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Balance | Neurological Recovery

Strength Training for Parkinson's Patients: Empowering Movement and Quality of Life

August 25th, 2023 | 5 min. read

Strength Training for Parkinson's Patients: Empowering Movement and Quality of Life
Allison Schmidt

Allison Schmidt

Licensed Physical Therapist, PT, DPT // EW Pilates Instructor // EW Yoga Instructor // LSVT – Big Certification // Credentialed APTA Clinical Instructor // EW Motion Therapy Homewood

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Living with Parkinson's disease can present various challenges, including mobility issues and muscle weakness. However, emerging research and therapeutic approaches offer hope for improved quality of life. One such approach is strength training, a powerful tool that can significantly benefit individuals with Parkinson's disease. Our physical therapists at EW Motion Therapy always incorporate strength training into treatment plans, helping Parkinson’s patients and anyone looking to recover or improve their overall health. Our physical therapy might not be best for you, but you can still read on to learn the benefits of strength training for Parkinson's patients and how physical therapists incorporate it into their treatment plans. 

 

Are you an Alabama resident and want to find local Parkinson's resources and support? Visit the Parkinson's Association of Alabama for more information. 

 

 

Understanding Parkinson's disease

Parkinson's disease is a neurological disorder that affects movement control. It's characterized by symptoms like tremors, rigidity, slowness of movement (bradykinesia), and impaired balance. These symptoms result from decreased dopamine-producing cells in the brain, impacting communication between the brain and the body.

 

The role of strength training

Strength training, also known as resistance training, involves using resistance (like weights, resistance bands, or body weight) to build and maintain muscle strength. While it may seem counterintuitive to engage in rigorous physical activity for individuals with Parkinson's, when practiced with a professional in a safe environment, strength training has been shown to offer a multitude of benefits.

 

  1. Improved muscle strength: Regular strength training exercises help increase muscle strength and endurance, which can counteract the muscle weakness and loss of muscle mass often seen in patients with Parkinson's.
  2. Enhanced mobility and flexibility: Parkinson's can lead to stiffness and reduced range of motion. Strength training promotes joint flexibility and better movement, making day-to-day activities easier and more comfortable.
  3. Balance and posture: Balance issues are common in Parkinson's patients, leading to an increased risk of falls. Strength training, particularly exercises targeting core muscles, can improve balance and posture, reducing the risk of falls.
  4. Neuroplasticity and brain health: Research suggests that exercise, including strength training, can stimulate neuroplasticity—the brain's ability to reorganize itself by forming new neural connections. This can potentially help the brain adapt to the changes caused by Parkinson's.
  5. Dopamine release and mood enhancement: Regular physical activity, including strength training, can stimulate the release of dopamine, the neurotransmitter deficient in Parkinson's patients, positively impacting mood and overall well-being.

 

Incorporating strength training into physical therapy treatment

Physical therapists are crucial in designing individualized treatment plans for Parkinson's patients. To integrate strength training, they follow a structured approach:

 

  1. Assessment: Physical therapists conduct a thorough evaluation to understand the patient's current physical condition, including their strength, flexibility, balance, and specific movement challenges.
  2. Tailored exercise program: The physical therapist designs a personalized strength training program based on the assessment. This program considers the patient's abilities, limitations, and goals.
  3. Progressive resistance: The exercise program typically starts with low resistance and intensity, gradually increasing as the patient's strength improves. This gradual progression ensures safety and avoids overexertion.
  4. Variety of exercises: Physical therapists use strength training to target different muscle groups. This includes exercises using resistance bands, body weight, and functional movements mimicking daily activities. They also focus on exercises with simple cues, as Parkinson’s patients often execute those tasks better.
  5. Supervision and guidance: Patients perform their strength training exercises under the direction and supervision of the physical therapist, ensuring proper form, technique, and safety.
  6. Monitoring and adjustment: Physical therapists continuously monitor the patient's progress and adjust the exercise program to remain challenging and effective. 

 

Understanding the caregiver's role

Caregivers provide crucial assistance and support to individuals with Parkinson's disease. They often help with daily activities, medication management, and emotional well-being. Their involvement is particularly significant in strength training, as they can facilitate and encourage exercise adherence, monitor progress, and offer emotional support.

 

  1. Education and training: Physical therapists understand that caregivers may not have a background in exercise physiology. As such, they take the time to educate caregivers about the importance of strength training for Parkinson's patients, explaining the specific benefits, safety precautions, and the role of different exercises in the patient's treatment plan.
  2. Demonstrating exercise techniques: Physical therapists can provide hands-on demonstrations to the patient and the caregiver to ensure proper technique and safety during strength training sessions. This empowers caregivers to assist patients with exercises, ensuring they are performed correctly and effectively.
  3. Customized exercise plans: Physical therapists collaborate with caregivers to design exercises that suit the patient's abilities, limitations, and goals. Caregivers can offer insights into patients’ preferences and challenges, allowing for a more personalized approach.
  4. Encouraging adherence: Consistency is key in strength training. Caregivers can help motivate patients to adhere to their exercise routines. Whether setting reminders, offering encouragement, or participating in the exercises themselves, caregivers play a crucial role in maintaining consistency.
  5. Monitoring progress: Caregivers are often in a prime position to observe the patient's progress and any changes in their physical condition. They can communicate these observations to the physical therapist, allowing for timely adjustments to the exercise program as needed.
  6. Emotional support: Living with Parkinson's disease can be emotionally challenging. Caregivers provide emotional support and encouragement, positively impacting the patient’s mindset toward strength training and overall well-being.

 

In Parkinson's treatment, collaboration between physical therapists and caregivers is powerful. By educating caregivers, involving them in exercise demonstrations, and tailoring exercise plans, physical therapists harness the caregiver's influence to enhance strength training outcomes.

 

Strength training is a valuable tool in the treatment arsenal for Parkinson's patients. Improving muscle strength, mobility, balance, and overall well-being offers hope and empowerment to individuals with this condition. Physical therapists are crucial in designing and guiding personalized strength training programs that cater to each patient's unique needs and goals. As we continue to uncover the benefits of strength training and its impact on neuroplasticity, this approach holds promise for enhancing the lives of Parkinson's patients and enabling them to live with greater vitality and confidence. Our team at EW Motion Therapy is committed to helping all our Parkinson’s patients move safely and continue to build strength while pursuing their favorite activities. If you’re curious about what else physical therapy could do for you or your loved one, click the button below to download our answers to 20 frequently asked questions.

 

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