Tuesday, November 22, 2022

Walking With Parkinson’s Disease

Parkinsons Home Exercise Program

Gait impairments in Parkinson’s disease

You dont need to join a gym or purchase expensive fitness equipment to stay active with Parkinsons disease. On the contrary, there are many great exercises that you can do from the comfort of your home, regardless of which stage of the disease you are in. Take a look at some great examples in the sections below.

Were The Strategies Effective

Most of the participants who were familiar with a strategy and had tried it and found it helpful.

External cueing was reportedly slightly less effective than the other strategies, but in general, all the strategies were useful.

Dr. Tosserams and co-author Dr. Jorik Nonnekes, also of Radboud University Medical Centre, suggested to Medical News Today that Other strategies may also be preferred because they are relatively less noticeable to bystanders, avoiding stigmatization or feelings of embarrassment.

The team found that the reported efficacy of a strategy depended on the circumstances in which people used it.

Internal cueing was useful 73% of the time when respondents used it to start walking but only 55% of the time when they wanted to stop. Similarly, visualizing movement worked best outdoors and not nearly as well indoors.

According to Dr. Tosserams:

Our findings suggest that a one-size-fits-all approach doesnt work because different contexts might require different strategies or because individuals simply respond better to one strategy, compared to another.

Clothing And The Freeze Phenomena In Parkinson’s Disease

Here’s what happened when I put my new shoes on in a video demonstration. Below, I also describe in words what I an showing here.

Standing up, things felt very odd indeed. When I tried walking in them, the same old Parkinson’s shuffle. No miraculous difference yet. But what these shoes allowed me to do was very quickly fathom out exactly what was wrong. As soon as I stood up in them, the pressure distribution of me feet told me immediately that my kinetic chain is way off. The shoes helped me understand that I was leaning forward – the pressure was all on my toes, not on my heels. I was leaning heavily sideways too, so that the weight was mainly on the right leg. My balance was very wrong indeed!

Next I started being mindful that, according to Deb, when we walk properly and naturally, the motion actually begins in the glutes, not in the feet. Concentrating on this helped me to begin to take the first staccato steps where I could lift a foot much higher off the ground and then place it slightly forward. I tried to do this walking backwards too. These exercises again helped me tune into to what I was doing wrong.

Then I took the shoes off and the difference I felt was incredible, but this massive contrast in itself gave me yet more powerful clues about my imbalances and more understandings of how to progress.

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Majestic Buvan Electric Wheelchair

Majestic Buvan Electric Wheelchair is another very capable Electric Chair that can be used by Parkinsons Patients. One of the defining features of this Wheelchair is that it comes with an ultra-compact design, which you can easily carry around even on Airplanes. Also, it weighs only 55 lbs. with the battery, which makes it a lightweight wheelchair.

The Wheelchair also comes with a reclining backrest, which you can adjust according to your comfort. Also, the seat and the backrest use memory foam which offers great comfort. It also comes with a seat belt, which provides protection from falling.

When it comes to the engine, the Wheelchair uses the 500W powerful engine, which allows you to easily move on most terrains. It also comes with a removable battery which means that you can keep a spare battery with you and use it if the default battery runs out of power.

Overall, if you are looking for a compact electric wheelchair, you should consider Majestic Buvan Electric Wheelchair.

Neural Underpinnings Of Poor Postural Control In Pd Gait

Want to Prevent Parkinson

Considerable research is pointing toward an important role of non-dopaminergic structures such as the PPN in postural dysfunction of people with PD . For example, trunk sway and variability in the mediolateral direction, common measures of postural control, are excessive in people with PD but do not correlate well with other PD signs, such as the UPDRS , and are not consistently improved by levodopa . In fact, lateral sway during stance may be increased after taking levodopa possibly due to reduced rigidity, with no concomitant improvement in postural control . Muller and colleagues recently demonstrated that thalamic cholinergic innervation, i.e., the amount of cholinergic neurons projecting from the PPN to the thalamus, was directly correlated to postural sway . Importantly, no correlations were observed between postural sway and cortical ACh innervation. In contrast, Rochester and colleagues showed that gait speed, but not step-width variability , was related to cortical ACh activity . Therefore, ACh in the thalamus, supplied primarily by the PPN, seems to be related to postural control , whereas cortical cholinergic function, supplied by the nbM, may be related to gait speed and hypokinesia .

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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.

If You Notice This When You Walk It Could Be An Early Sign Of Parkinson’s

The next time you go on a walk, you may want to look out for these subtle symptoms.

Parkinson’s disease is a progressive disorder of the nervous system that can take a devastating toll over the years. But Parkinson’s often begins as barely detectable: a minor tremor, slight rigidity, or slow changes in your coordination may be the only sign that something is amiss.

However, an early diagnosis and interventionwhich may include an exercise regimen, medication, and lifestyle changesare key to managing Parkinson’s symptoms. That’s why medical experts say to look out for subtle signs that could point to the disease, including minor changes in how you walk. There are four walking-related symptoms in particular that may suggest a Parkinson’s diagnosis, and you should talk to your doctor immediately if you notice any of them. Read on to find out what to look out for on your next walk.

