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'Exercise Is Medicine' for People With Parkinson's

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'Exercise Is Medicine' for People With Parkinson's

THURSDAY, Sept 19, 2024 (HealthDay News) — Exercise, whether moderate- or high-intensity, can help ease Parkinson’s symptoms, including fatigue, new research shows.

As study lead author Dr. Philip Millar explained, Parkinson’s patients are too often overwhelmed by shame or depression, so they stop going to the gym or exercising. That’s too bad, Millar said, because “if you stop physical activity, your body adapts and you lose physical function.”

Just how beneficial can exercise be for patients?

To find out, Millar’s team at the University of Guelph, in Ontario, Canada, had three groups of 10 people in various stages of Parkinson’s disease. Each group exercised three times per week at the gym, for a period of 10 weeks.

The male and female participants ranged in age from 45 to 79, and they engaged in one of two modes of exercise training, moderate intensity or high intensity.

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Millar’s team tracked various physiological metrics — the person’s “maximal oxygen consumption,” their level of fatigue or vulnerability to fatigue, gait, balance and motor symptoms.

“Prior work found that high-intensity interval training may improve how far someone with Parkinson’s can walk, but this could be due to becoming more stable or confident in their gait,” said Millar, who is an associate professor of human health and nutritional science at Guelph. “It might have had nothing to do with cardiorespiratory fitness and the impact on motor symptoms was previously never studied.”

His team found that:

  • Exercise training boosted oxygen capacity, with a bigger benefit seen with high- versus moderate-intensity training

  • Motor symptoms were also reduced by about 25%, and the intensity of exercise didn’t seem to matter

  • Fatigue levels also declined over time, regardless of the intensity of the exercise program

  • Gait, balance and blood pressure did not change, regardless of which exercise regimen was used

The findings were published recently in the Journal of Applied Physiology.

According to the authors, the findings suggests that, for the most part, people with Parkinson’s can pick whatever level of exercise they are comfortable with, without fearing that they might be losing out on any benefit.

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The reduction in motor symptoms, especially, “is a very significant amount that can make a meaningful change to someone’s life,” Millar said in a university news release. “We want to help contribute to greater knowledge of the benefits of exercise for those with Parkinson’s so that clinicians, rehabilitation specialists, community supports, partners and family can help advocate for patients to exercise as much as they should.”

In general, he said, “a big push is convincing people of the benefits. Across any disease, when we think of taking medication, we should equally think of exercise as well.”

More information

Find out more about Parkinson’s disease at the Parkinson’s Foundation.

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Working out but not seeing results? A PT confirms whether 30-minute workouts are top-tier for boosting fitness

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Working out but not seeing results? A PT confirms whether 30-minute workouts are top-tier for boosting fitness

While some of you have your healthy lifestyle down to a tee – balanced nutrition, adequate sleep and a finely tuned workout regime incorporating strength, cardio and flexibility training – others struggle to know where to start when it comes to fitness. And with Google searches for “Is 30 minutes of exercise a day enough?” spiking, it seems that many of you aren’t sure about the length of time or number of workouts to aim for weekly.

And to make matters even more confusing, knowing how often you should workout isn’t always as simple as it should be. You see, your progress will depend on a combination of factors which might seem unconnected to exercise but still have an impact. Sleep, for example, has been shown in various studies (like this one, published in the European Journal of Applied Physiology) to affect physical performance, while research also shows a bi-directional relationship between exercise and stress.

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The overlooked key to fitness? Strengthening your joints and tendons

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The overlooked key to fitness? Strengthening your joints and tendons

Isometric exercises, like planks or lunge holds, require holding a position for an extended period. In these positions, your muscles are firing, but you’re also working on the alignment of the joint and working the tendon to hold that position, says Wulke. Ho adds that while ligaments and joints cannot technically be trained directly like tendons, you can support their health by strengthening the surrounding muscles and encouraging proper movement patterns.

Wulke often programs training days with a mix of goals for her athletes: “high” days for muscle and strength development and “low” days focusing on alignment, isometric holds, and mobility. But most people don’t have enough time to dedicate separate days for joint-specific work. Instead, try integrating these movements into your existing strength training sessions. Consider adding a few sets of isometric holds during your warm-up or as a finisher.

(Is cracking your joints bad for you?)

During your workouts, focus on the eccentric phase of your movements. Slow down and maintain control throughout the exercise to help you ensure proper form. You can also use higher reps and lower weight to reduce the risk of overstressing connective tissues.

Last, Hinson recommends incorporating low-impact exercises such as walking, cycling, Pilates, water aquatics, and yoga. “Taking care of and improving the structures that make the joints stronger and more flexible—it really will pay huge dividends in keeping [people] out of my office and away from injury,” he says.

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Avoid doing these gym exercises now! Orthopaedic doctor reveals exercises that do more harm; the answers may shock you

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Avoid doing these gym exercises now! Orthopaedic doctor reveals exercises that do more harm; the answers may shock you

Did you know that some popular exercises that we all do at the gym to stay fit and healthy may be doing more harm than good? Dr Venkatesh Movva, an orthopaedic doctor trained in Sports Medicine, sat down with Ranveer Allahbadia for The Ranveer Podcast, where he talked about the exercise one should avoid at the gym. The answers will surprise you.

Dr Venkatesh Movva, an orthopaedic doctor, in a podcast with Ranveer Allahbadia.

(Also Read | Ranbir Kapoor ‘decides to clap’ in between his pullups. Guess how Alia Bhatt reacted?)

Avoid doing these gym exercises now!

In the clip shared on The Ranveer Show Podcast Instagram page, with the caption, “Dr Venkatesh on Which Exercises you should Avoid in Gym?”, Ranveer asks Dr Movva which exercises he would recommend gymgoers to avoid as an orthopaedic doctor. He suggested three exercises which are quite popular among gymgoers aiming to get fit, lose weight or stay healthy. According to him, one should not do overhead exercises, deadlifts, and crunches.

Dr Movva stated in the clip, “Overhead, heavy [exercise]. I mean, you can go stretch, but no military press, number one. Number two crunches; avoid them. Number three, deadlifts. (sic)” To this, Ranveer replied, “So, I’d replace the military press because it’s for the anterior delts with just front raises.” As an alternative, Dr Movva suggested people to ‘bend down’ during such exercises. “You can go bend down, raise it [weights], rather than overhead (sic),” he said.

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While Ranveer, a fitness enthusiast himself, said that he would replace crunches with planks, Dr Movva suggested ‘planks and bridges’.

Lastly, for why one should avoid deadlifts, an exercise you must have seen many celebrities doing at the gym and fitness influencers pushing their followers to include in their routine, the orthopaedic doctor said, “I see more injuries than benefits with the deadlifts. If you are really well-trained and have a good muscle balance, do it. But if you are trying to get better, that’s one thing you may want to avoid. Because the risk of injury is very high. There are so many other exercises that you can compensate without doing these things.”

Disclaimer: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

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