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Ms. Manasi B. Chavan
Psychology MA (Clin.)
India
Parkinson’s Disease
 Progressive neuro-generative disease
 This disease results as the dopamine contained neurons known as
neuro-malanin reduce or die.
 These neurons are located in substantial nigra in the midbrain.
 These neurons are black in color.
 The symptoms of Parkinson's are only seen when more than
<90% of dopamine neurons die.
Movement signs of Parkinson’s
 SHAKINESS
• Tremors
STIFFNESS
• Movements are not
smooth but, very rigid
SLOW MOVEMENT
 Bradykinesis
 DIFFICULTY
BALANCING
 Occurs much later in due
course of the disease
Non-Movement signs of
Parkinson’s
 Psychosis
• Mood affect
• depression
 Cognitive Problems
 Memory loss (forgetfulness)
 Dementia
 Poor concentration
 Trouble with multitasking
 Anxiety problems
 Sleep disturbance
 Fatigue
 Constipation
 Sensory problems
 Poor sense of smell
 Difficulty in
distinguishing between
different smells
 Excess sweating
Idiopathic- The actual reason is unknown, however following causes can be
considered:
GENETIC CAUSES
 Gene mutation:
ENVIROMENTAL CAUSES
 Exposure to pesticides and
cleaning chemicals
 Age: in geriatric population
Parkinson’s is much
common <65 years.
 Gender: As per the
researches Parkinson’s is
more common in males.
 Heavy metals like
manganese (Mn), copper
(Cu) and lead (Pb) used in
Industries can also be the
cause.
CAUSES of Parkinson’s
100% Parkinson’s
Chance of having
Parkinson’s
Cortex (stimulates)
Striatum (inhibits)
GP(internal)less
inhibition of thalamus
Thalamus (stimulates)
Cortex (stimulates)
Results in muscle
movement.
Cortex (stimulates)
Striatum (inhibits)
GP(external)less inhibition of
Substantial nigra
Substantial nigra (stimulates)
GP(internal) more inhibition to
Thalamus
Thalamus (less stimulated)
Cortex (less stimulated)
Results in controlled unwanted
muscle movement.
Managing Parkinson’s Disease
• Parkinson’s is a progressive
disease therefore no medication or
surgery can treat or cure it
completely.
• Though people suffering from
Parkinson’s show similar
symptoms, they show difference in
severity, timeline and individual
experiences.
• Through medication (L Dopa)
dopamine level can be increased or
replaced. However with due time
side effects are seen as dyskinesia
and wearing off.
• When symptoms are not managed by
medication surgery is recommended, mainly
DBS (Deep Brain Stimulation)
• DBS is operated in either of 2 ways:
1. Surveying: electrode is skill fully placed in
area of basal ganglia, this electrode can find
the misbehaving neurons and analyze their
activity with sound waves which are
indications to the surgeons to operate ON.
2. Permanent electrodes: these electrodes stay
in the brain depending on the severity of the
symptom. These electrodes are connected to
a battery power pacemaker located down the
collar bone. These electrodes send signals
and adjust the neural activity in the brain.
 The main areas that are targeted in DBS are:
 Globus pallidus internal: is too active and it
inhibits the activity of thalamus which further
inhibits the activity of motor cortex in
Parkinson’s.
 Sub thalamic nucleus: is too active which
activates Globus pallidus at fist place in
parkinson’s.
Lifestyle:
 Exercise and physiotherapy can help to alleviate associated
pain and rigidity and postural changes that happen to develop
during the disease. Though exercise the stiffness and rigidity
of muscles can be reduced.
 Speech therapy: lot of people tend to develop soft speech due
to lack of muscle co-ordination . therefore therapy is
recommended help to train increase volume and help the
person chew the food well.
 Emotional and psychological support from family and friends is
needed as Parkinson's is also associated with psychological
problems and as its progressive in nature.
1. Coursera Parkinson's video was
taken as base:
https://www.coursera.org/learn/neur
obiology/lecture/Gwbol/parkinsons-
disease
2. Following YouTube videos were
referred:
 https://www.youtube.com/watch?v=3n
8UjH9h_8I&t=5s
 https://www.youtube.com/watch?v=4q
dD4Ny34cc&t=232s
 https://www.youtube.com/watch?v=5h
M8xUB07Y0&t=57s
 https://www.youtube.com/watch?v=HF
ecdPI_-dg&t=75s
3. Images where taken from Google
Bibliography
Grateful
I am grateful to Coursera for
having such an
informative and detailed
course. I am very happy
that I got this opportunity
to share this PPT with you
all. This course has
helped me a lot to
understand the
neurobiological
functioning of the brain. As
I am a school psychologist
I encounter many students
having special needs. This
neuro biology of brain has
inspired me to even
understand their neuro
biological activities of
brain and plan activities

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Parkinson's manasi india 17

  • 1. Ms. Manasi B. Chavan Psychology MA (Clin.) India
  • 2. Parkinson’s Disease  Progressive neuro-generative disease  This disease results as the dopamine contained neurons known as neuro-malanin reduce or die.  These neurons are located in substantial nigra in the midbrain.  These neurons are black in color.  The symptoms of Parkinson's are only seen when more than <90% of dopamine neurons die.
