{"id":30649,"date":"2021-08-30T10:24:11","date_gmt":"2021-08-30T17:24:11","guid":{"rendered":"https:\/\/medfitnetwork.org\/public\/?p=30649"},"modified":"2021-08-30T11:49:39","modified_gmt":"2021-08-30T18:49:39","slug":"how-a-thought-becomes-an-action-a-guide-to-movement-and-the-disconnect-in-parkinsons-disease-part-2","status":"publish","type":"post","link":"https:\/\/medfitnetwork.org\/public\/all-mfn\/how-a-thought-becomes-an-action-a-guide-to-movement-and-the-disconnect-in-parkinsons-disease-part-2\/","title":{"rendered":"How A Thought Becomes An Action: A Guide To Movement And The Disconnect In Parkinson&#8217;s Disease | PART 2"},"content":{"rendered":"<p>In <a href=\"https:\/\/medfitnetwork.org\/public\/all-mfn\/how-a-thought-becomes-an-action-a-guide-to-movement-and-the-disconnect-in-parkinsons-disease-part-1\/\" target=\"_blank\" rel=\"noopener\">Part 1<\/a>, we discussed how a thought becomes an action, and the disconnect in Parkinson&#8217;s Disease, as well as how a Fitness Professional do to improve brain and body connection.<\/p>\n<p>For those living with Parkinson&#8217;s, the three Activities of Daily Living (ADLs) considered to be most difficult to perform are:<\/p>\n<ul>\n<li>Rolling over in bed<\/li>\n<li>Getting out of a vehicle<\/li>\n<li>Working through a freeze episode while crossing over a threshold between rooms.<\/li>\n<\/ul>\n<p>I have provided a list of exercises to complement these ADLs as well as a \u201cPractice Option\u201d that combines the exercises listed.<\/p>\n<h4><strong>Considerations<\/strong><\/h4>\n<ol>\n<li><strong><em> Remember<\/em><\/strong> to begin with the most basic of movements until the client can properly and safely execute the exercise.<\/li>\n<li>Care partners of wheelchair-bound clients need to be instructed on how to safely assist loved ones without causing injury to either person. Please refer the client to an Occupational Therapist if needed.<\/li>\n<\/ol>\n<h4><strong>Activity of Daily Living: Rolling over in bed\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/h4>\n<p><strong>Exercises<\/strong><\/p>\n<ul>\n<li>Bridges<\/li>\n<li>Push-ups or chest press<\/li>\n<li>Tricep extension<\/li>\n<li>Rows<\/li>\n<li>Glute squeezes (for chair bound)<\/li>\n<li>Lateral Step with torso rotation using a tube<\/li>\n<li>Side Planks\/ Prone Plank<\/li>\n<li>Clamshells<\/li>\n<\/ul>\n<p><strong>Advanced Practice Option:<\/strong>\u00a0Have the client lay on his or her back. Take the right leg and swing the leg over the left leg and move into the side plank position and hold for 5 counts. From there roll to a prone plane OR bird dog position. Reverse the exercise to practice returning to the supine position.<\/p>\n<p><strong>Assisted Practice Option:<\/strong> If lying down is not an option, have the client sit in a chair.\u00a0 Have the client hold a tube with both hands in front of them. Trainer provides tension from the side and the client maintains the isometric hold while picking up one leg and moving it out to the side and bringing it back in like a seated jumping jack.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-30655\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge-1024x683.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge-1024x683.jpg 1024w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge-300x200.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge-768x512.jpg 768w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge-600x400.jpg 600w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge-400x266.jpg 400w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/senior-woman-lunge.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h4><strong>Activity of Daily Living: Getting in\/out of vehicle<\/strong><\/h4>\n<p><strong>Exercises<\/strong><\/p>\n<ul>\n<li>Rows (<em>add a diagonal step\/lunge)<\/em><\/li>\n<li>Squats\/Lunges<\/li>\n<li>Sit to Stand drill (<em>include single leg version<\/em>)<\/li>\n<li>Bridges<\/li>\n<li>Clamshells (<em>or any abduction work<\/em>)<\/li>\n<li>\u00bd Warrior step \/ \u00bd Gong arms<\/li>\n<li>\u201cStep over the Fence\u201d ( <em>lift left knee and step laterally over the \u201cfence\u201d followed by the right knee and then reverse the movement)<\/em><\/li>\n<li>\u201cJazz Hands\u201d <em>(improves ability to reach)<\/em><\/li>\n<li>Hip circles<\/li>\n<li>Bob-n-weave (or lean left\/right if needed)<\/li>\n<li>Side planks or oblique bend<\/li>\n<li>Tricep\/Biceps (<em>add lower body exercise<\/em>)<\/li>\n<\/ul>\n<p><strong>Advanced Practice Option:<\/strong> (Stand with chair next to left leg). Place a hurdle next to chair to act as the \u201cfloorboard\u201d of the car. Client will stand alongside the \u201ccar\u201d.\u00a0 Client will then lift the left knee and hold for 3-5 counts then step \u201cover the fence\u201d\/bob-n-weave\u201d to get into the car. Reverse the motion to practice getting out of the car. Repeat on the other side.<\/p>\n<p><strong>Assisted Practice Option: <\/strong>(Begin in a chair and with a short hurdle or object for them to \u201cstep\u201d over). Client is in the chair and reaches right arm out as if opening the car door (jazz hands). Client then comes back to center and picks up the right knee and steps over the hurdle and turns foot to the right (\u00bd warrior\/ \u00bd gong) as the entire body turns to the right. Left foot follows the right foot and steps over the hurdle. Once the feet are facing the right, have the client do a full or partial Sit-to Stand drill. Reverse the motion to practice getting into the car.