I know in young children regardless of cognitive skills it's the motivation
to move that you can facilitate.  I've seen children labeled in the
profoundly mentally retarded range walk.

Elizabeth H. Thiers, OTR/L
[EMAIL PROTECTED]

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf
Of Ron Carson
Sent: Tuesday, December 02, 2003 12:12 PM
To: Lehman, David
Subject: Re[4]: [OTnow] Parkinson's disease / Alzheimer's

Hello David:

thanks  for taking time to write and explain. you've created another area of
interest.

is  it  really  possible  to  facilitate  gait  without cognition. in all my
dumbness, this just doesn't seem possible.

Ron

=================================================
Tuesday, December 2, 2003, 11:29:36 AM, you wrote:

LD> I agree that either disease can manifest itsel throughout areas for
LD> movement control (PD = basal ganglia, AD = pre-motor cortex?), and yes I
LD> agree that memory deficits can eventually lead one to "not remember" how
LD> to move.......just be careful using terms like remembering, for gait can
LD> be facilitated at a level of the CNS that is not cognitive, whereas a
LD> more complex skill may require cognition.......I guess what I am trying
LD> to say is that the neuroanatomical areas are different, yet, yes, some
LD> functional decline may be similar between the 2 pathologies.....BUT, I
LD> am not so sure that means you can refer to your first question about
LD> treating based on diagnosis and now say, since PD and AD show similar
LD> deficits, then we can trEAT THEM ONE IN THE SAME

LD> ?????? 

LD> David A. Lehman, PhD, PT
LD> Associate Professor
LD> Tennessee State University
LD> Department of Physical Therapy
LD> 3500 John A. Merritt Blvd.
LD> Nashville, TN 37209
LD> 615-963-5946
LD> [EMAIL PROTECTED]



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