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Found 8 results

  1. Whole body vibration therapy with exercise enhances motor function and improves quality of life in Parkinson’s disease Thursday, June 23, 2016 O.K. Gruder, D.Y. Edmonston, G.Q. Barr, C.G. Maitland (Tallahassee, FL, USA); Meeting: 20th International Congress; Abstract Number: 2021 Objective: To evaluate the short term effects of whole body vibration and exercise in patients with Parkinson’s disease on overall quality of life, gait, tremor, and postural instability using the GAITRite®System (CRI Systems Incorporated), Unified Parkinson’s disease Rating Scale (UPDRS parts 2,3), Beck Depression Inventory, Fatigue Symptom Inventory (FSI), and Healthy Days Measure (HRQOL-14). Background: Pharmacologic intervention is the current standard of care for Parkinson’s disease (PD), yet medications frequently fail to control some symptoms, including tremor and postural instability, which degrade functional performance and quality of life. Non-pharmacological treatments, including Whole Body Vibration (WBV) and exercise therapy may reduce these symptoms. We combined basic exercise therapy with WBV in a six-week treatment regimen in order to evaluate their effect on symptoms and signs of PD, with careful attention to postural stability, gait, as well as quality of life measures. Methods: 15 participants diagnosed with PD (stages 1-4) underwent 12 sessions of WBV combined with exercise therapy over 6 weeks. Patients’ Demographics and Characteristics Participant No. Gender Age (Years) Previous Level of Physical Activity* Pertinent PmHx** H & Y Staging (UPDRS Motor Score) P01 F 74 Sedentary Titanium rod in left femur, spinal stenosis 1-3 P02 M 79 Sedentary Total knee replacement in right knee 4 P03 M 79 Moderate Physical Activity 1-3 P04 F 72 Sedentary 4 P05 M 69 Moderate Physical Activity 1-3 P06 M 83 Sedentary 1-3 P07 F 75 Moderate Physical Activity 1-3 P08 F Moderate Physical Activity 1-3 P09 F 66 Vigorous Physical Activity Previously broken left foot 1-3 P10 F 59 Sedentary Untreated torn rotator cuff, osteoporosis, sciatica 1-3 P11 F Sedentary Arthritic right knee 1-3 P12 M 77 Moderate Physical Activity 1-3 P13 M 79 Moderate Physical Activity Chronic neck and back pain 1-3 P14 F 69 Sedentary Arthritic right knee 1-3 P15 F 77 Moderate Physical Activity 1-3 P16 M Sedentary Compound vertebral fracture, valve replacement 4 P17 F 58 Moderate Physical Activity 1-3 *Level of physical activity were determined using CDC and ACSM guidelines **All surgeries, replacements were at least 6 months prior to enrolling in the study“. The WBV training included a lower body exercise regimen performed on a vibratory platform. WBV and Exercise Regimen Week Number Session Numbers Exercises Duration (Seconds) Frequency (Seconds[macr]1) 1 1,2 Squats and lunges (static and dynamic), tandem stance (twice on each side) 30 25 2 3,4 Squats, lunges and calf raises (static and dynamic), tandem stance (twice on each side) 45 25 3 5,6 Squats, lunges and calf raises (static and dynamic), tandem stance (twice on each side) 45 30 4 7,8 Squats, lunges and calf raises (static and dynamic), tandem stance (twice on each side) 60 30 5 9,10 Squats, lunges and calf raises (static and dynamic), tandem stance (twice on each side) 60 35 6 11,12 Squats, lunges and calf raises (static and dynamic), tandem stance (twice on each side) 60 35 Baseline measurements and 2 follow up data collection sessions (1 and 4 days after the final session) included an evaluation of gait via the GAITRite®System, UPDRS parts 2,3, Beck Depression Inventory, FSI, and HRQOL-14. Results: A one-way repeated measures ANOVA was conducted to determine differences between baseline and both post-interventional examinations in all measured parameters. UPDRS scores decreased on average from 29.53(baseline) to 18.00(1 day post-intervention) and 17.53 (4 days post intervention), p<0.001. Both part 2 and 3 of the UPDRS showed statistically significant improvement. Statistically significant improvement in both post-interventional examination for gait velocity, cadence, and double support time was also observed. No significant difference was observed for FSI, Beck Depression, Conclusions: WBV combined with exercise therapy has significant effect on motoric performance, ADL related symptoms, and postural stability. This therapy has significant short-term effects.
  2. Queridos miembros del foro, Sabemos que las caídas son un problema frecuente en el Parkinson, resultando en lesiones y compromiso de la salud del paciente. Un reciente articulo publicado en Neurology (http://www.ncbi.nlm.nih.gov/pubmed/25552576) sugiere que programas de ejercicio enfocados en mantenimiento del equilibrio, fuerza de las piernas, y en mejorar el congelamiento de la marcha deben implementarse de manera temprana en el proceso de la enfermedad con el fin de reducir las caídas. Pueden encontrar mas información sobre el ejercicio en Parkinson en los libros de la NPF (http://www3.parkinson.org/site/DocServer/Consejos_Practicos.pdf;jsessionid=EDD260C70617577E44DE932AD61DF084.app328a?docID=195) Saludos, DMR @drdanielmtz
  3. Annemarcel

