very educational. Thank you so much for uploading and thank you Larry for the cooperation and demonstration!!
Thank you, Dr. Poston and Larry! Many blessings
Thank you for your clarity and compassion.
thank you so much Larry, i am a physician from Turkey, and thanks to you and your great doctor, i understood Parkinson's disease better. i wish you good health and happiness in your life.
Thank you Larry and Stanford med
This video is very helpful. Thanks Dr. Kathleen and Larry.
What an excellent video on examination of a patient with Parkinson's Disease. Simple yet detailed. Organized and easy to learn. Will share with my residents and medical students. Keep it coming!
Way she explains it....amazing dr
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Thank you so much Larry and thanks to everyone involved in making this video
Awesome video. I'm a family medicine junior doctor in Portugal and I watch this video each time I want to review Parkison Disease examination. I've already recomend it to several students that I couched, Thank you so much
This is an excellent video in which not only students and MDs can learn but also the patients themselves and caregivers. This video open to everyone is in the line of the consept of patient centricity. Thank you Dr. Posten and Larry
Dr. Kathleen... the way you explain & do exam, as a young doc, I am mersmerised! Amazing skill. Stanford Medicine. 👌
After years of testing my patients for rigidity for the UPDRS for establishing my therapy POC, I have not challenged rigidity using activation maneuver so I've learned something new and very useful in this video! Thank you, Dr. Kathleen!
My hands hurt while doing the first hand testing
Exceptionally well demonstrated!!
Thank you for your contribution to medicine Larry. Stay blessed and wishing you the best of health!
Thank you Larry, this PT student appreciated your time to make this video!!
Mr. LARRY. Happy Spring. You are impressive in your calm manner
Thank you Larry and Dr. Posten
Thank you Larry for your participation. Thank you Dr. Poston for sharing your knowledge
Thank you so much Dr. Poston! This was amazingly well explained and easy to follow and understand.
Bless your heart Larry! We love you!
This video has been so helpful for me as a student of speech therapy to understand more about the exam for Parkinson's Disease. Thank you so much Larry, for demonstrating, it means a lot. I hope you're doing well!
I would like to see a video demonstrating the exam process for differential diagnosis between Parkinson's Disease and PSP (Progressive Supranuclear Palsy).
A number of PSP patients have been misdiagnosed with Parkinson's.
EXCELLENT video! Thank you! (And good job, Larry!)
Many thanks for Dr. Kathleen and Larry.
Thank you all for an excellent and detailed demonstration.
Thank you Dr. Poston and Larry! Excellent video!
I really thank you for this GREAT video.
Now that I see someone else with these symptoms it makes me think about how my dad progressed. RIP Dad 08/1957 to 05/2016. I remember him doing all of these things.
Thank you teacher for your very informative and nice clinical examination video about Parkinson disease and also million thank to Larry !!!
Thank you very much for taking time and explanation:)
"did you sleep well last night?"
"no but now i know how to diagnose parkinson"
... a really great video though!
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I took a k/c/o PD today and your video helps me a lot! Thank you Dr.Kathleen and Larry !
Very helpful. Thank you both so much.
Thanks Dr , awesome..all my best wishes for Mr Larry for sharing this really helpful
Thank you so much Larry for your kindness and let this video produced!
Love you Larry. Going for a PD assessment next Monday. Only tremor so far. Thank you Dr and dear Larry
Thanks Larry ,and thanks to the doctor for teaching so easily and clearly😊
Thank you Doctor, Poston and Larry. it is a wonderful video.
she’s such an amazing tutor and warm hearted too thanks a lot I hope one day I become as kind and amazing doctor as she is❤️
Thank you Larry and Dr. Poston
Thank you for this information. Larry was a very good patient. I wish him the best. I haven't been diagnosed yet but this give me the idea of what to expect. Thank you all.
Thank you Mr. Larry :) such a nice man.
Thanks doctor for clear explanation and thanks Larry for your time.
Thank you! Thoughts and prayers for Larry 🙏❤️
Resourceful information attained from Dr Kathleen. Thumbs up !!!
Thanks Doc. Your physical presentation of Parkinson's Disease was bar none!
Thank you for taking the time putting this together. Very valuable information.
Thank you Larry for helping the team get information out! Glad your medication is helping you have a better quality of life!
I have a neurology exam in less than two weeks and I’m glad I watched this video! My resting head tremors/shaking 24/7 seriously worsened after trying the exercises in the beginning of this video. Now I may need to walk around awhile to try to see if I can settle them down! Good to be aware that during my exam my tremors may get worse for awhile if these exercises are done!
i don’t know why, but out of no were, I just love this guy (Larry). wish u all the best sir.
best description, Thank you
Thank you so much Larry!
Thank you! My husband was diagnosed recently.
Very very helpful. Thank you very much Dr for your excellent teaching. Best wishes for both of you.
Thank you Doc for this wonderful video. A special thanks to Larry for agreeing to making this video.
Thank you so much Larry for teaching us!! I´m writing this as a physician here in Norway. Thank you to Stanford Med, for making this great video! Much appreciated!
Very good video,,Best to you Larry...
Thank you, Larry!
i had an anxiety freakout about having PD but this calmed me down a lot. i’m only 26 but have a tic where i flex my thighs and it sometimes gives me anxiety thinking about neuro issues .
It happened with me aswell! Thank god it's not PD 🙏
I am just 20 and have hand tremors
Thank you for this video! It was very educational! I've had symptoms of blepharospasm since 2013 and was concerned if I had symptoms that would point to possibly Parkinson's, but following along with the exercises in the video, I think all I have is a benign belpharospasm by itself. I hope Larry is doing well today. :)
Thank you so much for this amazing video. Big thanks and hug to both of you.
Well done. Thank you so much for the timely education.
Great video. Thank you, Dr and big thanks to Larry!!
When I was in my 20’s my doctor ask me how long I have had my tremors? I didn’t realize I had them . When I turned 50 it got bad walking I got off balance and could no longer write or put my mascara on. I went to my doctor they gave me a prescription and told me it was Parkinson’s. Looking back at some family members who were no longer alive. I realized they had it too. If I miss a pill it’s torture. Now even on medication I fall a lot. So getting on a ladder with no one around me is a no no. Thanks for this video.
Thank you Larry and Dr Poston! :)
Excellent!! Thank you Dr.
Great explanation, just what I needed!
Thank you Larry.
Thanks to both of you. Good explanation and teaching.
Thank you very much! Thanks very much Larry too! Love from Alberta, Canada.