Delaying mobility disability in people with parkinson disease using a sensorimotor agility exercise program

Research output: Contribution to journalReview article

86 Scopus citations

Abstract

This article introduces a new framework for therapists to develop an exercise program to delay mobility disability in people with Parkinson disease (PD)- Mobility, or the ability to efficiently navigate and function in a variety of environments, requires balance, agility, and flexibility, all of which are affected by PD. This article summarizes recent research identifying how constraints on mobility specific to PD, such as rigidity, bradykinesia, freezing, poor sensory integration, inflexible program selection, and impaired cognitive processing, limit mobility in people with PD. Based on these constraints, a conceptual framework for exercises to maintain and improve mobility is presented. An example of a constraint-focused agility exercise program, incorporating movement principles from tai chi, kayaking, boxing, lunges, agility training, and Pilâtes exercises, is presented. This new constraint-focused agility exercise program is based on a strong scientific framework and includes progressive levels of sensorimotor, resistance, and coordination challenges that can be customized for each patient while maintaining fidelity. Principles for improving mobility presented here can be incorporated into an ongoing or long-term exercise program for people with PD.

Original languageEnglish (US)
Pages (from-to)384-393
Number of pages10
JournalPhysical therapy
Volume89
Issue number4
DOIs
StatePublished - Apr 2009

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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