Parkinson’s Disease

Parkinson’s is a neurodegenerative disease that affects millions of people worldwide. It is the fastest growing neurological condition. This progressive neurological condition is characterised by both motor (movement) and non-motor symptoms.
Picture of Sabina Rico

Sabina Rico

Neuro Physiotherapist

Picture of Sabina Rico

Sabina Rico

Neuro Physiotherapist

Parkinson's Disease Symptoms

Parkinson’s Disease (PD) reduces the amount of dopamine available, resulting in disruption of the functions of the basal ganglia. PD primarily affects movement, leading to symptoms like tremors, rigidity, and bradykinesia (slowness of movement).

These symptoms make walking, balancing and other forms of movement difficult. A common mobility issue in PD is freezing of gait, where the person temporarily feels as though their feet are glued to the floor, making it difficult to start walking or change direction.

As PD progresses, individuals may develop postural instability, making it difficult to maintain balance. This contributes to a higher risk of falls and may necessitate the use of mobility aids like walkers or wheelchairs.

The motor symptoms of PD make routine tasks like dressing, grooming, and eating more difficult. Fine motor skills required for tasks like buttoning clothes or brushing teeth are often compromised. The fatigue associated with PD, combined with the slowness of movement, can make self-care tasks time consuming and exhausting. Cognitive decline can also interfere with the ability to plan and execute self-care activities, leading to dependence on caregivers.

PD often leads to hypophonia (soft speech) and dysarthria (slurred or slow speech), making verbal communication challenging. These speech issues are caused by the weakened muscles used in speech and the reduced coordination between breathing and speaking. PD can also impair facial expressions (hypomimia) and gestures, leading to reduced non-verbal cues. This can make it harder for individuals to convey emotions and respond appropriately in conversations.

Physiotherapy for Parkinson's Disease

Physiotherapy is a crucial component in managing PD as it helps to mitigate the motor symptoms, improve quality of life, and maintain independence. Specific physiotherapy programs, like PD Warrior, have gained prominence for the effectiveness in addressing the physical challenges associated with PD. Restore Function Physiotherapy delivers this exercise therapy one on one by a trained physiotherapist.

PD Warrior is a high-energy exercise program specifically designed for people with PD, focusing on slowing the progression of motor symptoms through dynamic and functional exercises. It incorporates intensive, neuroactive exercises to improve movement quality, strength, and coordination. The exercises are designed to be high intensity, pushing individuals to their physical limits. This intensity is crucial for promoting neuroplastic changes and improving strength, speed and agility.

Exercises in PD Warrior are functional and task-specific, meaning they focus on everyday movements like reaching, turning, and walking. This helps improve the individual’s ability to perform daily activities. PD Warrior is also tailored to individual needs, with exercises targeted towards personal goals. The exercises are designed to challenge both the body and the mind. Incorporating cognitive tasks while performing physical tasks helps improve focus, coordination, and decision-making, addressing the cognitive decline often seen in PD.

Physiotherapy harnesses the principles of neuroplasticity, high-intensity training, and task-specific exercises, with knowledge of programs such as PD Warrior. Neurological physiotherapists have powerful tools to manage symptoms of PD, enhancing the overall quality of life for those affected by the disease.

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