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Bobcat -> Re: Parkinson disease and exersice (May 24, 2000 4:05:00 AM)
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[URL=http://www.colostate.edu/depts/cbrm/PUB.html]http://www.colostate.edu/depts/cbrm/PUB.html[/URL]
[URL=http://www.neuro.psychologie.uni-oldenburg.de/~greenlee/publications.html]http://www.neuro.psychologie.uni-oldenburg.de/~greenlee/publications.html[/URL]
These are only lists of publications, but you may see an interesting trend related to rhythmic input, spatial frequency and contrast, which, research-wise, is hot hot hot. I will post an explanation of one means of applying such methods in a bit. The Schenkman article in PT Mag was comprehensive but topical for the sake of brevity, and thus without specific treatment methods. It contains no information you would not also find in a neurology text. I haven't seen the other two articles.
Bobcat
(A Mammal, Grr)
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From the Schenkman article:
"
Intervention
Therapeutic Exercise
Flexibility and relaxation.
The PT selects exercises described by Schenkman and coleagues to help improve spinal and extremity flexibility and functional movement strategies in patients with PD. Based on a kinesiological analysis of the spine in functional movement with an emphasis on participation of the axial structures, these exercises are designed to enhance participation of appropriate synergistic muscles and to use relaxed movement -- as opposed to forceful stretching -- to increase range of motion. The exercises become increasingly complex as the participant becomes proficient (e.g., from supine to sitting to standing; from unisegmental to multisegmental). The intention is that functional training will be incorporated into each stage of the exercises so that the participant learns to incoroporate the movement strategies into daily activities.
Balance control.
The physical therapist will use progressively more demanding situations, as described by Shumway-Cook and Woolacott, to challenge Mr H's balance under controlled conditions. She might begin with activities that narrow his base of support, then proceed to walking on balance beams, walking and moving the head, and so on. As his flexibility improves and confidence returns, she will encourage him to return to cycling and hiking, as these activities will provide the most meaningful challenge to his balance control. She first will ensure, however, that Mr H has adequate flexibility, especially of the neck and torso.
Functional Training
PT intervention for Mr H must ensure that improvements in flexibility, balance control, and movement organization are incorporated into daily activities. The therapist therefore assesses activities that Mr H carries out during a typical day and provides guidelines for incorporating proper movement organization, improved biomechanics, and appropriate balance control. Again the therapist chooses activities that are sufficiently challenging and that will increase in complexity as Mr H master each set of activities.
As noted earlier, stressful situations can exacerbate symptoms of PD. Muller and colleagues reported that behavior modification can significantly reduce tremore and improve overall function. The PT therefore asks Mr H to consider the option of working with a psychologist who is skilled in behavior modification techniques, with the goal of developing effective strategies to help retain function and minimize tremor in the workplace."
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More later...
[This message has been edited by Bobcat (edited May 24, 2000).]
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