<\/p>\n<h4><strong>Activity of Daily Living:\u00a0Working through a \u201cfreeze\u201d episode\u00a0<\/strong><\/h4>\n<p><strong>Exercises<\/strong><\/p>\n<ul>\n<li>Obstacle courses<\/li>\n<li>Stop and start gait drills\n<ul>\n<li style=\"font-size: 16px;\">Walk and turn head right and left<\/li>\n<li style=\"font-size: 16px;\">Walk slow then fast then slow etc<\/li>\n<li style=\"font-size: 16px;\">Walk and at cue, stop and turn<\/li>\n<\/ul>\n<\/li>\n<li>Visual drills<\/li>\n<li>Lateral steps 5x then walk forward<\/li>\n<li>Walk to a song with a strong beat<\/li>\n<li>Criss-Cross Applesauce<\/li>\n<\/ul>\n<p><strong>*If client freezes at room threshold, emphasize that they want to look straight ahead and not down.<\/strong><\/p>\n<p>These three ADLs are just a few of the frustrating tasks people living with Parkinson\u2019s Disease deal with each and every day.\u00a0 Fitness Professionals can make a real difference in someone\u2019s life if they will take the time to consider how movement works, where it can go wrong, and what to do to help it go right again. Imagine the success your client will experience during a session and throughout the day as they tackle ADLs with minimal effort! I can tell you this, their level of confidence will soar and the future will be something they look forward to.<\/p>\n<hr \/>\n<h4><strong>Work with Parkinson&#8217;s Clients and Change Lives!<\/strong><\/h4>\n<p>Working with Parkinson&#8217;s clients is an extremely rewarding experience. Check out Colleen&#8217;s course, <a href=\"https:\/\/www.medfitclassroom.org\/product\/parkinsons-fitness-specialist\/\" target=\"_blank\" rel=\"noopener\">Parkinson&#8217;s Disease Fitness Specialist<\/a> to get started.<\/p>\n<p><a href=\"https:\/\/www.medfitclassroom.org\/product\/parkinsons-fitness-specialist\/\"><img decoding=\"async\" class=\"aligncenter wp-image-30688 size-full\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/PDFS_updated.jpg\" alt=\"\" width=\"1185\" height=\"450\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/PDFS_updated.jpg 1185w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/PDFS_updated-300x114.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/PDFS_updated-1024x389.jpg 1024w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2021\/08\/PDFS_updated-768x292.jpg 768w\" sizes=\"(max-width: 1185px) 100vw, 1185px\" \/><\/a><\/p>\n<hr \/>\n<p><em>Colleen Bridges has worked for nearly 17 years as an NSCA Certified personal trainer, group exercise instructor and fitness consultant and as an independent contractor for Nashville\u2019s first personal training center, STEPS Fitness. Her passion for understanding the body in sickness and in health, and how it moves, as fed her interest in and enhanced her talent for working with senior adults, especially those living with a neurological disorder such as Parkinson\u2019s Disease.<\/em><\/p>\n<p><em>Renee Rouleau is a Clinical Research Coordinator for the Department of Neurology at Vanderbilt Movement Disorder. Her research primarily focuses on the glymphatic system, a proposed waste-clearance system in the central nervous system in different neurodegenerative disorders such as Parkinson\u2019s Disease (PD) and Alzheimer\u2019s Disease (AD). <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In Part 1, we discussed how a thought becomes an action, and the disconnect in Parkinson&#8217;s Disease, as well as how a Fitness Professional do to improve brain and body connection. For those living with Parkinson&#8217;s, the three Activities of Daily Living (ADLs) considered to be most difficult to perform are: Rolling over in bed Getting out of a vehicle Working through a freeze episode while crossing over a threshold between rooms. I have provided a list of exercises to complement these ADLs as well as a \u201cPractice Option\u201d that combines the exercises listed. Considerations Remember to begin with the most basic of movements until the client can properly and safely execute the exercise. Care partners of wheelchair-bound clients need to be instructed on how to safely assist loved ones without causing injury to either person. Please refer the client to an Occupational Therapist if needed. Activity of Daily Living: Rolling over in bed\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Exercises Bridges Push-ups or chest press Tricep extension Rows Glute squeezes (for chair bound) Lateral Step with torso rotation using a tube Side Planks\/ Prone Plank Clamshells Advanced Practice Option:\u00a0Have the client lay on his or her back. Take the right leg and swing the leg [&hellip;]<\/p>\n","protected":false},"author":361,"featured_media":30655,"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":[198,92],"class_list":["post-30649","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-mfn","tag-fitness-professionals","tag-parkinsons"],"jetpack_publicize_connections":[],"_links":{"self":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/30649","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\/361"}],"replies":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/comments?post=30649"}],"version-history":[{"count":6,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/30649\/revisions"}],"predecessor-version":[{"id":30690,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/30649\/revisions\/30690"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media\/30655"}],"wp:attachment":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media?parent=30649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/categories?post=30649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/tags?post=30649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}