23/04/2023
Exercise Physiology for Parkinson’s Disease (PD).
Although exercise cannot stop progression of PD, it can manage or improve symptoms. PD slowly progresses reducing motor control, function and movement. High intensity aerobic exercise has been shown to slow progression of the disease by preventing loss of dopamine producing cells. While being good for the brain it also can improve fitness, endurance and prevent developing comorbidities such as cardiovascular disease and diabetes. Current evidence suggests people with pulldown should aim to do aerobic exercise 3 x per week for 30-40 minutes at 70-85% heart rate max.
Other forms of exercise
Resistance training: As discussed above, those with PD are less likely to be active which can cause a reduction of muscle mass and strength. Resistance training is therefore very important to prevent this. Leg strength is also important for walking initiation, step length and speed.
Treadmill walking: Treadmill walking has been shown to be very effective as it allows people with PD to work on their step length and walking speed. A common symptom of PD is small “shuffling” walking which can be reduced by regular treadmill walking.
Dance: Exercise that incorporates dance can help improve balance, coordination and reduce rigidity. Exercising to the beat or rhythm of music can really help break cycles of freezing and improve initiation of movements.
Hydrotherapy: Pool exercises can help those experiencing a lot of pain doing land based exercise. It may provide therapy as well with being able to achieve movements not possible on land.
With all these exercises it is important to tailor them to the individual and their goals. It is vital to continue practicing “large” movements to break the circuit in the brain that is causing very small movements. Exercise can improve quality of life and motor symptoms of PD, an Accredited Exercise Physiologist can help you find exercise suited to the individual.
