Approach to the Exam for Parkinson's Disease

Рет қаралды 1,200,370

5 жыл бұрын

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

Пікірлер: 549

@dge. 4 жыл бұрын

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!

@jamesalipio1631 2 жыл бұрын

hi fellow doge, parkinsonism interests me as well

@mikejennings5961 Ай бұрын

Goge

@mikejennings5961 Ай бұрын

Hello

@joshyantony1932 5 жыл бұрын

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 :)

@StanfordMedicine25 5 жыл бұрын

Joshy, thank you for the message. I will make sure Larry see yours and others. - Errol Ozdalga

@shamchandgautam8510 5 жыл бұрын

@skylerjames3276 Жыл бұрын

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.

@heatherk.906 Жыл бұрын

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.

@pkneeno 5 жыл бұрын

Larry: here's an internet hug!

@HeeBGBz 3 жыл бұрын

Thanks Larry

@elizabethengelbrecht3376 3 жыл бұрын

@denisecarr5821 Жыл бұрын

🙌🏼

@rahulsainathvhanalwad3966 11 ай бұрын

❤

@alouise3557 2 жыл бұрын

Over 700,000 of us probably did the first few exercises "just to see".

@brentbarajas Ай бұрын

Yup lol

@olaflai2136 5 жыл бұрын

THANK YOU!! Amazing video. Please tell Larry that we all wish him good health and happiness. :)

@StanfordMedicine25 4 жыл бұрын

Believe me, we make sure he see's all the comments. Thank you for yours.

@IIDraithII 4 жыл бұрын

You said what I wanted to say, thank you Larry!

@cozzball 4 жыл бұрын

+1 hereu, greetings from Barcelona to all of you, and for Larry of course!

@ginb1598 3 жыл бұрын

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.

@arturogoleman5221 3 жыл бұрын

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.

@josephinemacken4391 2 ай бұрын

What a fantastic teacher and educator you are, Dr. Poston! You are also a compassionate and thoughtful doctor!

@momtazularefin 2 жыл бұрын

Bradykinesia 1:38 Rigidity 5:03 Tremor 8:07 Gait & Balance 11:00

@ra-m Жыл бұрын

Postural instabilities instead

@siddharthchikhalkar4615 8 ай бұрын

Thank you!

@hunkaboomer Жыл бұрын

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 KZfaq instructional helps me know that I don’t have anything more than tremors

@Epiphalactic Ай бұрын

essential tremor is different than anxiety tremor.

@exosproudmamabear558 Ай бұрын

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.

@carriebaker5161 Ай бұрын

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.

@maryherron3970 4 жыл бұрын

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.

@hatirose7503 5 жыл бұрын

Thank you Larry, that was very helpful, and thanks to standford medicine 25 for uploading great videos.

@valnaples 4 жыл бұрын

wasn't that good of him to participate like this? WOW..eye-opening and YES, GOOD health to you Larry!

@siddharthchikhalkar4615 8 ай бұрын

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!!

@tanny2482 5 жыл бұрын

Thanks Larry! Though you may not see the message, but thanks a lot! You are the greatest teacher to us!

@VivekSingh-kc5kw 5 жыл бұрын

Best explanation ever in my whole medical life

@BM-ke6yn 3 жыл бұрын

Larry is so CUTE! WE LOVE YOU LARRY

@manikandansrt 9 ай бұрын

Thank you Larry and Dr.Poston. Wish you all good things.

@leeandrewcowles Жыл бұрын

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.

@albertdesalvo7273 4 жыл бұрын

Dr. Kathleen Poston has ample charms. All the best for Larry.

@troyhagen587 5 жыл бұрын

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

@umerbinshabir6561 5 жыл бұрын

Way she explains it....amazing dr

@dennisdubin7120 2 жыл бұрын

@TheUnderclocked 2 ай бұрын

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!

@dennismarble3591 5 жыл бұрын

Thank You Dr. Poston and Larry. Excellent demonstrations and very helpful.

