Tuesday, January 30, 2018

Press Release- Latest News from Parkinson Foundation

Largest Clinical Study of Parkinson’s Disease Reaches 10,000-Patient Milestone, Reveals Critical Learnings


NEW YORK & MIAMI - January 10, 2018 - The Parkinson’s Foundation today announced the enrollment of the 10,000th Parkinson’s patient and the discovery of critical new learning in what represents the largest clinical study of Parkinson’s disease in history. Launched in 2009, the study has grown from a small pilot to 29 expert clinics in five countries and serves as a platform for clinical studies to improve the lives of everyone with Parkinson’s.

Specifically, the “Parkinson’s Outcomes Project” evaluates the complete range of factors associated with Parkinson’s disease: medications and other treatments, motor symptoms, cognition, anxiety and depression, and caregiver burden. The study, which includes more than 100 people who have lived with Parkinson’s for more than 30 years and 83 people diagnosed before they were 30 years of age, covers more than 25,000 clinical visits and input from almost 9,000 family care partners. Critical discoveries from the study include:
  • Regular neurologist care, which could save the lives of thousands of people every year, should be better prioritized by Parkinson’s patients and caregivers
  • Greater attention should be paid to physical activity, as increasing exercise and general movement to at least two-and-a-half hours a week slows the decline in quality of life
  • Mental health should be better prioritized, as depression and anxiety are leading factors determining the overall health status of patients
  • Gender differences from informal family caregivers for women with Parkinson’s is putting them at a disadvantage, and greater awareness is needed. Women with Parkinson’s are more likely to have a paid caregiver than men at the same stage, unlike men who are more likely to rely on their spouses and family members for support with everything from daily care to doctor visits
“When the foundation launched the Parkinson’s Outcomes Project nine years ago, our goal was to understand the impact of Parkinson’s on everyone living with the disease. We have obtained a wealth of information in what now represents the broadest and most inclusive patient population ever assembled in a clinical study of Parkinson’s,” said Peter Schmidt, PhD, Senior Vice President, Chief Research and Clinical Officer of the Parkinson’s Foundation, who leads the study. “The data we are collecting is informing trials to deliver new and better therapies.”

Added Thomas Davis, MD, Director of Movement Disorders at Vanderbilt University, study co-chair: “This project is truly innovative in that it not only follows thousands of patients over time, but that it studies everyone with Parkinson’s, from the newly diagnosed to people who have lived with the disease for 30 years or more. We’re working to ensure that every patient receives the best possible care, no matter where they’re seen.”

The Parkinson’s Foundation partners with its vast network of Centers of Excellence, leading academic and medical institutions around the world, to determine which Parkinson’s care teams achieve the best results and why. The network is comprised of 42 medical centers that deliver care to more than 100,000 people with Parkinson’s every year. Parkinson’s Foundation Center of Excellence status is the most respected and sought-after designation in the field of Movement Disorders, with each center required to meet rigorous clinical, research, professional education and patient service criteria.

“We are studying the quality of Parkinson’s care delivered at our Centers of Excellence to help patients who aren’t being seen at one,” said Fernando Cubillos, MD, who oversees operations for the Parkinson’s Outcomes Project. “Our goal is to help identify the best care and disseminate that information widely.”

The Parkinson’s Outcomes Project is led by a steering committee with members from each participating clinic and rotating co-chairs. The current co-chairs are: Kelly Lyons, PhD, Kansas Medical Center; Thomas Davis, MD, Vanderbilt University Medical Center; and Adolfo Ramirez-Zamora, MD, University of Florida. Gene Nelson, DSc, from the Dartmouth Institute for Health Policy & Clinical Practice, serves as advisor on quality programs.

For more information about the study, visit www.parkinson.org/outcomes.




About the Parkinson’s Foundation 
The Parkinson’s Foundation makes life better for people with Parkinson’s disease by improving care and advancing research toward a cure. In everything we do, we build on the energy, experience and passion of our global Parkinson’s community. For more information, visit www.parkinson.org or call (800) 4PD-INFO (473-4636).

About Parkinson’s Disease 
Affecting an estimated one million Americans and 10 million worldwide, Parkinson’s disease is the second-most common neurodegenerative disease after Alzheimer’s and is the 14th-leading cause of death in the United States. It is associated with a progressive loss of motor control (e.g., shaking or tremor at rest and lack of facial expression), as well as non-motor symptoms (e.g., depression and anxiety). There is no cure for Parkinson’s and 60,000 new cases are diagnosed each year in the United States alone.
Wednesday, January 10, 2018

Thursday, November 2, 2017

PD Active 2017 Activities

Here is the program description, schedule, and contact list for PD Active programs in the Bay Area. Click on the pictures to bring up larger versions.





Friday, October 20, 2017

New PD Support Group forming in Pinole, CA

We would like to notify you that a new Parkinson's support group is forming in Pinole and you are invited.

The Inaugural Meeting is this Monday, October 23 at 11:00 am.

Bary Park Retirement Residence
2621 Appian Way, Pinole, CA

If you are interested, please contact: bellavista88group@gmail.com.


Wednesday, August 23, 2017

9th Annual PD Patients and Caregivers Conference

Thank you for your patience, we now have 4 of the 5 speakers from the 2017 conference posted, as well as the question and answer session.  One speaker will be added at a later date. 

Thank you again to everyone who attended, we are excited about the new outreach possibilities that we will have in 2018, and also hope that we can continue this annual educational conference.


Enjoy!


UCSF PDCRC team

Thursday, June 1, 2017

Moving Day 2017





Thank you to everyone who came out for the Moving Day San Francisco, on May 7 at Justin Herman Plaza!  We were so excited to see so many new walkers and hope that everyone enjoyed themselves.

