Parkinson’s disease exercise program for torso stiffness seen to help… – Parkinson’s Disease News Today

A four-week task-specific exercise program performed at home can improve rotational ability and balance, and ease disease severity for people in the early to intermediate stages. Parkinson’s DiseaseShe suggested a small study.

This Parkinson’s exercise program focuses explicitly on rotating the parts of the body that are most involved in rotation. The researchers said it may be a promising alternative rehabilitation program for patients with stump stiffness that makes the transition difficult and risky.

the study, “Benefits of a task-specific movement program in a group transition to Parkinson’s disease: a randomized controlled trial“in the magazine International Physiotherapy Research.

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Stem stiffness is common Symptoms of Parkinson’s disease illness. Instead of turning the body in a top-down approach—with the head moving first, then the shoulders and hips—patients tend to move all parts of the body together, or “block.”

The researchers noted that such rigidity in movement can affect rotation and balance to increase the risk of falls. While Parkinson’s treatments are like levodopa therapy And the deep brain stimulation The team aims to address such difficulties, it is best to do so when combined with exercise, the team added.

However, it has not been reported how task-specific movement exercises can improve the ‘overall’ transformation of Parkinson’s disease.

Researchers at Mahidol University in Thailand evaluated a month-long and task-specific movement exercise program on movement outcomes and clinical disease in a small group of patients.

They enrolled 22 patients with Parkinson’s disease in the early to intermediate stages according to age and disease severity. Half were randomly assigned to an exercise group, and the other half continued to take routine medication as a control group. Shifting movements and clinical outcomes, determined by scales that included the Unified Parkinson’s Disease Rating Scale or UPDRS, were assessed before and after the exercise program.

Task-specific exercises were presented in three weekly sessions under the supervision of a physiotherapist in a clinic for two weeks, then as two supervised exercise sessions and two sessions at home in the third week, followed by five home exercises for the fourth and final week.

The basic exercise program included 45 minutes of rotation, 10 times each, of different parts of the body – head, shoulders, hips, etc. – while in positions such as sitting, standing, and lying down. Its goal is to increase flexibility and mobility of every part of the body.

The patients then engaged for five minutes in a throwing task to improve balance, and for 10 minutes in spinning in each direction while walking to increase the body’s range of rotation. A 15-minute warm-up and cool-down period of deep breathing and stretching was performed before and after the exercises.

To measure rotational (kinetic) and gradual motions, special sensors were connected to the center of the head, middle chest, and feet. Participants performed a semi-circle, and the team recorded the delays, or latencies, in the movement of each body part as they rotated, their speed and movements.

According to the analysis, those who participated in the exercises had reduced latency, or faster movement, of all parts of the body, including the head, chest, front foot and back foot, compared to the control group. Overall, the mean latency was significantly decreased—indicating a faster onset of movement—in the exercise group only.

While rotating the semicircle, step size, total stride, step duration, and rotational speed improved significantly in the exercise group patients compared to the control group.

This result can be explained by the fact that the desired movement is repeated [180-degree turns] And task-specific training should enhance motor learning by reducing the complexity of motor planning and reducing reliance on sensory feedback.”

The UPDRS results showed that those in the exercise group had lower (improved) overall UPDRS, motor, and rigidity scores than pre-program scores, indicating a reduction in Parkinson’s disease severity among these subjects.

The exercise program also significantly improved balance, as measured by the functional access test, reduced fear of falling, and assessed with the Fall Effectiveness Scale, a self-report questionnaire used to assess fear of falling in the elderly population.

“The main finding of this study was that a [four]A specific week-long home exercise program, focused on TSM [task-specific movement]It can improve overall transformation and clinical outcomes in people with early to intermediate stage [Parkinson’s disease]Researchers wrote.

One limitation of the study was that the control group was not given the same amount of attention as the exercise group; Thus, it “cannot be dismissed as a contributing factor to group differences,” they said.


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