Deep Brain Stimulation in Parkinson's Disease, Part 1 - PT68

Deep Brain Stimulation in Parkinson's Disease, Part 1

Is It a Viable Alternative to Drug Therapy?

by Steven S. Bhimji, MD, PhD
(4.4 / 403 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


For decades, researchers have been searching for a cure for Parkinson’s disease (PD). Over the years, countless drugs have been developed but none is able to cure this movement disorder. All of the drugs control the symptoms for a period of time and then the disorder relapses. It was found that rather than destroying the area of the thalamus, stimulation of the region resulted in a significant improvement in symptoms of PD. Deep brain stimulation is not a curative procedure, but it can improve symptoms in patients with PD. There is always a risk that a major psychiatric disorder can be worsened with this technique. 


The goal of this Parkinson’s disease/deep brain stimulation continuing education program is to provide pharmacists, physicians, health educators, occupational therapists, physical therapists, and paramedics and EMTs with knowledge about deep brain stimulation for the treatment of various neurological disorders, including Parkinson’s disease. Following the completion of this educational activity, you will be able to:
  • Discuss the pathophysiology of Parkinson’s disease
  • Describe how different surgical procedures have evolved for the treatment of Parkinson’s disease
  • List the indications and contraindications for deep brain stimulation 

Approval Information
This course is intended for an interprofessional audience, including pharmacists, physicians, health educators, occupational therapists, physical therapists, and paramedics and EMTs.
Physical therapists: Take this version of the course to ensure you receive appropriate credit. 
For the version accredited or approved for another profession, go to your specific profession at If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
OnCourse Learning is an approved sponsor by the New York State Education Department of continuing education for physical therapists and physical therapist assistants from 10/21/09 to 10/20/18.
This activity is provided by the TX Board of PT Examiners Accredited Provider GED012010TPTA2012004 for 01/01/2010 to 01/31/2013; 1601004 for 02/01/2013 to 01/31/2016; and 1902004TX for 02/01/2016 to 01/31/2019 and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
OnCourse Learning is recognized by the Physical Therapy Board of California as an approved reviewer and provider of continuing competency courses for the state of California.
OnCourse Learning is a licensed physical therapy continuing education sponsor (#216.000275) with the Illinois Department of Financial and Professional Regulation from July 2013 through September 30, 2018.
This course has been approved as meeting the continuing education requirements for PTs and PTAs by the Ohio Physical Therapy Association (approval no. 12S2097 for 12/01/12 to 12/01/13; 13S1865 for 12/02/13 to 12/02/14; 14S1727 for 12/03/14 to 12/03/15; 16S0771 for 12/04/15 to 12/04/16), the Florida Physical Therapy Association (approval no. CE130019788 for 01/01/13 to 12/31/13, CE140021444 for 01/01/14 to 12/31/14; CE150023821 for 01/01/15 to 12/31/15; CE16-26905for 01/01/16 to 12/31/16); the Tennessee Physical Therapy Association for Class 1 Continuing Education Requirement (approval no. 4825 for 01/01/13 to 12/31/13, 5266 for 01/01/14 to 12/31/14; 5829 for 01/01/15 to 12/31/15; 2223 for 01/01/16 to 12/31/16); the Pennsylvania Board of Physical Therapy (approval no. PTCE004023 for 01/26/13 to 12/31/14; PTCE007019 for 01/01/15 to 12/31/16); and the New Jersey Board of Physical Therapy Examiners (approval no. 962-2012 for 01/08/13 to 01/31/14; 204-2014 for 02/01/14 to 01/31/16). Approval of this course does not necessarily imply the Florida Physical Therapy Association supports the views of the presenter or the sponsors.
This course has been approved by the Nevada State Board of Physical Therapy Examiners for 0.1 units of continuing education for 01/15/13 to 07/31/14; 08/01/14 to 07/31/16.
The Illinois Chapter Continuing Education Committee has certified that this course meets the criteria for approval of Continuing Education offerings established by The Illinois Physical Therapy Association (approval no. 437-4595 for 01/01/13 to 01/01/14). According to the Rules for the Administration of the Illinois Physical Therapy Act (section 13460.61) published by the Illinois Department of Professional Regulation, a physical therapist or physical therapist assistant applying for re-licensure in Illinois can earn a maximum of 50 percent of their required continuing education hours from self-study. The hours awarded of this course are designated for self-study CE credit.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.

