William is a 70-year-old male with a 6-year history of stiffness and difficulty transferring from chairs and bed to standing.

William is a 70-year-old male with a 6-year history of stiffness and difficulty transferring from chairs and bed to standing. He reports “difficulty talking”. The neurologist’s report states that William demonstrates diminished arm swinging and shuffling steps while walking. He also demonstrates tremors in both hands with the tremors being more pronounced on the right. Overall movements are slow (bradykinesia). His facial expression is masked.

What neurological condition do you think the neurologist diagnosed William as having? Why do you think this?

What kind of dysarthria does William most likely have?

What is the site of the lesion?

What areas of deficit can you predict?

Identify one way this deficit may affect activities of daily living.

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