{"id":23328,"date":"2020-05-06T10:22:36","date_gmt":"2020-05-06T17:22:36","guid":{"rendered":"https:\/\/medfitnetwork.org\/public\/?p=23328"},"modified":"2020-04-29T08:11:08","modified_gmt":"2020-04-29T15:11:08","slug":"parkinsons-disease-exercise","status":"publish","type":"post","link":"https:\/\/medfitnetwork.org\/public\/all-mfn\/parkinsons-disease-exercise\/","title":{"rendered":"Parkinson\u2019s Disease and Exercise"},"content":{"rendered":"<p><a href=\"https:\/\/medfitnetwork.org\/public\/all-mfn\/parkinsons-disease-exercise\/attachment\/parkinsons-disease-infographic\/\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright wp-image-23331\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-1024x1024.jpg\" alt=\"\" width=\"400\" height=\"400\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-1024x1024.jpg 1024w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-150x150.jpg 150w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-300x300.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-768x768.jpg 768w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-80x80.jpg 80w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-500x500.jpg 500w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-1000x1000.jpg 1000w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic-75x75.jpg 75w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2018\/11\/Parkinsons-Disease-Infographic.jpg 2000w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/a>Parkinson\u2019s disease is the second most common neurodegenerative disorder after Alzheimer&#8217;s disease.\u00a0 Unfortunately, the incidence of Parkinson\u2019s disease has not declined, and its impact is seen in all races.\u00a0 This is due in part to the fact that the population of the world is greater than ever before and increasing. In addition, people are living longer than in previous generations, and the baby boomer generation, one of the largest generations in history, has reached old age.<\/p>\n<p>Risk factors for Parkinson\u2019s disease include:<\/p>\n<p><strong>Age:<\/strong> Risk of Parkinson\u2019s disease increases with age.\u00a0 The average age of onset for this disease is 55 years and the rate of incidence increases steadily until the age of 90.<\/p>\n<p><strong>Gender:<\/strong> Men have a higher risk for Parkinson\u2019s disease than women.<\/p>\n<p><strong>Family history:<\/strong> Individuals with a family history of Parkinson\u2019s disease are at a higher risk for Parkinson\u2019s disease. Moreover, it is said that those with affected first-degree relatives double their risk of Parkinson\u2019s disease.<\/p>\n<p><strong>Agricultural work:<\/strong> Individuals exposed to pesticides and herbicides have a greater risk of developing Parkinson\u2019s disease symptoms. Drinking well-water and living in rural areas have also been associated with an increased incidence of Parkinson\u2019s disease.<\/p>\n<p><strong>Head Trauma: <\/strong>Head trauma can be a risk factor for Parkinson\u2019s disease as is seen in the case of boxers. One study showed that trauma to the upper cervical region, head, and neck was a risk factor for Parkinson\u2019s disease. However, in some cases it took years for these symptoms to appear.<\/p>\n<p>The exact cause of Parkinson\u2019s disease is unknown.\u00a0 Regarding the molecular events that lead to the development of this disease, there is still some uncertainty in terms of what causes the neurodegeneration seen in Parkinson\u2019s disease. The current hypothesis is that Parkinson\u2019s disease may result from the interaction between environmental factors and genetic susceptibility.<\/p>\n<p>The primary symptoms for PD are deficiencies in motor performance due to the loss of the dopamine pathways in the brain. Decreased dopamine production in the substantia nigra in the brain causes the 4 primary motor symptoms:<\/p>\n<ul>\n<li>Bradykinesia: described as slowness in the execution of movements while performing daily activities.<\/li>\n<li>Rigidity or Stiffness: caused by an involuntary increase in tone of the limbs and axial musculature.<\/li>\n<li>Resting Tremor: Found primarily in the arms and hands and can be socially bothersome. Resting tremors are less disabling since they often vanish with the initiation of activity (especially in the early stages of Parkinson\u2019s disease).<\/li>\n<li>Postural Instability: manifested in a slow speed of walking, shortened stride length, narrowing of base of support, and leaning towards one side.<\/li>\n<\/ul>\n<p><strong>Exercise should be targeted for the primary motor symptoms with exercise and occupational therapy to improve quality of life.