presented by Anne Kloos
Neurodegenerative diseases result in complex issues impacting the health, function and participation of affected individuals. Therapists must be equipped to provide best evidence care throughout all stages of neurodegenerative diseases in an ever-changing health care environment. This course provides the physical therapist advanced knowledge about the use of Dal Bello-Haas’ framework for rehabilitation to guide therapists’ decision-making regarding interventions and current evidence regarding benefits of exercise for people with neurodegenerative diseases. Issues and challenges to providing care to individuals with neurodegenerative diseases across all disease stages are discussed. On completion of this course, the therapist will be able to use Dal Bello-Haas’ framework and current evidence-based recommendations about exercise prescription and physical therapy care to select appropriate treatments for individuals with neurodegenerative diseases across all disease stages.
Anne Kloos, PT, PhD, NCS received her physical therapy degree from the University of Wisconsin-Madison and her master's and doctoral degrees in biology/neuroscience from Cleveland State University. Dr. Kloos is currently a Professor-Clinical in the Physical Therapy Division at the Ohio State University, where she teaches adult neurorehabilitation and neuroscience courses and conducts research on balance and gait interventions and fall prevention in individuals with neurodegenerative diseases. She is a board-certified neurologic physical therapy specialist and has over 25 years of clinical experience, including working as a consultant physical therapist in the Amyotrophic Lateral Sclerosis (ALS) Clinic at the Cleveland Clinic Foundation and at the Ohio State University Movement Disorders Clinic. Dr. Kloos has presented her research both nationally and internationally and has numerous publications. Currently, she serves as Co-Director of the Ohio State University Neurologic Physical Therapy Residency Program and as Associate Editor for the Journal of Neurologic Physical Therapy. Her past service has included being the Chair of the Degenerative Diseases Special Interest Group and of the Neurologic Residency Curriculum Task Force for the American Physical Therapy Association.
Dal Bello-Haas’ framework for rehabilitation of neurodegenerative diseases helps to guide physical therapists’ decision-making regarding treatments for people with neurodegenerative diseases across all disease stages. This chapter provides the therapist advanced knowledge about the framework with a case example to illustrate its application.
Exercise may have a neuroprotective role in neurodegenerative diseases. This chapter provides general guidelines for the therapist to select exercise interventions that are neuroprotective and enhance motor, cognitive, and psychological functions in people with neurodegenerative diseases.
Physical therapists face unique issues and challenges when caring for individuals with neurodegenerative diseases. This chapter will discuss common issues and challenges that arise across disease stages and strategies for dealing with them.
It can be challenging for physical therapists to provide long-term care to individuals with neurodegenerative diseases given the current health care environment in the United States. This chapter will discuss strategies that therapists can use to ensure that clients with neurodegenerative diseases have access to physical therapy services throughout the continuum of care.