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Julian, 51, embarked on a clinical exercise program introduced by her GP.She was diagnosed with Parkinson’s disease By her neurologist in august 2017.
For several years prior to this, she first presented her with insomnia (because it was identified as REM sleep disorder), constipation, depression, and anxiety to her doctor. She developed a mild tremor in her right hand in early 2017, after which she was referred to a neurologist. Regarding her exercise Her main concern was the loss of power on the golf swing. She also recently had some weight gain and ongoing back pain. Prior to her exercise program, Julian did no formal exercise other than casual walking and her weekly golf rounds. I noticed that the round of golf took about 20-30 minutes longer than before the diagnosis, as her upper body movement was generally reduced and her gait quality was somewhat reduced.
When she was first diagnosed, she was anxious to keep the information private – mainly worried about how her ability level would be perceived at work. However, she has since disclosed this information to employers who have proven to be very supportive and reassuring.When Julian was first evaluatedReveals the quality of her general movements, especially the difficulty of her work, such as walking, swinging her arms, handwriting, using laptop touch and scrolling, and buttoning her shirt before going to work. It has dropped.
She didn’t tend to be these “small”The problem can be ameliorated by exercise.Recently published The literature on Parkinson’s disease is “AmplitudeThe movement of ” Exercise prescription. These advances in exercise specificity have a direct impact on the clinical signs and characteristics of symptoms, just as previous medications have affected.
In simple terms, exercise needs to focus on quality and amplitude of movement (rather than general strength and conditioning) to enhance Julian’s handwriting, laptop use, self-dressing, and walking. I have. happy.
How did Julian’s exercise program help Parkinson’s disease?
Julian launched the LSVT BIG program (developed in the United States) as an exercise therapy consisting of large combinations of movements and exaggerated movement patterns. Exercise is performed with increasing intensity and effort, with the overall goal of restoring “normal” movement in real-world situations, becoming increasingly difficult and complex. LSVT BIG has proven to be effective when compared to people with Parkinson’s disease, especially those who are only running general aerobic and strength exercise programs. There are other Parkinson-specific exercise programs, such as the Australian program known as PD Warrior.
In general, a guided Parkinson’s exercise program should include a variety of challenging physical activities (eg, multi-directional step training, step up and down, reaching back and forth with maximum speed and effort, Obstacle course, get up and lie down). These exercises require intensive effort and ultimately promote improvements in balance, general movement and coordination. Strength training is recommended twice a week to avoid secondary complications of Parkinson’s disease such as muscle wasting. For Julian, free weights can be used for her mild / moderate presentations. Other beneficial activities include treadmills, elliptical trainers, recumbent bikes, aquabics, outdoor hill walking, tango or waltz dancing and much more. All of these have significant evidence-based benefits. Finally, flexible exercise can be active (patient only) or passive (clinician-assisted). The emphasis is usually on spinal mobility and rotation. In this case, Julian included a daily 15-minute routine using a guided Tai Chi DVD.
Julian has been consistently working on a hybrid exercise program for 15 months. As a result, I lost 5 kg. She reports significant improvements in tasks such as buttoning her shirt, using laptops, handwriting, reach, and rotation. Most importantly, she regains some strength on the golf swing and can maintain her pace in club competitions. These changes proved to be a source of her great motivation, new vitality and self-confidence for her. She argues that her exercise should be an important part of the treatment plan.
Benefits of exercising with. .. ..
.. .. .. Prostate cancer
.. .. .. Atrial fibrillation
.. .. .. Ulcerative colitis
.. .. .. Parkinson’s disease
– Andy Dunne is a clinical exercise specialist and certified physiotherapist in Personal Health based online in Dublin or across the country. If you have a medical condition, your fitness for the exercise program should be assessed by an expert before you begin.
