Parkinson's Disease

Physical Therapy Upper East Side Manhattan, NY

Parkinson's Disease: A progressive disorder of the nervous system that affects movement, sometimes starting with a slight tremor in just one hand and commonly causing stiffness or slowing of movement. In the early stages of Parkinson's disease, your face may show little or no expression, or your arms may not swing when you walk. Your speech may become soft or slurred.

Symptoms:Tremor, rigid muscle, slow movement, speech changes, loss of automatic movements, writing changes and more.

My treatment approach: After I perform a comprehensive evaluation and depending on the nature and severity of your condition, I will utilize various modalities and techniques to treat the following impairments: decreased fitness level, strength and flexibility; lack of control when changing positions in and out of bed; impaired hand movements; risk of falling; difficulties climbing and descending stairs; difficulties changing directions efficiently and more. In my treatment I will incorporate soft tissue and joint mobilization techniques to release rigidity and limited range of motion. The patient will be trained with Feldenkrais and Bobath techniques to better coordinate their motions when turning or moving in bed. This is followed by transitions from bed to standing positions, ambulation and negotiation of stairs. Proprioceptive neuromuscular facilitation will be added in sitting and standing positions while the person is guarded. I pay attention to each person's unique manifestation of Parkinson's to assess the treatment and the short-term and long-terms goals. Patients report that they have greater control of their extremities in everyday activities after treatment, especially noting an improvement in their balance and coordination while walking.

Why the RiVision method? One-on-one, prolonged hands-on treatment by Dr. Rivi, tailored to each person's physical and mental wellness. We also emphasize the patient's education on self-treatment and how to cope with the disorder and the pain in the long run.