@MuhammadAli-ml9bt 5 жыл бұрын

Dr. Kathleen Poston. thanky so much and thank you LARRY

@annaalexandratou5593 4 жыл бұрын

This was amazing and very educational. Thank you so much for uploading and thank you Larry for the cooperation and demonstration!!

@KingCamisback 4 жыл бұрын

Thank you mister Larry and Dr Poston for helping us in our education about PD. All the best to the greatest volunteer patient Larry!

@rosieweasley5865 2 жыл бұрын

Thank you so much Dr Poston and Larry, and everyone involved in producing this very helpful video. I wish everyone great health

@dharghamalturaihi3511 3 жыл бұрын

Thanks a lot for your continuous honorable contribution to International education . From Iraq

@antartistube 3 жыл бұрын

Thank you, Dr. Poston and Larry! Many blessings

@drmanangupta 5 жыл бұрын

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!

@Veraa54621 2 жыл бұрын

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

@donnarick7700 2 жыл бұрын

Thank you, Larry & Doctor. God bless you both!

@rolandpochet8418 Жыл бұрын

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

@marymcnally4852 4 жыл бұрын

Thank you for your clarity and compassion.

@EvangelineMunda 5 жыл бұрын

This video is very helpful. Thanks Dr. Kathleen and Larry.

@ssbmouse6471 2 жыл бұрын

Thank you Larry for volunteering!

@OkanVKILIC 4 жыл бұрын

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.

@esi8747 Жыл бұрын

Thank you Larry for your participation. Thank you Dr. Poston for sharing your knowledge

@ifuadkhan 6 ай бұрын

Thank you for your contribution to medicine Larry. Stay blessed and wishing you the best of health!

@jislam3702 2 жыл бұрын

Dr. Kathleen... the way you explain & do exam, as a young doc, I am mersmerised! Amazing skill. Stanford Medicine. 👌

@aasthagupta1160 5 жыл бұрын

Thank you so much Larry and thanks to everyone involved in making this video

@CorkyDaCat 5 жыл бұрын

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.

5 ай бұрын

You have it

@marielkraus649 5 жыл бұрын

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!

5 ай бұрын

My hands hurt while doing the first hand testing

@patnewman1 5 жыл бұрын

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.

@saiyogesh4606 4 жыл бұрын

Im observing slight trembling im my right finger..especially after using phone ..can u pls help me

@scores718 Ай бұрын

Mr. LARRY. Happy Spring. You are impressive in your calm manner

@antoniablau3268 4 жыл бұрын

Thank you so much Dr. Poston! This was amazingly well explained and easy to follow and understand.

@muhammadelgazar7303 5 жыл бұрын

Many thanks for Dr. Kathleen and Larry.

@thantzinaung5680 5 жыл бұрын

Thank you teacher for your very informative and nice clinical examination video about Parkinson disease and also million thank to Larry !!!

@nouraayed 3 жыл бұрын

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❤️

@stevenreichertart 5 жыл бұрын

Thank you all for an excellent and detailed demonstration.

@RikkeS87 Жыл бұрын

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!

@drmadhurireddy9474 5 жыл бұрын

Exceptionally well demonstrated!!

@gauthamjeyakumar 9 ай бұрын

Thanks Larry ,and thanks to the doctor for teaching so easily and clearly😊

@sunving 3 жыл бұрын

Thank you Doctor, Poston and Larry. it is a wonderful video.

@camillecruxinger9368 3 жыл бұрын

Bless your heart Larry! We love you!

@hopeabey9220 5 жыл бұрын

Thank you very much for taking time and explanation:)

@NoorAli-lt5ky 4 жыл бұрын

Thanks Dr , awesome..all my best wishes for Mr Larry for sharing this really helpful

@hibahassan3433 4 жыл бұрын

Thanks doctor for clear explanation and thanks Larry for your time.

@alihadimajeed3372 Жыл бұрын

i don’t know why, but out of no were, I just love this guy (Larry). wish u all the best sir.

@miared2059 4 жыл бұрын

Thank you Larry and Dr. Posten

@karenwisusa6258 7 ай бұрын

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!

@DoctorGeri 5 жыл бұрын

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.

@aprildahlberg6615 2 жыл бұрын

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.

