Physical Activity and Physiotherapy in Parkinson’s Disease

• Michele Tinazzi, MD, PhD,
• Federico Schena, PhD,
• Joaquim J. Ferreira, MD, PhD.
Source:
• Movementdisorders.org
Year of publication: 2019
Table of Contents
• Clarifying concepts
• Exercise as a therapeutic Intervention.
• Are Clinical Exercise Programs Always the Answer?
• Exercise and increases in PA Well Tolerated and Safe?
• Authors’ conclusions
• Personal considerations
• References
Key Words
• Physical activity (referred to as PA) – any bodily movement produced by skeletal muscles that results in energy expenditure. Can be divided into exercise and NEAT.
• Exercise – has 3 characteristics: 1) structured and repetitive bodily movements; 2) not following a conservative energy consumption approach; 3) intended to improve or maintain physical fitness.
• Nonexercise activity thermogenesis (NEAT) – all energy expenditure excluding sleeping, eating, and activity.
• Parkinson’s disease (referred to as PD) – is a neurodegenerative disorder characterized primarily by loss of dopamine neurons. People with PD may experience tremor, mainly at rest, limb rigidity, gait and balance problems. (movementdisorders.org)
• Physical function – the ability to carry out activities that involve bodily movement, ranging from basic self care tasks to social activities, that require a combination of skills
• Supercompensation – described as the adaptive response following a controlled application of stress on the body and its subsequent regeneration.
• FITT principle – frequency, intensity, type and time generated when creating clinical exercise program.
Introduction
PD treatment is focused on symptomatic relief rather than resolving the problem itself.
Physiotherapy and exercise has been proposed as adjuvants to treatment.
Several studies have been published in recent years, but they are inconclusive, which affects generation of recommendations for PD patients.
Aims of the research
So that synthesis and interpretation of study results would be possible.
Providing recommendations that would help health professionals in their clinical practice.
Clarifying concepts
Slidesgo.com
In PD management physiotherapy addresses
Exercise as therapeutic intervention
Clinical exercise is becoming extremely relevant as a new efficacious therapeutic intervention in multiple medical fields
Not only helps with disease...

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