SPECIFIC EXERCISE FOR PARKINSON'S The most recent literature regarding Parkinson's disease suggests that exercise is essential in providing a comprehensive solution to patients with Parkinson's disease. The landscape is changing and patients need an early intervention strategy that is specific to them, their symptoms, derived from neuroplastic training exercise principles and sustainable for long-term adherence. Traditionally, exercise prescription for Parkinson's disease has been administered once people are falling. This has been unable to prevent the number of falls in people or slow the progression of symptoms. Recent evidence has shown that better results are possible by treating people early after diagnosis, before they are falling or freezing - with intensive, amplitude based and multi-tasking training strategies. The results from exercise programs such as these show an improvement in quality of life and self-efficacy, depression, fatigue and bodily discomfort as well as a longer time on monotherapy when compared to patients taking medication alone,. PD Warrior is an early intervention strategy for people who have been diagnosed with idiopathic Parkinson's disease. The PD Warrior Philosophy is that exercise, education, community and a life-long commitment to fighting the symptoms of Parkinson's can help patients to develop a greater state of physical, mental and social wellbeing. + = OPTIMAL MEDICATION OPTIMAL EXERCISE BEST PRACTICE GP RESOURCE Exercise can help Exercise Essentials Benefits Tremor Bradykinesia Post DBS Rigidity Falls Loss of mobility 1. Early Intervention 2. Neuroplasticity 3. Adherence 1. Improved movement 2. Better depression and anxiety rating 3. Improved quality of life 4. Increased activity levels overall NeuroFunction Rehab 105-17660 65A Avenue, Surrey BC, V3S 5N4 P 604-574-1255 [email protected]www.neurofunctionrehab.ca
Transcript
SPECIFIC EXERCISE FOR
PARKINSON'SThe most recent literature regarding Parkinson's disease suggests that exercise is essential in providing a comprehensive solution to patients with Parkinson's disease. The landscape is changing and patients need an early intervention strategy that is specific to them, their symptoms, derived from neuroplastic training exercise principles and sustainable for long-term adherence.
Traditionally, exercise prescription for Parkinson's disease has been administered once people are falling. This has been unable to prevent the number of falls in people or slow the progression of symptoms. Recent evidence has shown that better results are possible by treating people early after diagnosis, before they are falling or freezing - with intensive, amplitude based and multi-tasking training strategies.
The results from exercise programs such as these show an improvement in quality of life and self-efficacy, depression, fatigue and bodily discomfort as well as a longer time on monotherapy when compared to patients taking medication alone,.
PD Warrior is an early intervention strategy for people who have been diagnosed with idiopathic Parkinson's disease. The PD Warrior Philosophy is that exercise, education, community and a life-long commitment to fighting the symptoms of Parkinson's can help patients to develop a greater state of physical, mental and social wellbeing.
+ =OPTIMALMEDICATION
OPTIMALEXERCISE
BESTPRACTICE
GP RESOURCE
Exercise can help
Exercise Essentials
Benefits
TremorBradykinesiaPost DBSRigidityFallsLoss of mobility
1. Early Intervention2. Neuroplasticity3. Adherence
1. Improved movement2. Better depression and anxiety rating3. Improved quality of life4. Increased activity levels overall
Neurologists and other health professionals are referring to PD Warrior as a game-changer and, since its launch in Australia in 2012, it has grown exponentially, with extremely successful outcomes and widespread popularity.
"I refer most of my newly diagnosed patients to PD Warrior and typically they come back with improved confidence and energy levels, and their symptoms are often better than they were." -Dr Stephen Tisch, Neurologist, St Vincent's Hospital , Sydney.
Melissa McConaghy, FACP, is the founder of PD Warrior. She holds a Master of Health Science in Neurological Physiotherapy and is one of seven Specialist Neurological Physiotherapists in Australia. She is the past Chair and National Representative of the NSW
1.Ahlskog. Does vigorous exercise have a neuroprotective effect in Parkinson's disease? Neurology 2011; 77:288-294
2.Petzinger et al. Enhancing Neuroplasticity in the Basal Ganglia: The role of exercise in Parkinson's disease. Mov Disord 2010; 25(Suppl1): S141-S145
3.AIIen et al. Balance and falls in Parkinson's disease: a meta-analysis of the effect of exercise and motor training. Mov Disord 2011; 26(9):1605-1615
4.Farley et al. Intensive Amplitude-specific Therapeutic Approaches for Parkinson's disease. Toward a neuroplasticity-principled Rehabilitation model. Topics in Geriatric Rehabilitation 2008; 24(2):99-114
5.Brauer and Morris. Can people with Parkinson's disease improve dual tasking when walking? Gait and Posture 2010; 31 : 229-233
6 Frizzitta Get al. Intensive Rehabilitation Treatment in Early Parkinson's Disease: A Randomised Pilot Study with a 2 year Follow up. Neurorehabil Neural Repair. 2014. (pii: 1545968314542981 epub ahead of print)
7 Morberg et al. The impact of high intensity physical training on motor and non-motor symptoms in patients with Parkinson's disease (PIP): A preliminary study. NeuroRehabilitation 2014: (Epub ahead of print)
GP RESOURCE
PD warrior Philosophy
Core ExercisePrinciples
1. Education2. Exercise3. Community4. Empowerment
1. Specificity2. High Effort 3. Power4. Frequency5. Complexity6. Salience7. Fun
Who is appropriate
1. Idiopathic Parkinson's disease2. Ambulatory and at low risk of falls3. Medically stable4. No recent change in Parkinson's medications
People with severedepression, freezing andfalling will be screenedcarefully prior to entry tothe program.
