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BACKGROUND: According to the National Institute of Neurological Disorders and 
Stroke, Parkinson’s disease (PD) falls under a classification of conditions 
called motor system disorders, which occur due to a dwindling of the brain 
cells responsible for yielding dopamine. PD usually strikes people aged 50 or 
above, beginning with slighter symptoms which become more severe over time. 
The progression of the disease varies from person to person, as some develop 
more pronounced symptoms quicker than others. For this reason diagnosis can be 
tricky, often requiring a series of tests such as brain scans to first rule out 
other conditions. Since there are currently no blood or lab tests in existence 
capable of screening individuals for PD, diagnosis is usually based on both 
medical history and neurological analysis. The disease is characterized by 
four main symptoms:  Tremors, or trembling of the hands, limbs, face 
and jaw  Rigidity and stiffness in the legs, arms and trunk  
Slowed movement (Bradykinesia)  Impaired posture, balance and 
coordination

TREATMENT: Unfortunately, there is no cure for PD at present. However, there 
are many medications that largely reduce the painful symptoms. Patients 
usually receive a combination of levodopa and carbidopa, which work with nerve 
cells to create much-needed dopamine for the brain. Anticholinergics help to 
lessen rigidity and control tremors. Dopamine-mimicking drugs such as 
pramipexole, ropinirole and bromocriptine help neurons to function as they 
normally would when stimulated by dopamine. Not all symptoms are satisfied by 
drug treatments, but Bradykinesia often responds best. (SOURCE: NIH)

EXPIRATORY MUSCLE STRENGTH TRAINING (EMST) DEVICE: Developed University of 
Florida lecturer and researcher Christine Sapienza Ph.D. and a team of her 
colleagues, the EMST device is designed to treat PD patients suffering from a 
decline in the functionality of their mouth and throat. This condition occurs 
due to a weakening of all the muscles involved in swallowing. Sapienza’s 
device uses a fixed pressure-release valve that won’t open unless the patient’s 
lungs generate enough pressure. The device forces the patient’s affected 
muscles to work hard to achieve that level of pressure, thus strengthening 
them with every use. (SOURCE: University of Florida Health Science Center)

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