Wednesday, November 30, 2022

How To Help With Parkinson Disease

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Everyday responsibilities like shopping, cooking, and cleaning become much more difficult when you have a movement disorder. Sometimes people with Parkinsons need help with these and other tasks, but they may be too proud or embarrassed to ask for it. Step in and offer to run errands, prepare meals, drive to medical appointments, pick up medications at the drug store, and help with any other day-to-day tasks they have difficulty with on their own.

What Kind Of Exercise Can I Do If I Have Trouble Standing Or Walking

Even with advanced Parkinsons symptoms, you can still reap the benefits of some activities. If you have trouble walking or balancing, hold a bar or rail to exercise and stretch. If standing or getting up is tough, exercise and stretch in a chair or bed. Physical exercise performed in a seated position, such as biking on a recumbent bike can allow you to exert yourself in a safe manner.

Facial exercises may help combat difficulties speaking or swallowing:

  • Chew your food longer and more vigorously.
  • Exaggerate your face and lip movements when you speak.
  • Make faces in the mirror.
  • Sing or read out loud.

Mental exercises give your brain a workout and can improve memory. For example:

  • Name as many animals as you can in 1 minute.
  • Play brain games and do puzzles.
  • Solve math problems in your head.

You can also add activity in small bits throughout your day:

  • Park further away from stores so you walk longer distances.
  • Stretch or do leg exercises while watching TV.
  • Swing your arms more when you walk, and take long strides.
  • Take the stairs instead of the elevator.

Medical Treatment Of Parkinsons Disease

Enormous progress has been made in the treatment of Parkinsons disease over the past half century, but levodopa remains the most potent drug for controlling PD symptoms . Prior to instituting medical therapy, a correct diagnosis of PD must be established and the level of impairment determined . Each patients therapy is to be individualized, and diverse drugs other than levodopa are presently available. Among these are the dopamine agonists , catechol-o-methyl-transferase inhibitors and nondopaminergic agents . Head-to-head comparisons of drugs within classes are rare, and the differences that have emerged are related to the effects on motor fluctuations, dyskinesias, on/off times and adverse effects of the specific agents within each class .

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Stretching To Loosen Stiff Muscles Of Parkinsons

The following stretching and flexibility exercises can help to relieve stiff muscles, improve flexibility, and make everyday tasks easier:

  • Stand facing a wall, about 8 inches away and reaching your arms upward. Place your hands on the wall for balance and stretch out your arms and back.
  • Place your back against a wall for support and briskly march in place, lifting your knees as high as possible.
  • Sit in a chair with a high, straight back and stretch your arms behind it, bringing your shoulders back as far as you can. As you stretch, lift your head toward the ceiling.
  • Sitting in a chair, stomp your feet up and down while pumping your arms back and forth at your sides.
  • Incidence Of Parkinsons Disease

    How to Prevent Parkinson

    Its estimated that approximately four people per 1,000 in Australia have Parkinsons disease, with the incidence increasing to one in 100 over the age of 60. In Australia, there are approximately 80,000 people living with Parkinsons disease, with one in five of these people being diagnosed before the age of 50. In Victoria, more than 2,225 people are newly diagnosed with Parkinsons every year.

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    Paw Prints: Furry Friends Help My Sister Do Life With Pd

    Bev said, I love seeing the trees, feeling the breeze on a summer day, sitting in front of the pond, and listening to the birds sing.

    Parkinsons News Today columnist Dr. C wrote that gardening helps him manage his PD because of all the health benefits.

    A 2019 article published in the journal Scientific Reports shared the benefits of spending time in an outdoor setting.

    Journalist Jim Robbins summarized the findings of this study in his 2020 article about the benefits of nature for Yale Environment 360. He wrote, people who spent two hours a week in green spaces local parks or other natural environments, either all at once or spaced over several visits were substantially more likely to report good health and psychological well-being than those who dont.

    Not everyone with PD may be able to spend two hours a week in nature, but the Davis Phinney Foundation for Parkinsons notes that everyone can do something. An article on the organizations website includes the following suggestions.

    Eat Plenty Of Protein But Not With Levodopa Medications

    If youre taking a levodopa medication, your doctor may tell you to avoid protein when taking your meds. Both animal and plant protein can interfere with the absorption of levodopa medications.

    But you should still eat plenty of protein. Just be strategic with the timing. Dont take levodopa medications with meals, Dr. Gostkowski says. Its best to take it on an empty stomach either 30 minutes before your meal or an hour after eating.

    If you get nauseous from the medication, eat a small amount of starchy food with it, such as crackers. Make sure whatever you eat with your medicine doesnt have protein. Its a misunderstanding that people with Parkinsons should avoid protein, Dr. Gostkowski says. You definitely need protein in your diet. Just dont eat it when youre taking your levodopa medication.

