Life is never about One Thing, even when that One Thing is Parkinson's disease that has a terrible way of making itself present in every corner of your daily routine. This blog will discuss a wide range of topics about life and living. Success, love, coping, gratefulness. Parkinson's doesn't stand a chance against these powerhouses.
Showing posts with label Adult Head Drop Adult Dropped Head. Show all posts
Showing posts with label Adult Head Drop Adult Dropped Head. Show all posts

Sunday, 12 February 2012

Looking Forward to Living life just a little bit differently with Dropped Head Syndrome

You can  no longer  look people in the eye , eat without dribbling food onto your newly ironed shirt and your computer monitor might as well be on mars.   An unwelcome nemesis has moved into your life  and its name is  'Dropped Head Syndrome" or as it's commonly referred to  'DHS '.
DHS is a symptom characterized by severe neck extensor weakness, resulting in chin-on-chest deformity in a standing or sitting position.   Catch phrases such as 'keep your chin up'  or 'look on the bright side"  do not quite have the same meaning anymore.   This problem is what some would call 'a pain in the butt' (I'm being polite here) and it can be a frustrating and upsetting way to go through life.  Ahh, 'LIFE" now that's where I'm going with this.   We may not be able to experience 'life' as we knew it but we can still experience  and enjoy it, albeit, a little bit differently.
Because dropped head does not always manifest itself with Parkinson's  but can be found with ALS and  Dystonia as well as other diseases, I would love to share with you some of the helpful things that my husband and I have done to cope with his dropped head syndrome. I hope the information I am going to provide will be helpful and,  as you implement some of these things your quality of  life will  get better also.    
Watching David throughout the day I try to analyze exactly  what he might need to help make doing  everyday tasks such as eating, drinking, holding a fork, getting out of bed or  lacing up a pair of sneakers a little easier.  These tasks  can be daunting to say the least  because when you can't 'look up'  balance and coordination is definitely affected.
 Let's start with eating.  Having dropped head syndrome where your chin is basically resting on your chest is not conducive to enjoying  a meal or beverage..   Swallowing can also be a problem for many with DHS.  Watching David struggle to bring a fork full of linguini  from his plate to his mouth was as difficult for me to watch as it was for him to do.
The Looking Forward Head Band and Hat System have been a tremendous help.  It enables David to eat more easily,  swallow food without choking, sip a cold beer and basically by getting his chin up off of his chest he can enjoy eating and socializing  once again.    
Along with the DHS, David  has a few other problems.  He has a resting tremor in his right hand. Watching him, I found that when his hand is 'doing something' it has less of a tremor.  Lifting a fork did not control the tremor but adding weight to that fork helped a great deal. I  found a wonderful  set of utensils that look like nice silverware but are three times as heavy .
These utensils were available for purchase on line from companies who specialize in devices for the physically challenged.   Search carefully as prices seem to vary from vendor to vendor.   The set we found are stainless steel and  include a fork, knife, tea and soup spoon.  They look  'almost elegant' and not at all like  'handicapped'  apparatus.  The soup spoon has a deeper bowl with a modified rim that keeps liquid on the spoon and off of his shirt. Wonderful!!  We sometimes take these utensils with us when dining out. And oh yes,  we alert the wait staff that we  have brought along our own tableware so that we do not  face the embarrassment of  being accused of ' helping ourselves to their silver.'
Once the fork and spoon problem were addressed, we had to conquer getting the food on to said utensil.   Again, an internet search unveiled a plate with a outer rim or lip so that when the food is pushed to the side of the plate the 'lip' kept the food from sliding off of the plate and actually helped push it onto the fork.  Wonderful !! More searching uncovered a bowl with the same principle and eating soup and chili is so much easier.
One other handy item you might want to have around are disposable clothing protectors. These are available by the box.  They stick to the clothing much like the protectors you find in seafood restaurants. They do not look like a child's bib and we find the whole family appreciates  using them for food that can be drippy or messy and they sure save on cleaning bills.
Just watching David  gives me endless ideas of how to make his life better. We've installed grab bars and a shower seat  in the bathroom and added a hanging basket next to the seat for easy access to shampoo and soaps.   In the bedroom I put a bed assist handle. There were quite a few to chose from .  The one I purchased has a rail height that can be adjusted from 13.5" to 16.5". It is tool free. The rail simply sides under the mattress and is held in place by " no slip foam" on the base bar. The rail can be used on either side of the bed and the handle is covered in foam for added comfort. It is all steel construction, solid and easy to clean. This bar  gives David some 'leverage ' and help with balance when  getting in or out of the bed .  It gives me peace of mind knowing he has that extra bit of support.
Other items we have found very helpful are stretch elastic shoe laces, shoes with Velcro closures and pull on sweat pants and trousers and zipper pull extensions.  These are little things that no one notices but makes David's life so much easier. They have helped to give him back his independence, so important to everyday living .   
The last thing I want to mention today is attitude. You won't find this 'on line' but you can look within.   Living life differently is huge. Changes are necessary and how you process these changes is  key.  We do not have a cookie cutter lifestyle and that's ok. What we have  is a challenge, made necessary not by our choosing.  We can see life change from ordinary to extraordinary if we realize that each and every day spent with those we love is a  gift and a miracle.  I hope you will take some of these tools I mention  and use them to  help you live life a little bit differently but live them with dignity and grace and joy.   
For more information on some of the devices I mentioned above, please feel free to contact me by e-mail or post your questions on our blog. I'm always glad to share and help.     


