Course Preview

  • Occupational Therapy
  • Occupational Therapy Assistants
Hours: 4 Contact Hours
  • Deborah Kegelmeyer, DPT, MS, GCS
  • Lisa R. Warren, MHS, OTR
Peer Reviewer(s): Tamara R. DeAngelis, PT, DPT, GCS
Item#: I6373
Contents: 1 Course Book (66 pages)
Sign up for the Western Schools 365 Online Membership

Examination and Management of the Client With Parkinson's Disease

Price $39.95
Item # I6373
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: May 5, 2016

Expiration Date: May 6, 2019

Parkinson’s disease (PD) is the second most prevalent neurodegenerative disorder, after Alzheimer’s disease, affecting approximately 630,000 people in the U.S. in 2010. This number is expected to double by 2040. The Parkinson Disease Foundation reports that 60,000 Americans are diagnosed each year. With the growing number of people living with PD, most occupational therapy practitioners are likely to encounter a client with this diagnosis in their practice. Practitioners enter the field with a general understanding of neurologic rehabilitation but lack specific training in the differential diagnosis, examination, and management of clients with Parkinson’s disease. Currently, research in occupational therapy management specifically for individuals with Parkinson’s disease is limited. Therapists might lack information regarding the most valid diagnostic tests and measures and the most current evidence-based treatment techniques. Over the past 20 years, with the growth of specialists and healthcare teams to treat Parkinson’s disease, occupational therapy has been included as a valuable treatment addition, especially with the growing evidence of its efficacy. A client-centered approach with initial focus on functional performance deficits is fundamental to occupational therapy assessment and intervention.

This intermediate-level course is designed to provide occupational therapists and certified occupational therapist assistants with the information needed to appropriately examine and treat the client with PD, including differential diagnosis of individuals who exhibit signs and symptoms indicative of PD. In addition, the learner will be able to manage clients with PD by designing a comprehensive treatment program based on the use of appropriate outcome measures. Equipped with the most current evidence, the learner will be able to discuss and critically evaluate interventions directed at the specific body structure and function, activity, and participation deficits associated with PD.


AOTA Content Focus - Occupational Therapy Process: Evaluation, Intervention, Outcomes



Course Objectives

  • Describe the etiology and symptoms of Parkinson’s disease, including its four cardinal signs.
  • Describe the clinical course of Parkinson’s disease, its classification, and differential diagnosis of parkinsonian syndromes.
  • Describe the medical management of Parkinson’s disease.
  • Determine the optimal examination procedure, given the client’s individual presentation and current best evidence.
  • Compare and contrast current best occupational therapy interventions for the management of the client with Parkinson’s disease.


Deborah Kegelmeyer, DPT, MS, GCS, is a certified geriatric clinical specialist with more than 20 years of clinical experience. She is currently an associate professor of clinical allied medicine at The Ohio State University, from which she graduated summa cum laude in 1983 with a bachelor of science degree in physical therapy and in 1990 with a master of science degree in allied medicine. She went on to pursue a doctorate in physical therapy from the Massachusetts General Hospital Institute of Health Professions in 2004. She founded the first group exercise program in Franklin County, Ohio, for individuals with Parkinson’s disease in 1988 and has remained active in local Parkinson’s disease support and exercise groups.

Dr. Kegelmeyer studies mobility and fall prevention in the elderly and people with neurodegenerative diseases and works as a consultant in the Movement Disorders Clinic at Wexner Medical Center. She has written extensively, including several journal articles related to Parkinson’s disease, including “Reliability and Validity of the Tinetti Mobility Test for Individuals with Parkinson Disease” and “Assistive Devices Alter Gait Patterns in Parkinson Disease: Advantages of the Four-Wheeled Walker.”

Lisa R. Warren, MHS, OTR/L, is the rehabilitation site manager and an occupational therapist for the University of Florida Center for Movement Disorders and Neurorestoration, a National Parkinson Foundation Center of Excellence (NPF COE). Ms. Warren has more than 25 years of clinical experience. In addition to providing care for those with neurodegenerative diseases, Ms. Warren is the founder and moderator of the Rehabilitation Director’s Phone Forum, a group of rehabilitation directors and therapists from NPF COEs, which convene quarterly to discuss pertinent topics in Parkinson’s therapy. She speaks frequently at Parkinson’s disease support groups throughout Florida, guest lectures at the University of Florida master’s program in occupational therapy, and lectures at conferences for healthcare providers, clients, and caregivers. Ms. Warren is currently involved in multiple movement disorders research projects at the University of Florida.

Ms. Warren received a bachelor of science degree in occupational therapy from the University of Texas Medical Branch, in Galveston, Texas, in 1988, and a master’s degree in health sciences for occupational therapy from the University of Florida, Gainesville, in 2009.


Tamara R. DeAngelis, PT, DPT, GCS, is a senior physical therapist at the Center for Neurorehabilitation at Boston University. Since 2006, she has been providing clinical care and participating in research and educational activities to persons with Parkinson’s disease and related movement disorders.  Dr. DeAngelis is also the coordinator for the American Parkinson Disease Association National Resource Center for Rehabilitation at Boston University, providing information and resources on exercise and rehabilitation to patients, families, and healthcare providers around the country. She speaks at Parkinson’s disease support groups, professional conferences, and symposia about the benefits of rehabilitation for persons with Parkinson’s disease. 

Dr. DeAngelis received a bachelor of arts degree in biology from Lafayette College in Easton, Pennsylvania, a master of science degree in physical therapy from Boston University College of Health & Rehabilitation Sciences: Sargent College, and a doctorate in physical therapy from Temple University in Philadelphia. She is also a board-certified specialist in geriatric physical therapy and is a member of the American Physical Therapy Association.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.