Approach to the Exam for Parkinson's Disease

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

[@dge.]

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]

hi fellow doge, parkinsonism interests me as well

[@mikejennings5961]

Goge

[@mikejennings5961]

Hello

[@joshyantony1932]

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]

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

[@shamchandgautam8510]

I8

[@pkneeno]

Larry: here's an internet hug!

[@HeeBGBz]

Thanks Larry

[@elizabethengelbrecht3376]

9

[@denisecarr5821]

🙌🏼

[@rahulsainathvhanalwad3966]

❤

[@skylerjames3276]

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.

[@alouise3557]

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

[@brentbarajas]

Yup lol

[@heatherk.906]

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.

[@walkerholiday9631]

“from”

[@josephinemacken4391]

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

[@olaflai2136]

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

[@StanfordMedicine25]

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

[@IIDraithII]

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

[@cozzball]

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

[@ginb1598]

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]

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.

[@momtazularefin]

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

[@ra-m]

Postural instabilities instead

[@siddharthchikhalkar4615]

Thank you!

[@manikandansrt]

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

[@BM-ke6yn]

Larry is so CUTE! WE LOVE YOU LARRY

[@VivekSingh-kc5kw]

Best explanation ever in my whole medical life

[@hunkaboomer]

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 UA-cam instructional helps me know that I don’t have anything more than tremors

[@Epiphalactic]

essential tremor is different than anxiety tremor.

[@exosproudmamabear558]

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]

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]

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.

[@albertdesalvo7273]

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

[@hatirose7503]

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

[@valnaples]

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

[@tanny2482]

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

[@ssbmouse6471]

Thank you Larry for volunteering!

[@siddharthchikhalkar4615]

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!!

[@leeandrewcowles]

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.

[@MuhammadAli-ml9bt]

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

[@dennismarble3591]

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

[@donnarick7700]

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

[@marymcnally4852]

Thank you for your clarity and compassion.

[@antartistube]

Thank you, Dr. Poston and Larry! Many blessings

[@troyhagen587]

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

[@KingCamisback]

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]

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

[@EvangelineMunda]

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

[@annaalexandratou5593]

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

[@drmadhurireddy9474]

Exceptionally well demonstrated!!

[@dharghamalturaihi3511]

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

[@miared2059]

Thank you Larry and Dr. Posten

[@TheUnderclocked]

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!

[@camillecruxinger9368]

Bless your heart Larry! We love you!

[@aasthagupta1160]

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

[@pranavireddy1605]

Thank you Larry and Stanford med

[@rolandpochet8418]

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

[@muhammadelgazar7303]

Many thanks for Dr. Kathleen and Larry.

[@ifuadkhan]

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

[@jislam3702]

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

[@umerbinshabir6561]

Way she explains it....amazing dr

[@dennisdubin7120]

To

[@stevenreichertart]

Thank you all for an excellent and detailed demonstration.

[@drmanangupta]

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!

[@OkanVKILIC]

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.

[@eg2244]

Thank you Larry and Dr. Poston

[@thantzinaung5680]

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

[@antoniablau3268]

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

[@scores718]

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

[@NoorAli-lt5ky]

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

[@theresamcevoy3039]

Thank you Dr. Poston and Larry! Excellent video!

[@TheKareba1]

Thank you Mr. Larry :) such a nice man.

[@sunving]

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

[@jaceshoemaker3155]

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

[@helenghandchi8280]

I really thank you for this GREAT video.

[@Veraa54621]

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

[@gauthamjeyakumar]

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

[@barwaaqo9644]

Thank you Larry and Dr Poston! :)

[@brwnizbeautiful]

Thank you, Larry!

[@natthapoomsuphavejkornkij197]

best description, Thank you

[@hopeabey9220]

Thank you very much for taking time and explanation:)

[@nouraayed]

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❤️

[@esi8747]

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

[@alyssecharlesworth2934]

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

[@hibahassan3433]

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

[@norenaventosa3463]

Thank you Larry! and Thank you dr.!

[@KG-gg8rl]

Thank you Larry.

[@jenniealkawari2731]

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

[@RikkeS87]

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!

[@AngeredYeti]

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

[@karenwisusa6258]

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!

[@sushinyan5220]

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

[@orlandoreyes884]

Excellent!! Thank you Dr.

[@noellealissa2206]

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

[@hilalahmed1005]

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

[@arashshamsaei728]

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

[@abdoelghrio9202]

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

[@aprildahlberg6615]

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.

[@carmenlebron5777]

Thank you! Thoughts and prayers for Larry 🙏❤️

[@sandracora7788]

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

[@mamalittlefoot1491]

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

[@jungermd]

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

[@rekhakadam6393]

Thanks to both of you....🙏🏻🙏🏻.

[@marieeysackers527]

Great explanation, just what I needed!

[@mdaktaruzzaman3168]

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

[@sophia66723]

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

[@akhahmad7455]

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

[@samdunbar577]

Thank you so much Larry!

[@caesarahad7706]

Respect for Dr.Poston mam!
This will be helpful in exam.

[@mdrahman7288]

wonderful creation.
Thank you

[@tizziejames9040]

Very helpful. Thank you both so much.

[@DoctorGeri]

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.

[@fredrikhyttsten8260]

Thank you Larry!
Kind regards from Sweden!

[@ashokbulbule5077]

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

[@amazinggrace5692]

Thank you! My husband was diagnosed recently.

[@shashi5951]

thank you so much madam. that was really really helpful. & thank you Mr.Larry

[@nancychace8619]

Thanks to both of you. Good explanation and teaching.

[@lillycharlotte1104]

Thank you so much Larry and the Dr😍

[@eletro_doc9529]

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

[@fotballdude16]

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!