Course Originally Released on: 6/13/2012
Date of Most Recent Review: 6/29/2012
Course Termination/Update Date: 6/29/2015


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

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Orlinda M - Clearfield, PA  ·  Feb 08, 2017
very interesting content felt the objectives were met
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Christopher M - Murchison, TX  ·  Jan 22, 2017
CE Home > Deep Brain Stimulation in Parkinson's Disease, Part 1 Deep Brain Stimulation in Parkinson's Disease, Part 1 Is It a Viable Alternative to Drug Therapy? by Steven S. Bhimji, MD, PhD PT68 (4.4 / 403 ratings ) This course is credentialed for: Physical Therapy (1.00 Hour(s)) Congratulations! You have received a passing score of 91% To complete the test process and receive your certificate of completion, please take a few moments to answer a brief survey about this course material. You will also receive a three-month follow-up evaluation to see how this educational activity affected your practice. This new trend to evaluate outcomes and effectiveness in CE will become common in the near future. 1) What statement is FALSE regarding Parkinson’s disease? A. Prevalence increases with age. B. The disorder is much more common in males than females. C. Care of these patients can be very difficult. D. The disorder can be cured with medications. Correct 2) Which of the following is not a reason why surgery became an option over drugs to treat Parkinson’s disease? A. Many patients fail to respond to drugs over time. B. Side effects of drugs are common. Incorrect C. Dyskinesias from medication were unpleasant. D. Patients experienced an inability to swallow medications. 3) One of the reasons why stereotactic surgery for Parkinson’s disease has seen rejuvenation is: A. Advances in brain imaging Correct B. Better anesthesia techniques C. Superior monitoring of patients D. Cheaper cost of surgery 4) Pallidotomy was a procedure initially developed to treat patients with: A. Schizophrenia B. Huntington chorea C. Parkinson’s disease Correct D. Multiple sclerosis 5) Deep brain stimulation has been used to treat all the following disorders except: A. Essential tremor B. Obsessive compulsive disorder C. Manic depression D. Schizophrenia Correct 6) In Parkinson’s disease, there appears to be an imbalance between dopamine and what other neurotransmitter process? A. GABA B. Endorphin C. Acetylcholine Correct D. Glutamate 7) Which statement is FALSE regarding deep brain stimulation? A. It is a curative procedure. Correct B. It involves placing electrodes into specific locations of the brain. C. Symptoms disappear when the electrodes are stimulated. D. It may be done on both sides of the brain. 8) In Parkinson patients, all of the following nuclei in the brain can be stimulated by electrodes to improve symptoms EXCEPT: A. Ventral intermediate thalamus B. Red nucleus Correct C. Subthalamic nucleus D. Globus pallidus 9) Deep brain stimulation of the thalamus is known to decrease which symptom most frequently? A. Tremors Correct B. Muscle rigidity C. Aphasia D. Dementia 10) Deep brain stimulation of the subthalamic nuclei for prolonged duration is known to cause all the following complications EXCEPT: A. Memory loss B. Loss of concentration C. Poor cognition D. Aphasia Correct 11) Which statement is FALSE regarding indications of deep brain stimulation in Parkinson disease? A. The patient must be able to give consent for the procedure. B. It is an ideal treatment for a newly diagnosed patient with Parkinson’s disease. Correct C. A patient with bradykinesia may be a candidate. D. The patient must be healthy to undergo the surgery. 12) Of all the features about Parkinson’s disease, which one feature is often lessened or cured with deep brain stimulation? A. Muscle stiffness B. Rigidity C. Tremor Correct D. Constipation
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Paul S - Wilmington, DE  ·  Jan 11, 2017
It provided useful information and a good reference for those of us who work with PD clients who have or may undergo DBR.
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Denise R - Manchester, MD  ·  Dec 26, 2016
Excellent review of background information.
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Allen M - San Francisco, CA  ·  Dec 23, 2016
good information. excellent organziation. thanks
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Price: $19.00
CE-PRO Price: $9.50