Parkinson’s disease is a progressive neurodegenerative disease. it affects dopaminergic neurons in basal ganglia . (1) The presentation of PD includes motor symptoms as well as non motor symptoms.

Primary motor symptoms as : 1.Bradykinesia: slowness of movement, 2. Rigidity: stiffness of muscles, 3. Postural instability: balance deficit and 4. Resting tremor.

the primary symptoms lead to secondary symptoms such as but not limited to cramping,shuffling, unwanted acceleration, freezing, falls.

Some non motor symptoms are inability to smell, constipation, difficulty sleeping, difficulty with speaking, swallowing, drooling.

What is the role of exercise in managing Parkinson’s disease?

Studies performed in animals and in humans have confirmed the benefits of regular exercise in improving the physical and cognitive function in people with parkinson’s disease. Moderate intensity exercise improves motor symptoms such as gait, functional mobility, balance and posture (2)

World Health Organization and National institute of Health have developed an exercise prescription for people with parkinson’s disease. (3)

The recommendation is to start exercise early in the disease process and continue regular exercise.

The exercise prescription :

Endurance training at moderate intensity for 30 minutes 5/week. examples are walking, swimming, cycling and many others.

Strength training: exercise all muscle groups 2-3/week. practice strength training every other day.

Flexibility training 2-3/week

balance training 2-3/week

At agility neuro physical therapy, we assess , strength , balance, flexibility, muscle tone, coordination , various transfers (in and out of bed, in and out of care, get down and up from the floor etc. gait and stairs. We also check standardized outcome measures such as 10 meter walk test, functional gait speed, 6 minute walk test, Berg balance scale. These assessments allow us to identify which areas we need to work on to improve your function. The outcome measures provide scores that can be compared with average population as well as to compare and monitor your progress during and after physical therapy.

The treatment plan is developed based on findings of the examination and goals and concerns of the patient. Treatment interventions include exercises and activities to improve the deficits . We will practice exercises and therapeutic activities in office and create an exercise program to be practiced at home.

If you have specific questions, please contact Dr. Chitale from the contact page or email agilityceo@agilitynpt.com.

You can make an in office appointment by visiting the appointment page of this website.

References :

1.Galvan A, Wichmann T. Pathophysiology of parkinsonism. Clin Neurophysiol. 2008;119(7):1459–1474. doi:10.1016/j.clinph.2008.03.017

2. Lauzé M, Daneault JF, Duval C. The Effects of Physical Activity in Parkinson's Disease: A Review. J Parkinsons Dis. 2016;6(4):685–698. doi:10.3233/JPD-160790

3.•Source : ttps://www.apdaparkinson.org/uploads/files/Be-Active-Book_For-Web-90o.pdf

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Parkinson’s Disease