Ray

With sit to stand (squats), the challenge for People with PD is not  
lack of strength but rather decreased ability to generate power due to  
rigidity and bradykensia. Power is force times distance over time. Soo  
it is the time component or lack of speed that is the problem not  
decreased strength.

Therefore there are two keys to get up from sitting:  1.) you have to  
get your weight or center of gravity over your base of support.  If  
you don't do this you will fall back into the chair.  The cue I use is  
that "you got to get your nose past your toes".  If you are forward ,  
when you straighten out your knees you will go straight up and nit  
fall back. 2.). To make up for the lack of speed or the ability to  
generate velocity you gave to use momentum.  You can achieve this by  
rocking forward and going to standing on the count of three.  If you  
put these 2 together you will be able to get up easier.  The lower the  
surface you are rising from, the more toward and more momentum you  
will need.

As far as standing against wall for posture strengthening,  try to do  
for 20 seconds and build up time for ad many minutes that you can or  
want to do. I have my folks who watch TV to try to hold postures  
during commercials.

Much aloha

Kevin
Www.parkinsonsmoveit.com

Sent from my iPhone

On Nov 24, 2009, at 7:35 PM, "rayilynlee" <[log in to unmask]> wrote:

> thanks, Kevin.  I like your idea of focusing on exercises designed  
> to help a PD problem like postural stability.  Falls are deadly no  
> doubt about it.
> question - should these positions be held for a certain count or  
> period of time?  Is "sit-to-stand"  getting up out of a chair?   
> squatting is very difficult for me.  I think I learned from your DVD  
> trick of getting up by getting one leg up at a time.
>
> I have a small 1/2 bath where I can stand against the wall and put  
> one hand on the sink counter if need be.  I should be able to do the  
> arm exercises lying on my back in bed.
>
> thanks again, Kevin, I'll view the DVD again and see what I can work  
> out.
>
> Ray
>
> Rayilyn Brown
> Director AZNPF
> Arizona Chapter National Parkinson Foundation
> [log in to unmask]
>
> --------------------------------------------------
> From: "Kevin Lockette" <[log in to unmask]>
> Sent: Tuesday, November 24, 2009 12:16 PM
> To: "rayilynlee" <[log in to unmask]>
> Subject: Re: Fw: forced anaerobic exercise????
>
>> Ray,
>>
>> Anerobic ex refers to activities such as strength training or
>> activities or exercises of short duration as opposed to aerobic which
>> is longer duration activites that uses a different energy source.
>> Everyone is different but I will say that working on getting a few
>> select muscle groups stronger does help movement in general and does
>> help reduce falls.  I focus on the postural muscles which are the
>> muscles that keep you upright.  These are:
>>
>> Hip extensors/gluts:  Exercises are bridges, sit to stand(squats)
>> Knee extensors/quadriceps:   Exercises are straight leg raise and sit
>> to stand or squats
>> Upper back muscles lower trapezius, rhoimboids:  Exercises are from
>> lying down and raising your arms in front of you like superman and
>> from laying down and raising your arms out to you side like airplane
>> wings.
>>
>> The other thing that seems to work well is standing with body in
>> contact with the wall (heels, buttock, shoulders and head).  Just
>> holding this position is an exercise.  Then to challenge yourself you
>> keep this posture while moving such as picking up one leg and
>> alternating legs or by sliding arms up over head trying to keep
>> contact with the wall.  The bottom line here is that you are training
>> your posture muscles which will combat that forward posturing and
>> helps train you to keep your center iof gravity over your base of
>> support (your feet).  The more that you can consciously keep this
>> posture the less stress on your muscles and body and the less that  
>> you
>> may freeze or fall.
>>
>> I hope that this is helpful and not clear as mud.
>>
>> Much aloha
>>
>> Kevin
>>
>>
>>
>> On Tue, Nov 24, 2009 at 8:50 AM, rayilynlee <[log in to unmask]>  
>> wrote:
>>>
>>> Rayilyn Brown
>>> Director AZNPF
>>> Arizona Chapter National Parkinson Foundation
>>> [log in to unmask]
>>>
>>> --------------------------------------------------
>>> From: "rayilynlee" <[log in to unmask]>
>>> Sent: Tuesday, November 24, 2009 11:49 AM
>>> To: "Parkinson's Information Exchange Network"
>>> <[log in to unmask]>
>>> Subject: forced anaerobic exercise????
>>>
>>>> Kevin
>>>> What anaerobic exercise (for dummies like me) would you suggest.  
>>>> I find
>>>> if I have to get a
>>>> DVD out to watch to exercise I don't do it. Are there any  
>>>> assisted or
>>>> forced machines out there for anaerobics like my cycler is for  
>>>> aerobic?
>>>>
>>>> Remember we Parkies have trouble moving at all let alone  
