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6/29/22 Recap & Video

 

June 29, 2022

Click image to view presentation.

An Intermediate Exercise Program for Parkinson’s and 10 Physical Therapy Tips for Increased Mobility

Presented by: Douglas Schrift, Physical Therapist and Owner of ElderGym YouTube Channel

These are the topics the speaker shared with the group.

Physical Therapy

Three ways Parkinson’s gait presents

  1. Freezing of gait:  patients intermittently feel that their feet are “stuck to the floor as if held by magnets” when trying to walk. For some, there is brief trembling of the feet in place, followed by short, small steps, while others experience total immobility and are unable to move at all for a few moments.
  2. Shuffling gait: shuffling gait presents as short steps, narrow-based with flexed knees and stooped posture
  3. Festinating gait: is described as rapid small steps taken in an attempt to keep the center of gravity in between the feet while the trunk is leaning forward involuntarily

Break the Gait Pattern

Center of gravity

Basal ganglia

Types of falls

Timber fall

I’m melting fall

Tips for Mobility

  1. Slow down
  2. Take big steps
  3. Pay attention to feet, especially in doorways
  4. Smooth bottom shoes

Demonstration and Participation of Exercises

Start: quickly up from chair

Big step to start

Freeze

Get on your heels

Slap your legs

Step backwards

Ten Exercises:

  1. Missing
  2. John Travolta
  3. Rug cleaning
  4. Back stroke
  5. Hitch Hike
  6. Irish Dancers
  7. Missing
  8. Russian Cossack
  9. X-country
  10. Bowling

Demonstration of proper usage of a cane for balance, walking, getting in and out of car

No multi-tasking while walking

Advice – Accommodate to the changes

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