Share Us: Email Icon Facebook icon Twitter Icon GooglePlus Icon Facebook Like icon   Subscribe | Contact

User Top Menu

How I Examine My Patient

The Clinical Evaluation of Parkinson’s Tremor

Tremor in Parkinson's disease can come in many different forms, and it has a highly variable appearance. This stimulated us to summarize a few crucial points as well as helpful tips and tricks for a good tremor evaluation.

How I Examine My Patient: The Art of Neurological Examination for Parkinson’s Disease

The Journal of Parkinson’s Disease is proud to announce an exciting new section entitled “How I Examine My Patient”, dedicated to the art of the neurological examination.

Medio-Lateral Balance Impairment Differentiates between Parkinson’s Disease and Atypical Parkinsonism

In early disease stages, it can be difficult to differentiate clinically between Parkinson’s disease and the various forms of atypical parkinsonism, like multiple system atrophy or progressive supranuclear palsy. Balance impairment in the medio-lateral plane (i.e. sideways) is often seen in patients with a form of atypical parkinsonism, but not in patients with Parkinson’s disease.
This is reflected by the distance between the feet during gait, which is typically normal (or even narrow) in Parkinson’s disease, but widened in atypical parkinsonism. Estimating this stance width depends on subjective judgement, and is difficult to quantify in clinical practice.

The Retropulsion Test: A Good Evaluation of Postural Instability in Parkinson’s Disease?

Postural instability is a disabling feature of Parkinson’s disease (PD), contributing to recurrent falls and fall-related injuries. The retropulsion test is widely regarded as the gold standard to evaluate postural instability, and is therefore a key component of the neurological examination in PD.