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About a year ago, we received a small grant to start a "Gait and Balance"
class, which incorporates Tai Chi, dance, stretching, relaxation and a lot
of other techniques into a program specifically designed for PD patients.
It's good basic exercise and especially focuses on gait and balance
problems.  We have only 12 patients in a class with a physical therapist
and one or more volunteer assistants.  Most importantly, perhaps, every
patient attends with a caregiver so the good habits acquired in class can
be repeated at home.  The classes cost about $45 for a series of 8 sessions
over 4 weeks.

Judging by patient evaluations, these have been wildly successful and I
only wish we could offer them in other locations.  Perhaps other centers
have something similar.

At 03:36 PM 10/2/98 EDT, you wrote:
>        Exercise appropriate to one's condition is advocated by NPF, APDA,
et al and
>have published pamphlets with recommended exercises complete with diagrams.
>Exercise classes for PWPs have been offerred locally for many years and now
>satellite centers for PWPs include Physical Therapists.
>        My personal experience with PT has had mixed results.  Before and
during the
>time I was looking for a diagnosis (81-85), a lot of PT was prescribed for my
>right arm & shoulder to no avail.  After tentatively being dx w PD in '84 and
>again in '85 + a 2nd opinion, I sprained my neck doing PT exercises at home.
>This was followed by damaging machine, then manual, traction.  I have had
neck
>problems ever since.  PD Meds weren't started until 1988.
>        After that I took walks, swam or did mild exercises in the local
pool, &
>attended local PD exercise groups.  About 1992 I also incorporated some warm-
>up Tai Chi exercises from a video, deep-breathing exercises, and  Feldenkrais
>classes, one-on-one, and at-home audio tapes.  I felt at the time that
these 3
>add-on measures helped me for the condition I was in then, but I did have to
>watch myself to not tax my body when I was rigid.  I also stopped the one-on-
>one when I found I was taking more meds just to make that appointment.
>        I am subject to more rigidity now and more weakness on my right
side.  I have
>substituted weekly massages for a lot of the above.  Maybe, as I told a
>visitor recently, I will review my Feldenkrais tapes and perhaps try a few
>exercises--just as soon as I figure out where I put them!
>
>Barbara Blake-Krebs (57, 1984)
>Merriam  KS
>[log in to unmask]
>
><<
>Agree:  exercise helps and group classes can be more fun.  Has anyone had any
>experience with the Feldenkrais Method --either individual one on one
>treatment or the group exercise program?  It is reported to be particularly
>well suited for people with neurological problems, among them PD.  Anyone
with
>first hand knowledge?
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>>>
>
>
 ===========================================================================
Carole L.  Cassidy, CFRE
Director of Developmenet and Community Relations
The Parkinson's Institute
1170 Morse Avenue
Sunnyvale, CA  94089
408-542-5628 direct line
408-734-8522 fax