Read the original article on Best Life.

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Kinggear Adjustable Cane For Men & Women

What are the most important factors you need to consider while choosing the best walking sticks? The support and posture are what you need to look for while purchasing the best walking canes. KingGear Adjustable Cane is what can provide you to support that you need to improve the posture.

The lightweight and sturdy walking stick help you to maintain balance and stability with convenience. It is made from aluminum so you get the best and highly durable walking stick.

The sticks have the ability to support 250 pounds of weight. Though the walking sticks are lightweight, they are built to be strong and long-lasting. Further, you can adjust the height between 4 feet 9 inches-6 feet 2 inches. Thus, you can improve the posture with a simple adjustment of height according to your requirement.

For more comfort, the handle is curved and made with a padded grip. The wrist straps allow easy grip and security over the handle and your hand. Also, the strap makes it easy to hang the cane anywhere when you arent using it.

To prevent falls and trips, the cane comes with slip-resistant rubber tips. The rubber tips come with an anti-marking feature that protects the floor from any scratch or markings. Also, the base comes with pivoted quadruple that will improve the traction and allow the walking stick to handle your body.

Pros

Balance And The Brain

Freezing or Sweating Falls When Walking with Parkinson’s Disease: Finding Balance & Freezing of Gait

Difficulties with balance and walking are linked to the brain changes that take place with PD. For people who dont have PD, balance is automatic, a reflex. But Parkinsons affects the basal ganglia . To compensate, the brain assigns another brain area an area used for thinking to take over. The thinking part of the brain, mainly the frontal cortex, cant control balance automatically. The result: for many people with PD, balance becomes less automatic.

This means that when people experience freezing and fall, they cant adjust their balance automatically. Taking small steps to try and regain balance can make things worse, because it involves shifting weight with each step. The brain changes from PD inhibit their ability to take a big step to catch their balance and avoid a fall. For some, the drug levodopa can help prevent freezing, but does not improve balance.

A person whose balance is less automatic must pay more attention while walking. For everyone, walking slows down when were talking and thinking slows down when were walking. This is called the dual-task cost and its higher in people with PD. That tells us that people with PD are using more attention and more cognitive control for balance and gait.

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The Basic Elements Of Exercising With Parkinsons

There are four core elements of exercise that are important for people with PD:

  • Aerobic e.g. brisk walking, stationary cycling activities that get the heart pumping
  • Strengthening e.g. using weights or resistance bands to improve muscle strength
  • Balance e.g. tai chi, dance to help you be more steady on your feet
  • Stretching e.g. mat exercises, yoga to provide flexibility
  • Including all four of these elements in your exercise regimen is ideal .

    Aerobic activity or high-intensity exercise may be particularly important for Parkinsons and general health

    High-intensity exercise has been formally studied in PD with impressive results. The Study in Parkinson Disease of Exercise Phase 2 enrolled 128 people with early PD, who were not yet on dopaminergic medication into three groups:

    • a high-intensity treadmill exercise group, in which people exercised at 80-85% of their maximum heart rate
    • a moderate-intensity treadmill exercise group, in which people exercised at 60-65% of their maximum heart rate
    • a wait-list control group

    After six months, the high-intensity group had essentially no change in their motor scores, whereas the control group had a three-point worsening of their motor scores.

    Currently, the SPARX3 trial is enrolling participants and underway. This trial is similar to SPARX2, but with a goal of studying many more participants.

    Forced exercise

    Cognitive challenges in exercise

    Improving Flexibility And Range Of Motion

    Improving your flexibility can help you improve your balance and gait, as well as reduce rigidity. Try these exercises:

    • Sit in a chair and bend your upper body at the waist to your right and left.
    • Get on all fours and turn your upper body to the right and left. Lift your arm on the side youre turning to as you turn.

    Also work on lower-body strength training. Strength training can help you improve your balance, walk further distances, and potentially increase your walking speed. Some exercises to try include:

    • Leg presses. While sitting down, push a weight away from your body using your legs.
    • Squats. Start in an upright position with your legs slightly wider than hip distance. Bend your knees while pushing your glute muscles back, so that your knees dont come over your toes. You can hold onto something if necessary. You dont have to go down more than a few inches.
    • Exercise bike. If you have access to a recumbent exercise bike , using the bike can help strengthen your legs.
    • Repeatedly sit in and rise out of a chair. Repeating the motions of sitting down and rising helps strengthen your leg and core muscles. It also helps you practice a functional activity.

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    Training Program Observance Usability And Enjoyment

    Observance was calculated as the effective amount of time the program was used, expressed as the percentage of the prescribed use duration . Usability was evaluated using a scale proposed to evaluate smartphone interventions . We also measured physical activity enjoyment associated with each session using the Physical Activity Enjoyment Scale . Patients were asked to rate How do you feel at the moment about the physical activity you have been doing using a seven-point bipolar rating scale. Higher PACES scores reflect greater levels of enjoyment.