>>>> exercising. Altho
>>>> the non-forced type may be better, I figure something is better  
>>>> than nothing
>>>> and I need help.
>>>>
>>>> Thanks,
>>>> Ray
>>>>
>>>> Rayilyn Brown
>>>> Director AZNPF
>>>> Arizona Chapter National Parkinson Foundation
>>>> [log in to unmask]
>>>>
>>>> --------------------------------------------------
>>>> From: "Kevin Lockette" <[log in to unmask]>
>>>> Sent: Monday, November 23, 2009 3:46 PM
>>>> To: <[log in to unmask]>
>>>> Subject: Re: vote for assisted exercise
>>>>
>>>>> The bottom line is that exercise is beneficial for people with PD.
>>>>> The question is how and to what extent. There are animal studies  
>>>>> that
>>>>> show the exercise may very well be neuro-protective (Zigmond et  
>>>>> al).
>>>>> They have not yet been able to prove this in humans but there  
>>>>> are some
>>>>> very exciting studies going on including forced exercise on a
>>>>> motorized ex bike that are leaning in that direction. I  
>>>>> encourage all
>>>>> of my patients to perform aerobic exercise within their means. I  
>>>>> also
>>>>> emphasize strength straining with a focus on increasing strength  
>>>>> of
>>>>> your postural muscles such as your hip extensors and upper back
>>>>> muscles. Strength and muscular endurance in these muscles are  
>>>>> key to
>>>>> maintaining a good posture as the disease progresses especially  
>>>>> if you
>>>>> have the type of PD that shows postural instability and falls. The
>>>>> more that you can keep your weight or center of gravity over your
>>>>> feet, which is by using your postural muscles, the less you will  
>>>>> fall
>>>>> and the easier it will be to get around. Sooo, It is important  
>>>>> to try
>>>>> to do both aerobic (biking, etc.) and anaerobic (strength  
>>>>> training)
>>>>> types of exercise, especially with PD.
>>>>>
>>>>> Kevin Lockette PT
>>>>> www.parkinsonsmoveit.com
>>>>> www.ohanapacificrehab.com
>>>>> www.drop.io/parkinsonsmoveit
>>>>>
>>>>> On Sun, Nov 22, 2009 at 10:43 AM, rayilynlee  
>>>>> <[log in to unmask]> wrote:
>>>>>>
>>>>>> I think the whole problem with exercise is finding something  
>>>>>> easy to
>>>>>> understand and something you want to do rather than force  
>>>>>> yourself to
>>>>>> do.
>>>>>> I've finally found it with ACTIVcycle which provides assisted  
>>>>>> cycling.
>>>>>> Since
>>>>>> July 23 I only missed a couple of days when my cycler quit  
>>>>>> because I had
>>>>>> not
>>>>>> unplugged it when not in use. I do 2 to 4 hours a day now. I  
>>>>>> watch TV
>>>>>> while I cycle.
>>>>>>
>>>>>> Overstock.com charged $112 (no shipping fee); my first cycler  
>>>>>> cost $170.
>>>>>>
>>>>>> Ray
>>>>>>
>>>>>> Rayilyn Brown
>>>>>> Director AZNPF
>>>>>> Arizona Chapter National Parkinson Foundation
>>>>>> [log in to unmask]
>>>>>>
>>>>>> --------------------------------------------------
>>>>>> From: "Cees Huisman" <[log in to unmask]>
>>>>>> Sent: Saturday, November 21, 2009 5:34 PM
>>>>>> To: <[log in to unmask]>
>>>>>> Subject: exercise
>>>>>>
>>>>>>> Recently my wife and I attended a Parkinson event in Ontario.  
>>>>>>> One of
>>>>>>> the
>>>>>>> speakers was David Zid. He didn't speak as such but took us  
>>>>>>> through a
>>>>>>> bunch
>>>>>>> of exercises he designed for PWPs. We were impressed and  
>>>>>>> bought his DVD
>>>>>>> and
>>>>>>> book. He is in Columbus, Ohio and his website is:
>>>>>>> www.delaythedisease.com.
>>>>>>> He claims these will delay the progression; I have no idea if  
>>>>>>> this is
>>>>>>> so,
>>>>>>> but the exercises keep us healthier anyhow. All the best. Cees  
>>>>>>> Huisman
>>>>>>>
>>>>>>> --- 
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>>>>>
>>>>>
>>>>>
>>>>> --
>>>>> Kevin Lockette PT
>>>>> www.ohanapacificrehab.com
>>>>> www.parkinsonsmoveit.com
>>>>> Kailua Clinic 808 262-1118
>>>>> Honolulu Clinic 808 593- 2610
>>>>> Cell Phone 808 228-0340
>>>>>
>>>>>
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>>
>>
>>
>> -- 
>> Kevin Lockette PT
>> www.ohanapacificrehab.com
>> www.parkinsonsmoveit.com
>> Kailua Clinic 808 262-1118
>> Honolulu Clinic 808 593- 2610
>> Cell Phone 808 228-0340
>>
>>
>> SPECIAL NOTE:  This communication is intended solely for the
>> individual or the entity to which it is addressed and may contain
>> information that is privileged, confidential, and/or prohibited from
>> disclosure.  If the reader of this communication is not the intended
>> recipient, you are hereby notified that any dissemination,
>> distribution, or copying of this communication is strictly  
>> prohibited.
>> If you have received this communication in error, please notify us
>> immediately at the above telephone number provided and return the
>> original message to us at the above address via the U.S. Postal
>> Service.  Your cooperation is greatly appreciated.  Thank you.
>

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