 






Wednesday, 28 September 2011

Adult Head Support. Physical and Emotional


Slight head drop 2008

Adult Head Support. Physical and Emotional

I want to talk about the physical and emotional effect that Dropped Head Syndrome has had on our family and as with any story, the best place to start is at the beginning.

Adult Dropped Head Syndrome is characterized by weakness of the muscles of the back and sometimes sides of the neck. This causes the chin to rest on the chest while standing or sitting.
We also hear terms such as Floppy Head Syndrome or Head Drop Flexion (when the head tilts forward) to describe this syndrome.

Having Adult Dropped Head can not only be physically restrictive but can also be emotionally traumatic. Not being able to look someone in the eye when speaking, to eat and swallow with comfort and go about a 'normal' workday is not an easy adjustment.

This is what happened to my husband over a period of about three years. I first noticed that his posture was not as straight as it had been and he began to look 'round shouldered'. Naturally, I'm a nag and was told so when I kept telling him to 'stand up straight', 'What am I , 3 years old?"was the comeback.

Naturally, we don't see ourselves as others see us and he was not aware of the dramatic change I was witnessing on a monthly basis. I began casually taking photos of him and making comparisons. What I saw was not only in his posture but an increased dropping of his head to a forward position.

We spoke with his neurologist who suggested a thorough neurological examination including a neck EMG ( an electromyogram) This is a test used to detect the electrical activity of muscle.) The EMG showed that David's dropped head was a symptom of his Parkinson's Disease. All other neurological aspects were ruled out.

Not all dropped head is caused by neurological disease . When a physical examination shows no neurological problems then dropped head is given a diagnosis of Isolated Neck Extensor Myopathy. (INEM) It can happen to anyone for no apparent reason.

David began physical therapy. We (I say 'WE' because when someone you love so much is going through something like this, "I" becomes 'We'.)  We bought a King's ransom in back and posture braces, neck supports and massage therapies. His head kept dropping and David could not hold his head up for more than a few seconds at a time without some support.

Treatment of Adult Dropped Head Syndrome is mainly supportive. The neck braces and collars he tried were uncomfortable and hot. They hindered chewing and swallowing and were irritating to the neck and chin. Socializing was hard. When you can't look at the person you are speaking with life is just not a lot of fun.
Seeking more help David went to Israel to see a Dr. who suggested he try Botox therapy. The Dr. had tried it on some of his patients with head Dystonia and had some success. It did not work for David and was counterproductive, making it even harder for him to lift his head. (No, in case you are wondering, he did not have a smoother , younger neck to show for the trouble.) Thankfully the effect of the Botox wore off in a few months.

Because we realized that this problem was not going to magically go away, caused me to take a long, hard look at what we were dealing with. You've heard  "If it's not broke don't fix it" I'm sure. OK, this was broke and I was determined to fix it one way or another. After years of experimentation, trial and error, make that tons of error, the Looking Forward Head Support System came to fruition.

The Looking Forward Headband and Cap system became David's way back, enabling him
to enjoy life to the fullest. To continue working, writing, socializing, dining out, and walking in the park without having to be confined to a chair is liberating.  It was a no brain-er what to call this
marvellous device. As David is heard to say "Life is good and I'm "Looking Forward to enjoying more of it."

The End of our story you ask? No way. This is just the end of the Beginning.  Marlena



Head Drop 2011