    Production Of Dopamine Neurons From Stem Cells: Could We Be One Step Closer To The Cure

    If You Notice This While Walking, It Could Be an Early Sign of Parkinson

    As the disease progresses, people may experience reduced quality of life, if normal functions such as swallowing, start to be affected. Currently, there is no known cure for Parkinsons disease. Once Parkinsons is diagnosed, the symptoms can often be treated with medications and therapies, especially in the early stages. However, the scientific community is making every effort to find a way to cure or at the very least find more effective ways to lessen the symptoms of this physically impairing disease.

    As we mentioned before, the disease primarily affects dopamine-producing brain cells or neurons. The good news is, scientists in Sweden have identified some insights and a set of markers that should help control the quality of stem cells engineered for clinical use to treat Parkinsons disease. As the disease progresses and dopamine-producing brain cells malfunction and die, it leads to lower levels of dopamine, which is a chemical messenger essential for controlling movement. These findings should help fine-tune stem cell engineering to produce pure populations of high-quality dopamine neurons. Then, a pool of progenitor cells can be transplanted into the brains of patients, so they can make new supplies of dopamine cells.

    But while this exciting new research is still in the lab, what else can we hope for to delay the symptoms of Parkinsons and improve the quality of life of those suffering from the disease?

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    Why Is Nordic Walking An Effective And Enjoyable Exercise For People With Parkinsons

    Nordic Walking is a valuable exercise tool for people with Parkinsons because of:

    • The focus on the correct gait technique.
    • Large amplitude training from the intensification of normal walking.
    • The repetitive movements driving neuroplasticity.
    • Exposure to outdoor environments to build confidence.
    • Cardiovascular and general fitness benefits.
    • Increased stability from the use of two poles on the ground.
    • Challenging coordination to help build dual tasking abilities.
    • Improvement in upper limb strength as well as lower limb strength.
    • Weight bearing exercise improving bone density.
    • The social interaction of group activities and it is FUN.

    Neural Underpinnings Of Gait Dysfunction In People With Pd

    A definitive diagnosis of PD includes death of dopaminergic cells within the substantia nigra pars compacta that project to the striatum of the basal ganglia. Often overlooked, however, is that numerous other brain regions also show altered structure and function in people with PD. For instance, areas that release acetylcholine , such as the pedunculopontine nucleus and nucleus basalis of Meynert , and noradrenaline, such as the locus coeruleus, exhibit alpha-synuclein deposition very early in the disease . Cortical motor and nonmotor structures show considerable deposition later in the course of the disease. Cerebellar function is also altered in PD . Indeed, every critical node in the central locomotor network likely plays a role in PD gait dysfunction. Table 1 summarizes studies investigating the neural activity during gait or gait-like tasks, showing reduced or increased activity in a number of brain regions within the locomotor/postural network in people with PD. In the following section, we will discuss how these changes in supraspinal activity may contribute to the gait dysfunction described above: gait slowness, variability/asymmetry, and impaired postural control.

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    How Do You Feed Someone With Parkinsons Disease

    Gait, Balance and Falls in Parkinsons Disease

    Sit upright with your head slightly tilted forward, do not talk, and focus entirely on eating. Swallow one bite multiple times until your throat is clear. Drinking water after every bite, also tucking the chin into the chest helps to swallow.

    As there is no specific food for Parkinsons disease, these diets help prevent or relieve the symptoms. Maintaining a healthy diet also is a possible factor to reduce its risk and slow the progression of this disease.

    References

    • Diet & Nutrition. 2020. Parkinsons Foundation. 2020. https://www.parkinson.org/Living-with-Parkinsons/Managing-Parkinsons/Diet-and-Nutrition.
    • Diet & Nutrition. 2021. The Michael J. Fox Foundation for Parkinsons Research | Parkinsons Disease. 2021. https://www.michaeljfox.org/news/diet-nutrition.
    • Foods to Eat and Avoid with Parkinsons. 2018. ParkinsonsDisease.net. 2018. https://parkinsonsdisease.net/stories/what-to-eat-and-what-to-avoid-when-managing-parkinsons-disease.
    • hollowc2. 2020. The Best Diet for Parkinsons Disease. Cleveland Clinic. Cleveland Clinic. October 6, 2020. https://health.clevelandclinic.org/the-best-diet-for-parkinsons-disease/.
    • Watson, Kathryn. 2018. Diet and Parkinsons. Healthline. Healthline Media. September 20, 2018. https://www.healthline.com/health/parkinsons-and-diet.

    Do you have more tips on how to eat with Parkinsons disease? Please let us know in the comment section below!

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    You May Not Be Able To Walk At Your Normal Pace

    For many Parkinson’s patients, walking can become a challenge, not least because of a phenomenon known as bradykinesia, which is when patients experience slow movements, according to the experts at Johns Hopkins Medicine. In particular, bradykinesia tends to affect rapidly repeated movements, making it difficult to coordinate one’s steps at a usual pace.

    Along with tremors and rigidity, bradykinesia is considered one of the three most common signs of Parkinson’s disease, according to the European Parkinson’s Disease Association . In fact, the organization says that 98 percent of people with Parkinson’s experience slowness of movement, and it is often among the first symptoms patients notice early on in the disease’s progression.

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