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    What Types Of Sensors Are Available

    There are also multiple methods of collecting the data:

    • Data passively captured without a patient having to wear any new sensors for example, capturing typing data by placing software on a patients computer with the patient continuing to interact with the keyboard as he/she normally does. Typing data that is collected can include how long a patient spends touching a key and how long it takes between touching one key and the next.
    • Data passively captured by a sensor without the patient having to do any additional tasks the sensor can be placed on the wrist, ankle or trunk. The sensor can also be in the patients cell phone.
    • Data actively captured by a sensor the patient wears the sensor and then performs certain tasks beyond what he/she typically does in his/her daily activities. This could include finger tapping, for example. Sometimes the sensors are too complicated or large for the activities to be performed at home, and the patient needs to come to a neurophysiology lab for the data collection.

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    2. Carbidopa-levodopa infusion: In 2015, the FDA approved Duopa, which is a combination of carbidopa and levodopa in a gel form which is administered via a feeding tube into the small intestine.

    Duopa is generally given to patients with advanced Parkinsons disease whose response to carbidopa-levodopa is varied. The drug is infused continuously so the level of the drugs remains constant.

    The risks associated with Duopa are infections at the site of the feeding tube and the tube falling out.

    3. Dopamine agonists: Dopamine agonist mimic the effects of dopamine in the brain. They are generally not as effective as levodopa but the effects last longer and they can be used in conjunction with levodopa to counter any fluctuation in efficiency.

    These medications can be administered through a patch, oral medications or as an injection. The side effects are also nausea and lightheadedness, but may also cause drowsiness, hallucinations and compulsive behaviors such as gambling, overeating, and hypersexuality which will need to be addressed by a doctor.

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    4. MAO-B inhinitors: Medications such as selegiline and rasagiline help to prevent dopamine breaking down in the brain by releasing monoamine oxidase B enzymes.

    5. Catechol-O-methyltransferase inhibitors: These types of medications help to prolong the effects of levodopa by blocking brain enzymes that deplete dopamine.

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    What Are The Causes And Symptoms Of Parkinsons Disease

    As a neurodegenerative disorder, Parkinsons Disease leads to the progressive deterioration of motor function due to loss of dopamine-producing brain cells. While the cause of Parkinsons Disease is unknown, researchers speculate that both genetic and environmental factors are involved. Studies also show that men are 50% more likely to develop the disorder than women.

    Primary symptoms of Parkinsons Disease:

    • tremor
    • dementia

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    Parkinsons disease is a progressive disorder that develops as a result of losing dopamine-producing neurons. These cells are mainly located in the part of the brain called substantia nigra pars compacta, explains movement disorders neurologist and Parkinsons expert Lynda Nwabuobi, MD. With degeneration of these cells and hence, depletion of dopamine, Parkinsons disease includes symptoms such as tremor, bradykinesia , and rigidity manifest.

    This condition can make it more difficult to complete everyday tasks, like moving about the house, putting on clothes, and even speaking. It can be challenging to manage Parkinsons, especially on your own, so having friends and family there to support really can make the difference. Dr. Nwabuobi says its important to remember that Parkinsons is not fatal and many people live full enriched lives with the condition.

    One of the ways to help someone in your life dealing with Parkinsons this holiday season is to give them a present that not only makes them smile, but works to make their life more manageable and puts some level of control back in their hands. Here are some gift ideas theyll be sure to love and appreciate.

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    Treating Parkinsons With Complementary Medicine

    Complementary medicine incorporates many different practices that can be used alongside conventional medicine to try to ease PD symptoms. There is typically not as much rigorous data to support the use of complementary medicine techniques, as compared to conventional medicine, but many patients find them helpful. These include yoga and massage.

    What Are The Surgical Treatments For Parkinsons Disease

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    Most patients with Parkinsons disease can maintain a good quality of life with medications. However, as the disease worsens, medications may no longer be effective in some patients. In these patients, the effectiveness of medications becomes unpredictable reducing symptoms during on periods and no longer controlling symptoms during off periods, which usually occur when the medication is wearing off and just before the next dose is to be taken. Sometimes these variations can be managed with changes in medications. However, sometimes they cant. Based on the type and severity of your symptoms, the failure of adjustments in your medications, the decline in your quality of life and your overall health, your doctor may discuss some of the available surgical options.

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    Using Cbd For Treating Parkinsons Disease Symptoms

    People with PD are already using CBD in various forms for all sorts of symptoms of PD including insomnia, anxiety, tremor, dystonia and pain.

    Without clinical trial data however, we do not know whether CBD is safe and effective for a particular symptom, and if it is, what CBD formulation and dosage is best to be used for a particular symptom.

    We also dont know the side effect profile of CBD in people with PD. At baseline, people with PD may have various non-motor symptoms that may make them more prone to side effects from CBD, including fatigue and nausea.

    If you would like to try CBD for one of your PD symptoms, have a conversation with your movement disorders specialist about it. Your doctor may be willing to oversee your trying it, or may feel that it is too risky for you without evidence that it will help. At the very least, he/she can make sure that there are no drug interactions between CBD and anything else that you take and discuss with you any potential side effects that you need to be aware of.

