Morton

I somehow missed Part 1 as well.  Diane has suddenly improved enough to send 
me hundreds if emails.
Kevin Lockette, a PT in Hawaii, is sending me book and DVD.  I will pass on 
any more info I get.
In the meantime I'll look for Part 1.
Ray

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
[log in to unmask]

--------------------------------------------------
From: "morton apfeldorf" <[log in to unmask]>
Sent: Friday, July 17, 2009 2:43 AM
To: <[log in to unmask]>
Subject: Re: Exercise Tips

> I spmehow missed part 1 - please send it - thanks
>
> On Thu, Jul 16, 2009 at 6:46 AM, rayilynlee <[log in to unmask]> wrote:
>
>> Home fitness can help Parkinson's patients
>> Published: July 13, 2009
>>
>> Second of three parts.
>> Last week, we described various forms of exercise to reduce the symptoms
>> associated with Parkinson's disease. Now we'll outline a comprehensive 
>> home
>> exercise program for people with Parkinson's.
>> You should begin with the easiest exercises first, slowly introducing the
>> more difficult ones as your fitness level improves. If you fatigue 
>> easily,
>> try exercising in the morning. Plan to perform your routine three times 
>> each
>> week. For safety, all exercises can be performed while seated.
>>
>> Warm-up
>> Take a slow walk or slowly march in place for two to three minutes. If
>> standing is difficult, "march" while seated.
>> Flexibility stretching
>> This should be gentle and pain-free. Hold each position for 15 to 30
>> seconds and repeat two or three times.
>> -窶�eck: look up and down; tilt head to right and left; turn and look 
>> right;
>> turn and look left.
>> -窶５orso: With hands on hips, lean slightly forward; lean slightly 
>> backward,
>> pushing belly forward; squeeze shoulder blades together.
>> -窶�rms: Raise to the front and overhead; out to the side and overhead;
>> clasp hands behind head and open elbows out to sides; reach behind 
>> buttocks
>> and up the back with one hand, then repeat with the other hand.
>> -窶�egs: While seated, straighten one knee and then repeat with the other;
>> while seated with knee straight, point toes toward nose, then repeat with
>> other side, and do the same pointing toes away from the nose; while 
>> seated,
>> pull one knee toward chest, then repeat with the other side; while 
>> seated,
>> open and close knees.
>> -窶�acial exercises: surprise - lift eyebrows and open mouth; 
>> displeasure -
>> frown and purse lips; disgust - crinkle nose; pleasure - make a big 
>> smile.
>>
>> Muscle strengthening
>> -窶１erform 10 slow, full and pain-free repetitions without weights. 
>> Exercise
>> left and right limbs. Complete repetitions with one side, then the other. 
>> To
>> increase difficulty, slowly advance the number of repetitions. When three
>> sets of 10 repetitions can be performed comfortably, weights can be 
>> added.
>> -窶８eights with velcro straps can be purchased, or household items may be
>> used, such as soup cans or water-filled bottles.
>> -窶４tarting weight should allow pain-free completion of at least 10
>> repetitions. Weight should not be advanced until three sets of 10
>> repetitions can be completed comfortably. Don't advance weight more then 
>> one
>> pound at a time. When weight is advanced, reduce repetitions back to one 
>> set
>> of 10 and advance to three sets as tolerated.
>> -窶�rms (both simultaneously): Shrug shoulders up and down; raise arms out
>> to the front, but not higher than shoulders, then out to the side; bend
>> elbows up and down; with elbows at 90 degrees, bend wrists up and down; 
>> open
>> and close fingers as if making a fist.
>> -窶�egs: Hold onto a stationary object and place feet shoulder-width 
>> apart;
>> keeping knee straight, move leg out to side, then backward; then bend 
>> knee.
>> Using both feet simultaneously, lift toes toward the ceiling, then rise 
>> up
>> on toes. While seated, lift knee toward the ceiling, then straighten 
>> knee.
>>
>> Endurance exercise
>> -窶４tart with no more than 10 minutes; gradually increase by a minute or 
>> two
>> as tolerated, to 30 minutes.
>> -窶８alking: Choose flat, obstacle-free terrain. Focus on taking long 
>> strides
>> while lifting each foot and placing the heel down first. Counting each 
>> step
>> can facilitate rhythm and smoothness. Swing arms while walking. Use a 
>> walker
>> with wheels if balance is a problem or if pain prevents progression.
>> If walking is not an option, try stationary bicycling.
>> Cool-down
>> Take a slow walk or slowly march in place for two to three minutes. If
>> standing is difficult, march while seated.
>>
>> Next week: Home safety and preventing falls.
>>
>> JANET CAPUTO, P.T., O.C.S., guest contributor, is a physical therapist
>> specializing in the management of orthopedic and sports injuries, with a
>> special interest in vestibular rehab and falls prevention, at Mackarey
>> Physical Therapy in downtown Scranton. She is completing her doctor of
>> physical therapy degree at the University of Scranton.
>>
>> PAUL J. MACKAREY, P.T., D.H.Sc., O.C.S., is a doctor in health sciences
>> specializing in orthopedic and sports physical therapy. He is in private
>> practice and is an affiliated faculty member at the University of 
>> Scranton
>> physical therapy department. His column appears every Monday. E-mail:
>> [log in to unmask]
>>
>> Rayilyn Brown
>> Director AZNPF
>> Arizona Chapter National Parkinson Foundation
>> [log in to unmask]
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