Reminder: Moving Day-San Jose is this Saturday, June 3, at Evergreen Valley College, in San Jose.  Link to the event is here:

http://www3.parkinson.org/site/TR?fr_id=2573&pg=entry

Please come out and support the Parkinson's Foundation and keep moving!

UCSF PDCRC



Friday, March 24, 2017

9th Annual PD Conference Saturday, May 20, 2017- 12:00-4:30

We will be hosting another great PD patient and caregiver conference on May 20, at the Mission Bay Conference Center.  Tickets and more information for this popular annual event can be found here:


Please be aware that this event sells out, so buy your tickets now.

The information and agenda for the conference are below:

Saturday, May 20, 2017

UCSF Mission Bay Campus
William J. Rutter Center – Robertson Auditorium
1675 Owens Street, 2nd Floor
San Francisco, CA 94158

11:00 – 12:00
Registration

12:00 – 12:10
Welcome & Introductions
Michael Aminoff, MD, DSc, FRCP
Distinguished Professor of Neurology & Director of UCSF Parkinson’s Disease Clinic and Research Center

12:10 – 12:45
Robert Edwards, MD
Professor, Department of Neurology
“Investigating the Causes of Parkinson's Disease”

12:45 – 1:20
Chad Christine, MD
Professor, Department of Neurology
“Nutritional Status in Parkinson’s Disease”

1:20 – 1:55
Maya Katz, MD
Assistant Professor, Department of Neurology
“Care of Patients with Advanced Parkinson's Disease”

1:55 – 2:30
Break & Light Refreshments
2:30 – 3:05

Joey Laus, CCC-SLP, MS
Speech Pathologist, Department of Otolaryngology and Head and Neck Surgery
“Management of Communication and Swallowing Disorders in People with Parkinson's Disease”

3:05 – 3:40
Catherine D. Printz, PT, DPT, NCS
Assistant Clinical Professor, Department of Physical Therapy and Rehabilitation Science
“Exercise Strategies to Combat the Symptoms of Parkinson's Disease”

3:40 – 4:15
Questions

Friday, October 7, 2016

Physical Therapy for PD

Exercise should be part of the daily routine of a patient with Parkinson’s disease (PD). Exercise and regular activity improve mobility, dexterity, and balance, and may even slow the progression of PD. Exercise, especially outdoors, also helps to alleviate depression, which is a common accompaniment of parkinsonism. Finally, there is a growing belief in the medical community that regular exercise improves or preserves cognitive function. For most PD patients, it is not necessary to consult with their primary care provider (PCP) before starting a low-impact exercise regimen, such as taking a daily walk for 30 minutes. However, for a PD patient with heart or pulmonary disease, in particular, it is important for the PCP to determine what exercise can be done safely.

For a more focused program, patients may want to consult with a physical therapist on specific exercises that can be done to keep muscles, joints, and limbs in an optimal state. Neurologic Clinical Specialists (NCS) are physical therapists who specialize in movement disorders, such as PD. However, a patient should not delay starting a program in order to meet with an NCS, as all physical therapists are trained movement professionals and will be able to assist in creating an exercise plan.

A physical therapy (PT) program ideally should focus on improving posture and balance and on maintaining dexterity and functional ability in the limbs. Such programs can be tailored to emphasize exercises that may reduce the risks of falling. It is common for patients with PD to have disturbances of gait, and certain exercises can help to maintain good strides, improve arm swing, and counter freezing episodes.

PD motor symptoms are usually asymmetric, affecting one side of the body more than the other. Some patients with PD show a reticence to use their affected side. Seeking to hide their tremor, they will attempt to stay the tremor by clasping hands or sitting on the tremulous hand. Others, knowing that one hand is slower and clumsier, will favor the “better” hand for most activities. Patients with PD who have predominantly lower limb symptoms often reduce the amount of walking they do, or rely increasingly on a cane or walker. If an assistive device is necessary to protect the patient from repeated falls, it should be employed —however, the danger in neglecting an affected limb is that the less the limb is used, the less usable it becomes. Patients must actively strive to do more with affected limbs. “Forced” use of an affected limb leads to neural adaptation. In other words, the limb becomes more responsive because the neural pathways that control it are activated more fully. Neural adaptation has been shown to occur in patients who have undergone forced use rehabilitative strategies after a stroke.

In the daily routine of a patient with PD, time should be spent on improving range of motion, task performance, and coordination, particularly of the more symptomatic limb. For the hands, practice precise repetitive movements: drumming or tapping the fingers, turning the palm up and down, throwing, catching, and squeezing a ball, putting small objects in small containers, using a finger to quickly touch mobile and stationary objects, and so on. Exercises to practice with the legs include: marching and stepping in place while occasionally changing directions, and toe tapping. When walking, keep the head up, the shoulders back, and swing the arms purposefully. The point is to challenge the limbs to be as active as possible.

After a PT program has been outlined and followed for a while, periodic re-evaluation by the physical therapist will help to confirm that the program is providing some benefit. PD is a disease that tends to worsen over time, and exercise programs may need to be adjusted with disease progression.

Keeping the mind limber is also important. Learning-based exercises can help maintain multi-tasking capabilities, which may —in turn— have a positive effect on work and inter-personal interactions. Solving puzzles, playing board games, and exploring new hobbies are all things that PD patients can do to challenge the mind and keep it nimble. Other activities like dance, tai chi, and yoga are especially beneficial, pairing relatively low-impact movement with learning, memory, and repetition. In addition, these activities provide pleasure and increase opportunities to socialize. Physical therapy offers the opportunity to collaborate with a movement professional to create a regimen that is unique to the patient, and will help the patient keep the body and mind durable, flexible, and resilient.