Exercise is particularly important when living with Parkinson's
because as the condition progresses people tend to move less and muscles
and joints can become stiff and weak as a result. Today there is
emerging evidence (see Research)
that exercise may have a neuroprotective effect, meaning that it can
slow disease progression. It might also help in reducing or delaying
symptoms like rigidity and preventing
secondary complications such as contractures of muscles and joints.
This can make everyday activities, including turning in bed, getting up
from chairs or dressing, easier.
There are also psychological benefits to doing exercise because it
can give people a sense of control over Parkinson’s. Exercising won’t
take Parkinson’s away but it can make people feel better about living
with it and, together with a good medication regime, can enhance quality
of life and help maintain independence. Remember, it is never too late
to start an exercise programme.
Benefits of regular exercise include:
- increased muscle strength
- improved balance
- greater energy and reduced fatigue
- improving the connection between mind and body when moving
- a decrease in speech and swallowing problems
- improved mood/decreased depression
- fewer muscle and joint injuries
- an increased feeling of control
- a sense of accomplishment
- enjoyable social contact
- preventing/reducing gait problems
- preventing/reducing sleep difficulties
- preventing/reducing bone wasting (osteoporosis).
The Nintendo Wii is increasingly popular in the
general population and it seems that people with Parkinson's are finding
it particularly helpful. The term 'Wiihab' is now even being used to
reflect its growing use as a rehabilitation tool.
The Wii combines video games with exercise and has the advantage of
being a very flexible tool - it can be used alone or as a group by
all ages. It can fit in with your routine as it is convenient and easy
to use for as long or little as you
want, whenever you want!
Using a Wii requires hand-eye coordination, visual perception, timing
and sequenced movement. This may sound quite a challenge but data from a study
which involved using the Wii for one hour, three times a week over a
four week period, suggests that there can be significant improvements in
mobility, fine motor skills and energy levels. Results also suggested
improved mood and emotional wellbeing. Researchers believe that this
may be due to increased levels of the neurotransmitter dopamine as a
result of using the Wii to exercise.