<\/strong> Recommended program components include:<\/p>\n<ul>\n<li>Posture, gait, mobility<\/li>\n<li>Fall risk reduction<\/li>\n<li>Cardiorespiratory health<\/li>\n<li>Strength and function<\/li>\n<li>Depression and Anxiety<\/li>\n<li>Joint health<\/li>\n<\/ul>\n<p>Exercise prescription for clients with PD includes: (ACSM)<\/p>\n<ul>\n<li>An individualized program<\/li>\n<li>Cardiorespiratory: use guidelines for healthy adults<\/li>\n<li>Muscular Fitness: use guidelines for healthy adults<\/li>\n<li>Flexibility: slow, static exercises for all major and minor joints in the body including the upper torso, spine, and neck.<\/li>\n<li>Neuromotor Exercises: help with balance, gait, and postural instability. Clinicians use a gait belt or parallel bars to ensure safety depending on the severity of the symptoms.\u00a0 Include functional exercises to improve ADLs and quality of life.<\/li>\n<\/ul>\n<p>PD exercise therapy includes intervention with many kinds of exercise modes. Both personal training and group fitness have been successful in helping to manage the disease and reduce the symptoms. There is not strong evidence at this point to show that exercise prevents PD, but it is believed that exercise may play a role.\u00a0 Exercise is however the mainstay for symptom management and slowing disease development.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p><em>June M. Chewning BS, MA has been in the fitness industry since 1978 serving as a physical education teacher, group fitness instructor, personal trainer, gym owner, master trainer, adjunct college professor, curriculum formatter and developer, and education consultant. She is the education specialist at\u00a0<a href=\"http:\/\/www.fitnesslearningsystems.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Fitness Learning Systems<\/a>, a continuing education company.<\/em><\/p>\n<p><strong>References and Resources:<\/strong><\/p>\n<ul>\n<li>Rana AQ. (2018) <a href=\"https:\/\/fitnesslearningsystems.com\/51101\/product_page.php?course_id=W087\">Introduction to Parkinson\u2019s Disease<\/a>. Fitness Learning Systems. <a href=\"http:\/\/www.fitnesslearningsystems.com\/\">FitnessLearningSystems.com<\/a><\/li>\n<li>American College of Sports Medicine (ACSM) (2018) ACSM Guidelines for Exercise Testing and Prescription. 10<sup>th<\/sup>\u00a0 Wolters Kluwer Publisher.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Parkinson\u2019s disease is the second most common neurodegenerative disorder after Alzheimer&#8217;s disease.\u00a0 Unfortunately, the incidence of Parkinson\u2019s disease has not declined, and its impact is seen in all races.\u00a0 This is due in part to the fact that the population of the world is greater than ever before and increasing. In addition, people are living longer than in previous generations, and the baby boomer generation, one of the largest generations in history, has reached old age. Risk factors for Parkinson\u2019s disease include: Age: Risk of Parkinson\u2019s disease increases with age.\u00a0 The average age of onset for this disease is 55 years and the rate of incidence increases steadily until the age of 90. Gender: Men have a higher risk for Parkinson\u2019s disease than women. Family history: Individuals with a family history of Parkinson\u2019s disease are at a higher risk for Parkinson\u2019s disease. Moreover, it is said that those with affected first-degree relatives double their risk of Parkinson\u2019s disease. Agricultural work: Individuals exposed to pesticides and herbicides have a greater risk of developing Parkinson\u2019s disease symptoms. Drinking well-water and living in rural areas have also been associated with an increased incidence of Parkinson\u2019s disease. Head Trauma: Head trauma can be a [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":20786,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[54,134,198,92],"class_list":["post-23328","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-mfn","tag-exercise","tag-fitness","tag-fitness-professionals","tag-parkinsons"],"jetpack_publicize_connections":[],"_links":{"self":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/23328","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/users\/84"}],"replies":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/comments?post=23328"}],"version-history":[{"count":0,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/23328\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media\/20786"}],"wp:attachment":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media?parent=23328"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/categories?post=23328"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/tags?post=23328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}