    Drug Interaction warnings

    I'm currently taking: 25/100 carb/levo 5x day .50 mg pramipexole 1 mg Estradiol 112 mpg Levothyroxine 1x day 20 mg Fluoxetine 1x day Magnesium Oxide 250 mg 2x day 5 mg Melatonin each night According to drugs.com I have several "moderate" drug interaction warnings for fluoxetine and magnesium, fluoxetine and pramipexole, and others that can cause dizziness, drowsiness and impaired judgement. My doctor asked if I would be interested in trying Lyrica for pain but after checking the drug interactions, I'm wondering if having so many moderate warnings is safe. Lyrica has warnings with fluoxetine and pramipexole that can cause dizziness, drowsiness and impaired judgement. (I'm taking fluoxetine for mild depression). Is gabapentin the same as lyrica but just an earlier generation of the drug? And should PWP who have balance issues already be worried about all these warnings of dizziness? Are these warnings the same for all SSRIs or just Prozac? I'm mostly rigid with balance issues and have fallen a few times so this is something that really concerns me.
  4. patticee203

    Second Opinion?

    I am asking the group if I should see a movement disorder specialist for a second opinion. The neurologist I saw 3 months ago, and who I just followed up with gave me some very confusing and I think conflicting diagnosis. When I saw her 3 months ago, she said for sure I had small vessel disease, may be having TIAs and probably had Parkinson's because I had a lot of symptoms. When I saw her again this week, she was trying to tell me that my only problem is essential tremors, and she doesn't know why I fall a lot or have lost my sense of smell. Plus my balance is very poor, tremors have increased in the past 3 months. She's working off a brain MRI from 18 months ago, and has done no other tests. It sounds as though Parkinson's is difficult to diagnose - but I do have a cluster of symptoms that are troublesome enough to effect my everyday life. Tremors of hands, head and voice. Loss of smell. Memory word-retrieval problems, frequent falls, don't swing arms, pronounced balance problems, weakness on the left side (TIAs, Strokes??). I know you can't give medical advice - but should I just make an appointment with a movement disorders doc at a big teaching hospital? I would think that they would want some tests more recent than 18 months old. Thanks for listening to me babble. PattiCee
  5. Hello experts. I am wondering if there is a branch of physiotherapy that specializes in PD? If so, how do you locate one? Is there a unique title or certification that I should look for? I am 49, recently diagnosed, and have modest symptoms. I have some stiffness of the hip flexor and ankle, which I am attributing to PD. I have worked with a physiotherapist in the past for both symptoms (pre-diagnosis), and I did not have much progress. Perhaps I need a different sort of expertise. Thanks.
  6. igreen

    Balance problems

    I am 57 yrs old and was diagnosed almost 1 yr ago with PD. Before that, L hand & finger tremors had been present about 3 yrs. I have been receiving PT & OT since Feb which I believe is helping my awareness & feeling of controlling/maintaining my body, my strength and flexibility... as best I can. My neurologist & I have concurred that I am not going to begin medication yet, because LH & leg tremors are primary symptom. However, yesterday I woke up to balance problems & difficulty walking without touching a surface. I am aware that no 2 PD patients are alike, but with this new development of balance instability, is there medication that could help this most recent symptom. One reason I had decided NOT to begin medication was that I am a teacher and did not want the problem of more movements that I understand medication (too much) can bring about. I am not scheduled to see my neurologist again until January, however, with this new development & thinking I might need a cane to move about safely and school beginning next month, is medication now something I should begin taking for this newest symptom? Is it possible for the walking imbalance likely to come & go, or do you usually see this as a symptom that will continue?
  7. Registration is now open for two Parkinson’s wellness retreats at the Kripalu Center for Yoga and Health in the beautiful Berkshire Mountains, near Stockbridge, Massachusetts! Spring Program: June 15-19, 2014 “Navigating a New World: Wellness Retreat for People Living with Parkinson’s and Their Care Partners” This program (PD-201) is designed for patients who have been diagnosed for more than 3 years. Fall Program: October 19 – 23, 2014 “Navigating a New World: Wellness Retreat for Recently Diagnosed Parkinson’s Patients and Their Family and Friends” The autumn program is designed for patients who have been diagnosed within the last three years. For more information, please visit www.parkinson.org/retreat or please contact our helpline at 1-800-4PD-INFO (800-473-4636) or by email at helpline@parkinson.org
  8. Hi. I am a 37 year old woman with a grandfather and father with Parkinson's. I feel as though I have early symptoms, but my doctors have brushed them off saying it would be unlikely as a woman in my 30's to have Parkinson's. I know that I have the same gait as my father and grandfather, and occasionally a resting tremor. My main symptom is when I get up from sitting I have to take 8-10 steps before I can raise myself straight up from a hunched over "L" position. I am in pretty good shape and work out, but I experience this being "stuck" whether I've worked out or not. I also feel like I have trouble swallowing at least a few times a day. I know I don't have very severe symptoms, but I wonder when I should really bring it up seriously with my doctor or see a neurologist. Any thoughts?