Transcript High-speed Low-resistance Power Training in Elderly and Parkinson*s

Kelsie Chasan
Gianni Grasso
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7-10 million diagnosed
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60,000 diagnosed each year
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Majority over 50 years old
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Men more likely
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Nervous system
 Neurons in the brain
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Spinal cord
 Central nervous system
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Substania Nigra
 Where dopamine / acetylcholine are located
 Neurons die off causes less dopamine made
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Dopamine lost / damaged
 Control movements in body
 D2 receptor
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Tremor
Bradykinesia
Small handwriting
Masked face
No arm swim during gait
Small strides
Muscle freezing
Rigidity
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Severe Parkinson's
Progressive Stages
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Slow movement
Decrease of speed
Muscles freeze over time
 Stopping during ADL’s
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Muscle weakness
Slow unconscious movements
 Blinking, facial expressions
 Poker Face
 Can be impossible to swallow
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To do daily activities
To prevent injuries
Examples
 Falling
 Walking
 Running
 Balance
P= F x V
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Deep Brain Stimulation
 Surgical procedure
 Treats tremor and dystonia
 Sends stimulation to brain
 Blocks abnormal nerve cycles
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L-Dopa
 Levodopa
 Pill that replaces lost dopamine
 Loses effect over time
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Carbidopa
 Prevents enzymes from destroying L-Dopa
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Exercise!
High Speed Exercise
5 min warm up/pre test
Wall Push-ups
20 min intermittent cycling
session
Step test
Modified squats
5 min cool down/post test
Calf raises
40 minutes 2 x week for 3 months
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4 minutes
 Gradual intensity
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1 minute
 Rest
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Pretest/Posttest
 Analyze movements
 Heart rate/blood pressure
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10 modified squats
 Hold a bar and have chair underneath
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10 calf raises
10 wall push-ups
30 sec. step-up
CYCLING
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OTHER EXERCISES
Posture
Reciprocal movements
Promote neuroprotective
effects
Reinforce neuronal circuits
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Reduce freezing of muscles
Help maintain muscle mass
Posture
Increase Power!
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Preventing falling
 Balance issues
 Number 1 priority
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Hand grip
 To get accurate heart rate
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Getting on / off bike
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Bradykinesia can eventually make it impossible to swallow?
 True / False
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What are the two neurotransmitters that cause movement in the
body?
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A cool down is essential for people with Parkinson’s.
 True / False
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L-Dopa does NOT lose effect over time.
 True / False
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____ are more likely to have PD?
 Men / Women
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http://www.parkinson.org/parkinson-s-disease/pd-101/10-early-warning-signs-ofparkinson-s-disease
http://www.mayoclinic.org/diseases-conditions/parkinsons-disease/basics/definition/con20028488
http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm
http://www.pdf.org/en/exercise
http://pdcenter.neurology.ucsf.edu/patients-guide/exercise-and-physicaltherapy#Is_there_any_value_in_strength_training_
http://www.kaahe.org/health/en/95-parkinson-s-disease/95-4-parkinson-s-diseasetreatment.html
http://brain.oxfordjournals.org/content/124/11/2131.full
http://www.parkinson.org/parkinson-s-disease/treatment/surgical-treatmentoptions/deep-brain-stimulation
Nadeau, A., Pourcher, E., & Corbeil, P. (2013). Effects of 24 wk Treadmill Training on Gait
Performance in Parkinson's Disease. Clinical Sciences, 645-655.