  • 3. Movement signs of Parkinson’s  SHAKINESS • Tremors STIFFNESS • Movements are not smooth but, very rigid SLOW MOVEMENT  Bradykinesis  DIFFICULTY BALANCING  Occurs much later in due course of the disease
  • 4. Non-Movement signs of Parkinson’s  Psychosis • Mood affect • depression  Cognitive Problems  Memory loss (forgetfulness)  Dementia  Poor concentration  Trouble with multitasking  Anxiety problems  Sleep disturbance  Fatigue  Constipation  Sensory problems  Poor sense of smell  Difficulty in distinguishing between different smells  Excess sweating
  • 5. Idiopathic- The actual reason is unknown, however following causes can be considered: GENETIC CAUSES  Gene mutation: ENVIROMENTAL CAUSES  Exposure to pesticides and cleaning chemicals  Age: in geriatric population Parkinson’s is much common <65 years.  Gender: As per the researches Parkinson’s is more common in males.  Heavy metals like manganese (Mn), copper (Cu) and lead (Pb) used in Industries can also be the cause. CAUSES of Parkinson’s 100% Parkinson’s Chance of having Parkinson’s
  • 6. Cortex (stimulates) Striatum (inhibits) GP(internal)less inhibition of thalamus Thalamus (stimulates) Cortex (stimulates) Results in muscle movement.
  • 7. Cortex (stimulates) Striatum (inhibits) GP(external)less inhibition of Substantial nigra Substantial nigra (stimulates) GP(internal) more inhibition to Thalamus Thalamus (less stimulated) Cortex (less stimulated) Results in controlled unwanted muscle movement.
  • 8. Managing Parkinson’s Disease • Parkinson’s is a progressive disease therefore no medication or surgery can treat or cure it completely. • Though people suffering from Parkinson’s show similar symptoms, they show difference in severity, timeline and individual experiences. • Through medication (L Dopa) dopamine level can be increased or replaced. However with due time side effects are seen as dyskinesia and wearing off.
  • 9. • When symptoms are not managed by medication surgery is recommended, mainly DBS (Deep Brain Stimulation) • DBS is operated in either of 2 ways: 1. Surveying: electrode is skill fully placed in area of basal ganglia, this electrode can find the misbehaving neurons and analyze their activity with sound waves which are indications to the surgeons to operate ON. 2. Permanent electrodes: these electrodes stay in the brain depending on the severity of the symptom. These electrodes are connected to a battery power pacemaker located down the collar bone. These electrodes send signals and adjust the neural activity in the brain.  The main areas that are targeted in DBS are:  Globus pallidus internal: is too active and it inhibits the activity of thalamus which further inhibits the activity of motor cortex in Parkinson’s.  Sub thalamic nucleus: is too active which activates Globus pallidus at fist place in parkinson’s.
  • 10. Lifestyle:  Exercise and physiotherapy can help to alleviate associated pain and rigidity and postural changes that happen to develop during the disease. Though exercise the stiffness and rigidity of muscles can be reduced.  Speech therapy: lot of people tend to develop soft speech due to lack of muscle co-ordination . therefore therapy is recommended help to train increase volume and help the person chew the food well.  Emotional and psychological support from family and friends is needed as Parkinson's is also associated with psychological problems and as its progressive in nature.
  • 11. 1. Coursera Parkinson's video was taken as base: https://www.coursera.org/learn/neur obiology/lecture/Gwbol/parkinsons- disease 2. Following YouTube videos were referred:  https://www.youtube.com/watch?v=3n 8UjH9h_8I&t=5s  https://www.youtube.com/watch?v=4q dD4Ny34cc&t=232s  https://www.youtube.com/watch?v=5h M8xUB07Y0&t=57s  https://www.youtube.com/watch?v=HF ecdPI_-dg&t=75s 3. Images where taken from Google Bibliography
  • 12. Grateful I am grateful to Coursera for having such an informative and detailed course. I am very happy that I got this opportunity to share this PPT with you all. This course has helped me a lot to understand the neurobiological functioning of the brain. As I am a school psychologist I encounter many students having special needs. This neuro biology of brain has inspired me to even understand their neuro biological activities of brain and plan activities