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Parkinson's Disease - A Perfect Balance: A Practical Approach to Intensive Exercise for Both Brain and Body

Kara Doctor
5 Hours 03 Minutes
Nov 03, 2016
Product Code:
Media Type:
DVD - Also available: Digital Seminar


From the initial symptom to diagnosis, Parkinson's disease affects many aspects of an individual's life, including sense of smell, facial expression, voice volume, ability to swallow, stiffness of the muscles, gait, balance, digestion, salivation, and fine motor control. With the alarming rate of PD being diagnosed to patients younger and younger, clinicians need the right tools at their disposal to combat this degenerative disease.

It is our job as clinicians to educate those diagnosed with Parkinson's how to begin exercising in a way that will benefit their brain, their cognition and potentially slow the progression of the disease. Understanding the symptomatology of Parkinson's is important in developing an effective exercise program for each individual.  Progressive, vigorous exercise has been shown to slow the decline in quality of life in people with Parkinson's. Through this lab-intensive recording, you will discover effective strategies to teach your patients that they can use in their day-to-day struggle with Parkinson's.


* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 5.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 5.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.0 self-study continuing education credits.

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Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.0 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.0 contact hours.

Speech-Language Pathologists & Audiologists - Speech-Language Pathologists & Audiologists

This course contains 5.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

Speech-Language Pathologists & Audiologists - California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Speech-Language Pathologists & Audiologists - Kansas Speech-Language Pathologists

Approved for 6.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

Other Professions

This self-study activity qualifies for 5.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Kara Doctor Related seminars and products


Kara M. Doctor MS, PT brings over 20 years of experience to the Physical Therapy field. She has been nationally certified in Allied Team Treatment for Parkinson's disease.  For the past 17 years, Kara has been treating patients with movement disorders, primarily Parkinson's disease.  She has been spokesperson and a lead presenter for deep brain stimulation support groups in Austin and has served on the board of directors for the Capital Area Parkinson Society (CAPS). Mrs. Doctor brings a wealth of knowledge with her vast experience in the treatment of patients living with Parkinson’s.

Speaker Disclosures:

Financial: Kara Doctor has an employment relationship with Neurology Solutions Consultants, PA. She receives a speaking honorarium for PESI, Inc.

Non-financial: Kara Doctor is a member of the Parkinson Action Network; and the Capital Area Parkinson’s Society.

Additional Info

Access for Self-Study (Non-Interactive) Access never expires for this product.

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  1. Identify neuroanatomy structures affected by Parkinson’s disease and be able to explain common responses and changes to the structures with vigorous exercise
  2. Articulate primary, secondary, and tertiary symptoms and complaints of Parkinson’s and parkinsonism
  3. Determine when DBS should be introduced and articulate potential candidacy and efficacy of surgical treatment
  4. Identify scales and scores that quantify symptoms of Parkinson’s to show a baseline, as well as improvement with treatment
  5. Review medication for Parkinson’s, as well as common adverse effects and pitfalls
  6. Develop exercise programs for progressive, resistance training and increase intensity exercise for persons with Parkinson’s disease



  • Prevalence
  • Incidence
  • Economic impact
  • Anatomy
  • The subthalmaic nucleus


  • Types of parkinsonism
  • Common motor symptoms
  • Sensory disorders
  • Loss of function
  • Depression and apathy
  • Swallow dysfunction
  • Hypophonia


  • Types of exercise
  • Neuro plasticity
  • Early intervention
  • Activity dependent improvement
  • Baseline measurements
  • Heart rate/perceived exertion


  • Overview
  • Candidacy Requirements
  • Clinicians role in education
  • Patients expectations and limitations
  • Indications/Contraindications


  • UPDRS Testing: The Gold Standard
  • Tinetti balance and gait assessment
  • Hoehn and Yahr Staging System
  • Schwab and England ADL score
  • Montreal Cognitive Assessment Test
  • Neurological Examination


  • Levodopa drugs
  • Levodopa Agonists
  • Supplements
  • Adverse effects vs. benefits
  • Impact on exercise and functional mobility


  • Exercise techniques- rigorous exercise
  • Strength training/Big body movements
  • Facial and lingual exercises
  • Voice exercise techniques
  • Compensatory techniques to improve swallow
  • Oculomotor exercises

Target Audience

  • Physical Therapists
  • Physical Therapists Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech Language Pathologists
  • Rehab Nurses
  • Nursing Home Administrators


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