Exercise - Davis Phinney Foundation

1 downloads 200 Views 21MB Size Report
Apr 30, 2016 - The Victory Summit® – Vancouver, British Columbia | April 30, 2016. Overview of importance of exercise
YOUR Plan, for YOUR PD Mike Studer, PT, MHS, NCS, CEEAA, CWT, CSST Northwest Rehabilitation Associates, Inc. [email protected] ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Overview • Individualized plan for » tremor à decreased tremor » imbalance à balance » weakness à strength » bad posture à strong posture » rigidity à flexibility • Where and who can help? • Weekly dosage review (action items) The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

©2016   Davis  Phinney   Foundation

Overview of importance of exercise Benefits of exercise specific to PD: • Medicine becomes more effective • Stabilizes cell health in the brain • Releases dopamine-like chemicals in the brain PLUS the benefits of exercise to your body! • Strength, reactions, agility, flexibility, endurance…

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Individualized for You…Tremor • STARTS as a problem of the brain • INCREASES when fatigued, stressed, ill… • Shaking limb when awake • May appear on just one side, arm or leg • May also affect chin, lips, tongue • Tremor may spread to other parts of the body • Often dissipates during movement

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your…TREMOR Tremors can be reduced by exercise training: – Training for endurance makes you more tolerant of fatigue or stress – With training, your fatigue and stress–based increases in tremor, are reduced • “My hand used to shake uncontrollably” when tired • After training: “My hand does not tremor so easily late in the day now” ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Individualized for You…Imbalance Evaluation of balance measures: 1. Coordination – placement of feet 2. Posture – affecting how your body is leaning 3. Power – how much force you can create 4. Strength – how effective your correction will be 5. Distractibility – trainable tolerance to attend ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your BALANCE…Safely! 1. Stand with your feet side by side (Record your time________) 1

2

2. Place the instep of one foot so it is touching the big toe of the other foot (Record your time ________) ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your BALANCE…Safely! 3. Place one foot in front of the other one, heel touching toe (Record your time _______) 3

4

4. Stand on one foot (Record your time _______)

An older adult who cannot hold the tandem stance for at least 10 seconds is at increased risk of falling ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Individualized for You…Imbalance “The trouble with turning”… If you are “freezing” in turns, doorways, etc… …then OVERTRAIN yourself through practice! Rehearse turning cues with visual and sound effects ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Turning and Starting Strategies • • • • • •

Speak your steps Visualize the turn “Jump up” to stand Focus past a doorway Practice YOUR cues Use YOUR cues ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Individualize for You…Weakness One of the most common complaints with PD, yet among the easiest to treat – Difficulty speaking / swallowing – Difficulty turning around / bending forward / take big steps (shuffling) – Masked face, weak facial expression – Getting up from a chair or out of bed ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your STRENGTH • Exercises to help you gain strength, give you practice in accessing power again • Sit down in a sturdy chair • Stand up and sit down for 30 seconds straight • Harder: no hands, lower chair, longer ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your STRENGTH • Other exercise options for improving strength • Yoga or other group exercise programs • Exercise Essentials DVD (DPF resource) • LSVT® LOUD/BIG programs • Potential benefits to these exercises • Increased power in leg, arm, torso muscles • Increase facial expressions / throat strength • Improved power as needed: balance, bed, chair

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Individualized for You…Posture • STARTS as a problem of the brain…. • BECOMES complicated by the stiffness of muscles and joints over time ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your POSTURE • THERAPY can address both the brain and muscular contributions to stiffness + posture

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Individualized for You…Rigidity • Affects ease of movement, flexibility and posture • When fatigued or stressed, rigidity increases

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Challenge Your FLEXIBILITY • Most common areas – Chest – Ankles – Hips

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Where and Who Can Help? • Use word of mouth – support groups • Search for therapists who: • Are willing to expect improvement • Will measure improvement • Have experience with Parkinson’s, specifically ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Where and Who Can Help? • Use word of mouth • Support groups • Neurologist’s office • Peers with PD • National PD org’s • Local PD org’s • Therapists The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

©2016   Davis  Phinney   Foundation

Your Weekly Dosage… Research suggests Parkinson's medications are more effective when combined with exercise – Strength – Balance – Flexibility – Endurance ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Your Weekly Dosage: STRENGTH • 3x / week: challenge your strength

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Your Weekly Dosage: BALANCE • Daily: challenge your balance Remember: Research suggests Parkinson's medications are more effective when combined with exercise

©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Your Weekly Dosage: FLEXIBILITY • Daily: Improve your flexibility • 4x a week: Challenge & measure your endurance ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Action Items: • Measure your performance, challenge yourself • Find an exercise program that works for YOU • Stay motivated with goals, individualized plans, music, community and accountability ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

Action Items: • Perform your “weekly dosage” activities • Create a robust team to address, measure and adjust these challenges • Participate in a social activity that involves movement ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016

My Contact Information: Mike Studer [email protected] 503 371-0779 FB: NWRehab ©2016   Davis  Phinney   Foundation

The  Victory  Summit® – Vancouver,  British  Columbia  |  April  30,  2016