    Gait Training To Improve Balance

    Patients with Parkinson’s symptoms can enhance their treatment by doing what’s called “gait training” at home. This involves practicing new ways to stand, walk, and turn. People undergoing gait training should try to:

  • Take large steps when walking straight ahead, focusing on proper heel-toe form.
  • Keep the legs at least 10 inches apart while turning or walking in order to provide more support and reduce the risk of falls.
  • Avoid shoes with rubber soles, as they can stick to the floor and increase risk of falls.
  • Walk to a steady rhythm.
  • Practice gait training with the help of a metronome, a tool musicians use to keep a steady beat. A study published in March 2010 in PLoS One showed that when people with Parkinson’s walked to the sound of a metronome set about 10 percent faster than their fastest stride, it significantly improved their gait.

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    You can also try dance classes for people with Parkinson’s through the Dance for PD program, which is supported by a grant from the National Parkinson Foundation. The classes first started in Brooklyn, New York, and are now found in locations across the globe.

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    Is Medical Marijuana An Option For Me

    What’s next for a person with PD who wants to know if medical marijuana is an option? “Marijuana should never be thought of as a replacement for dopaminergic and other approved therapies for PD,” said Dr. Michael S. Okun, the Parkinson’s Foundation National Medical Advisor.

    Research is still needed to determine how medical marijuana should be administered and how its long-term use can affect symptoms of PD. To keep patients safe, states that legalize medical marijuana will eventually need to develop training programs for doctors and medical teams that prescribe medical marijuana. Consult your doctor to see if medical marijuana is an option for you.

    The Parkinsons Foundation is designed to help guide the PD community in making informed decisions about using cannabis for Parkinsons. The statement is based on the input from 46 experts who attended the Foundations first-ever medical marijuana convening. Read it now.

    Page reviewed by Dr. Bhavana Patel, Movement Disorders Fellow at the University of Florida, a Parkinsons Foundation Center of Excellence.

    Staying Safe At Home With Parkinsons

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    Simple changes around the home can make it easier for you to function well while dealing with Parkinson’s symptoms. Pituch notes that healthcare providers can help you come up with a detailed plan for living safely and independently at home.

    Discuss specific strategies with your Parkinson’s medical team to design a safer living space. Occupational therapists can suggest ways to create an environment that’s friendly to those with Parkinson’s this type of therapist looks at things like furniture placement, handrails, extensions on toilets, and floor coverings to determine where possible hazards lie.

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    What Are The Symptoms Of Parkinsons Disease

    Symptoms of Parkinsons disease and the rate of decline vary widely from person to person. The most common symptoms include:

    Other symptoms include:

    • Speech/vocal changes: Speech may be quick, become slurred or be soft in tone. You may hesitate before speaking. The pitch of your voice may become unchanged .
    • Handwriting changes: You handwriting may become smaller and more difficult to read.
    • Depression and anxiety.
    • Sleeping disturbances including disrupted sleep, acting out your dreams, and restless leg syndrome.
    • Pain, lack of interest , fatigue, change in weight, vision changes.
    • Low blood pressure.

    How To Start Exercising If Youre Living With Parkinsons

    Safety is key. The first thing you need to do is talk with your neurologist and primary care doctor to make sure that the exercise regimen that you embark upon is safe for you.

    Next, ask for a referral for physical therapy. A physical therapist will be able to figure out what movement challenges you may have and design a program to help you improve. There are certain physical therapists with additional training in Parkinsons. Your physical therapist will work with you for your allotted sessions, and then can help you plan your ongoing exercise regimen that is tailored to you. You can contact the APDA National Rehabilitation Resource Center for Parkinsons Disease for help finding resources in your area.

    Additionally, physical therapy can help counteract the tendency for people with PD to reduce the size of their movements. The Lee Silverman Voice Technique has designed a program called LSVT-BIG which trains participants to make big movements. You can search for an LSVT-trained professional near you.

    Anyone starting out on an exercise program could benefit from APDAs which includes clear photos with simple instructions that are easy to follow, with exercises that address all levels of fitness.

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    How Is Parkinsons Disease Treated

    There is no cure for Parkinsons disease. However, medications and other treatments can help relieve some of your symptoms. Exercise can help your Parkinsons symptoms significantly. In addition, physical therapy, occupational therapy and speech-language therapy can help with walking and balance problems, eating and swallowing challenges and speech problems. Surgery is an option for some patients.

    Ask When They Last Saw Their Neurologist

    Parkinsons treatment: A new self

    Please remind them of the relative value of seeing their neurologist every six months. Although the progression of Parkinsons may be slight or subtle, their healthcare provider is usually the constancy-of-care. The movement disorder physician can advise therapy and guide the treatment plan for the person-with-Parkinsons.

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