@helenghandchi8280 5 жыл бұрын

I really thank you for this GREAT video.

@sushinyan5220 5 жыл бұрын

I took a k/c/o PD today and your video helps me a lot! Thank you Dr.Kathleen and Larry !

@alyssecharlesworth2934 4 жыл бұрын

Thank you Larry, this PT student appreciated your time to make this video!!

@sophia66723 5 ай бұрын

This was very helpful. Big thanks to both the doctor and the patient!

@ashokbulbule5077 5 жыл бұрын

God bless you doctor, very nice video, specially ascent is understandable for every one

@AngeredYeti 8 ай бұрын

Thank you very much! Thanks very much Larry too! Love from Alberta, Canada.

@jaceshoemaker3155 4 жыл бұрын

EXCELLENT video! Thank you! (And good job, Larry!)

@fotballdude16 6 ай бұрын

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!

@noellealissa2206 2 жыл бұрын

Thanks Doc. Your physical presentation of Parkinson's Disease was bar none!

@mamalittlefoot1491 3 жыл бұрын

Thank you for taking the time putting this together. Very valuable information.

@theresamcevoy3039 2 жыл бұрын

Thank you Dr. Poston and Larry! Excellent video!

@amazinggrace5692 3 жыл бұрын

Thank you! My husband was diagnosed recently.

@mdaktaruzzaman3168 3 жыл бұрын

Very very helpful. Thank you very much Dr for your excellent teaching. Best wishes for both of you.

@sandracora7788 3 ай бұрын

Excellent video! Very informative! Best video I've see on parkinsons and symptoms! Thank you!

@unfortunatedisgrace246 4 жыл бұрын

"did you sleep well last night?" "no but now i know how to diagnose parkinson" ... a really great video though!

@jacobwhitmore4010 3 жыл бұрын

You

@unfortunatedisgrace246 3 жыл бұрын

@@jacobwhitmore4010??

@rangasamysammy1628 3 жыл бұрын

@unfortunatedisgrace246 3 жыл бұрын

@@rangasamysammy1628 c

@hilalahmed1005 5 жыл бұрын

Resourceful information attained from Dr Kathleen. Thumbs up !!!

@pranavireddy1605 Жыл бұрын

Thank you Larry and Stanford med

@suryakantpandit8431 3 жыл бұрын

Excellent Madam ,one of the best video to evaluate the symptoms of PD.Regards.

@arashshamsaei728 4 жыл бұрын

Thank you so much for this amazing video. Big thanks and hug to both of you.

@eletro_doc9529 4 жыл бұрын

I'm from Brazil. Thank you very much, it really added to my neurology lecture.

@jenniealkawari2731 3 жыл бұрын

Love you Larry. Going for a PD assessment next Monday. Only tremor so far. Thank you Dr and dear Larry

@carmenlebron5777 2 жыл бұрын

Thank you! Thoughts and prayers for Larry 🙏❤️

@5dkdk 5 жыл бұрын

I was able to get a clear picture of what I knew vaguely. Thank you.

@StanfordMedicine25 5 жыл бұрын

Thanks for the comment!

@abdoelghrio9202 4 ай бұрын

Great video. Thank you, Dr and big thanks to Larry!!

@tolgakartal5029 Жыл бұрын

Thank you so much Larry for your kindness and let this video produced!

@jungermd 2 жыл бұрын

Well done. Thank you so much for the timely education.

@eg2244 3 жыл бұрын

Thank you Larry and Dr. Poston

@vlogfromtheheart9705 4 ай бұрын

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.

@akhahmad7455 2 ай бұрын

Larry You are such a gem and a very graceful lady....Great explanation👏

@maherarabi7054 Жыл бұрын

This is a great video. Thank you it is so clear and systematic.

@tizziejames9040 3 ай бұрын

Very helpful. Thank you both so much.

@ramadevikandukur3085 4 жыл бұрын

Thank you Dr.Kathleen. Special thanks for Larry for participation. I wish him good health. I have little clarification, stiff neck, stiffness on back, frozen shoulder is also a symptom?