Kin 667 Presentation: Parkinson's Disease PDF

KIN 667 PRESENTATION PHYSICAL ACTIVITY AND PARKINSONISM BY PRATHYUSHA BOGA WHAT IS PARKINSONS DISEASE ? Parkinson’s disease is an age-related progressive neuro-degenerative disorder that affects predominately the dopamine- producing (“dopaminergic”) neurons in a specific area of the brai...

KIN 667 PRESENTATION PHYSICAL ACTIVITY AND PARKINSONISM BY PRATHYUSHA BOGA WHAT IS PARKINSONS DISEASE ? Parkinson’s disease is an age-related progressive neuro-degenerative disorder that affects predominately the dopamine- producing (“dopaminergic”) neurons in a specific area of the brain called substantia nigra. http://neuroscience.openetext.utoro nto.ca/chapter/2-5-chronic-neurode generative-diseases/ WHY SHOULD WE CONSIDER THIS ? Nearly one million people in the U.S. are living with Parkinson's disease (PD). This number is expected to rise to 1.2 million by 2030. Parkinson's is the 2nd most common neurodegenerative disease after Alzheimer's disease. Nearly 90,000 people in the U.S. are diagnosed with PD each year. Incidence increases with age above 50- 65 years. Men are risk at 1.5 more when compared to females. Etiology 1. Age and gender 2. Genetic factors 3. Environmental factors / Agricultural chemicals / air pollution 4. Head trauma 5. Drug – induced parkinsonism SYMPTOMS https://www.youtube.com/shorts/fk4SuwaxxsAhttps://storymd.com/journal/5mryyx6uzj-parkinson- s-disease/page/359pvhyyd2-symptoms How Difficulty with fine motor tasks (buttoning clothes, using Parkinsoni utensils) sm Affects Challenges with mobility and transportation Daily Life Increased time needed for daily activities Potential social isolation due to communication difficulties Impact on work and career Strain on relationships with family and caregivers Need for medication management and medical appointments Adaptations required in home environment for safety Benefits of Exercise for People with Parkinsonism Improved motor symptoms (tremor, balance, gait) Enhanced flexibility and range of motion Increased strength and endurance Better posture and reduced fall risk Improved cardiovascular health Enhanced cognitive function Reduced depression and anxiety Improved sleep quality Better overall quality of life https://www.youtube.com/shorts/SnVwWLAh11 M  TRAINING COMPLETE CONSENT KNOWING COMPLETE CUEING TECHNIQUES REQUIREMENTS : ASSESSMENT BY THE HISTORY , SYMPTOMS (VISUAL, AUDITORY, HEALTH OF THE PATIENT TO TACTILE) TO IMPROVE PROFESSIONALS PLAN TREATMENT MOVEMENT ABILITY TO MODIFY COGNITIVE EXERCISES BASED ON EXERCISES TO INDIVIDUAL INCORPORATE INTO SYMPTOMS AND PHYSICAL ROUTINES PROGRESSION EXERCISE TRAINING FOR PARKINSONS DISEASE WARM-UP Neck circles Shoulder rolls Wrist and Ankle circles Breathing exercises Exercises addressing clinical features Tremors : Hand coordination / Grip strengthening Bradykinesia : heel-to-toe walking/ marching in place Gait: Big-steps, figure of 8 walking FLEXIBILITY : Stretching of Neck Quadriceps Hamstrings BALANCE : Single leg standing Tandem standing Perturbation Strengthening all the major muscle groups Functional training : Sit-to-stand Reaching activities Transfers 1. Social benefits: o Group exercise classes can reduce isolation o Improved communication skills through speech exercises 2. Intellectual benefits: o Cognitive exercises can help maintain mental acuity o Learning new exercises challenges the brain 3. Emotional benefits: o Increased self-confidence and self-efficacy o Reduced symptoms of depression and anxiety o Improved mood through endorphin release Contraindicated Exercises  High-impact activities that may increase fall risk  Exercises that require rapid changes in direction  Activities that may exacerbate balance issues  Intense strength training without proper supervision Who should not participate or should exercise with caution  Individuals with severe balance issues or frequent falls  Those with uncontrolled cardiovascular problems  Patients with severe cognitive impairment who cannot follow instructions  People with uncontrolled pain or other medical conditions SUMMARY Parkinson's disease is a neurodegenerative disorder causing movement problems, including tremor, bradykinesia, rigidity, and postural instability. It also causes cognitive changes, sleep disorders, and depression. Treatment options include medications, deep brain stimulation, physical, occupational, and speech therapies, and lifestyle modifications. Early diagnosis and comprehensive treatment can improve quality of life and slow disease progression. References 1. Tanner, C. M., & Goldman, S. M. (1996). Epidemiology of Parkinson's disease. Neurologic clinics, 14(2), 317–335. https://doi.org/10.1016/S0733-8619(05)70259-0 2. Bhalsing, K. S., Abbas, M. M., & Tan, L. C. S. (2018). Role of Physical Activity in Parkinson's Disease. Annals of Indian Academy of Neurology, 21(4), 242–249. https://doi.org/10.4103/aian.AIAN_169_18 3. https://www.parkinson.org/understanding-parkinsons/statistics 4. https://neuroscience.openetext.utoronto.ca/chapter/2-5-chronic-neurodegenerative-diseases/ 5. https://parkinsonscare.org.uk/anxiety-and-depression/ 6. https://storymd.com/journal/5mryyx6uzj-parkinson-s-disease/page/359pvhyyd2-symptoms 7. https://journeywithparkinsons.com/2023/05/21/update-on-complementary-and-alternative-medic ine-cam-therapy-in-parkinsons/ "Welcome to dinner! If my hand starts shaking, don’t worry—I’m just adding a little extra seasoning to your plate!“ THANK YOU REACHOUT TO ME ON OUTLOOK [email protected] Prathyusha Boga