PD

Question 1

What does FITT stand for?

Answer 1

F= Frequency
I= Intensity
T= Time
T= Type

Question 2

What is the intervention for Aerobic Exercise in Parkinson’s Patients?

Answer 2

Should implement moderate to high intensity aerobic training to improve oxygen consumption (VO2), reduce motor disease severity, and improve functional outcomes.

Question 3

What is the dose for Aerobic Training in Parkinson’s Patients?

Answer 3

F= 3x/week
I= Moderate (60%-75% HRmax) to high (75%-85% HRmax)
T= 30-40 minutes

Question 4

What are some types of Aerobic Training for Parkinson’s Patients?

Answer 4

Treadmill
Walking
Stationary cycling

Question 5

Who should do Aerobic Training?

Answer 5

Most studies done with HY 1-2.
Consider cycling in HY 3-4 for safety due to balance issues.

Question 6

What is the intervention for Resistance training for Parkinson’s Patients?

Answer 6

Should implement resistance training to reduce motor disease severity, and improve strength, power, non-motor symptoms, functional outcomes, and quality of life.

Question 7

What is the dose for Resistance Training in Parkinson’s Patients?

Answer 7

F= 2 non consecutive days per week
I= Strength versus Power
T= 30-60 minutes per session

Question 8

What should you know when dealing with intensity dose for Resistance Training for Parkinson’s Patients?

Answer 8

Progress as tolerated with good form.
Strength: Progress 80% of the repetition maximum (RM) to achieve strength gains
Beginner: 40%-60% of 1RM, or 1 set of 20-30 reps, progress to 2 sets of 15
Experienced: 80% of 1 RM, or 3 sets of 10-20 reps, working to muscle fatigue

Power: working at higher speeds to improve power
Beginner: 20%-30% of 1RM
Experienced: 40% of 1RM

Question 9

What muscles should you do Resistance training on?

Answer 9

All major muscle groups, ESPECIALLY extensors (trunk, glutes).

Question 10

What type of Resistance Training should you do for Parkinson’s Patients?

Answer 10

Weight machines
Body weight
Free weights

Question 11

Who are we performing Resistance Training on?

Answer 11

Resistance Training is appropriate for people with mild-moderate PD (H&Y 1-3).
Consider supervised or adapted programs for those with balance deficits (moderate to severe PD (H&Y 3-4)

Question 12

What is the intervention for Balance Training for Parkinson’s Patients?

Answer 12

Should implement balance training intervention programs to reduce postural control impairments , and improve balance and gait outcomes, mobility, balance confidence, and quality of life.

Question 13

What is the dose for Balance Training for Parkinson’s Patients?

Answer 13

F= 2-3x/week
I= Highly variable bit aim for moderate to high intensity
T= 20-50 minutes

Question 14

What are some types of Balance Training for Parkinson’s Patients?

Answer 14

Highly variable: Treadmill, Biofeedback, Sensors, and Visual feedback.

Question 15

Who patients are appropriate for Balance Training?

Answer 15

Persons with idiopathic PD H&Y stage 1-4 who are ambulatory.
Balance training may be more effective when administered under close supervision of a physical therapist.

Question 16

What is the Intervention for Flexibility Exercises for Parkinson’s Patients?

Answer 16

May implement Flexibility exercises to improve range of motion (ROM).

Question 17

How should to dose Flexibility Exercises for Parkinson’s Patients?

Answer 17

F= Daily
I= ???
T= Warmup or cool down, in the morning, or before bed (habit stacking).

Question 18

What type of Flexibility Exercises should you do for Parkinson’s Patients?

Answer 18

All major muscle groups, but particularly targeting Trunk Rotation.
Consider dynamic stretching before exercise and static stretching after exercise.

Question 19

Who is appropriate for Flexibility Exercises in Parkinson’s Patients?

Answer 19

Given that rigidity is a prominent symptom of PD that can lead to ROM restrictions, physical therapists may including general stretching and flexibility for individuals with PD at all stages of the disease.

Question 20

What is a best practice note when it comes to treating Parkinson’s Patients with Flexibility Exercises?

Answer 20

PTs should not provide whole sessions focused on flexibility exercise.