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
>>>>
>>>>
>>>> SPECIAL NOTE: This communication is intended solely for the
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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
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