Live physical therapy session for Parkinson's Disease Symposium

1. Live Physical Therapy Session
UCI Health 2022 Parkinson’s Symposium
Betsaida Cruz-Coble, PT, DPT, NCS | 11/5/22

2. Making it easier to exercise
Role of Dopamine: Motivation, Drive, Reward
Exercise Adherence
Goal Attainment- remember your ‘why’: longevity, travel, family
Back-casting: Defining Your Marginal Decade
Toolkit:
Early morning sunlight x10-30 min, Cold shower x 1-3 min, Avoid bright lights between 10 pm-4 am
Caffeine, music, friend or group
Randomly intermittent reward timing: celebrate your wins, but not every win
Assess progress towards goals
Spotlighting: visually focus on a specific point of your training

3. Parkinson’s Foundation ACSM Recommendations for
Exercise Professionals
• Aerobic activity: 3 days a week for at least 30 minute per session
of continuous or intermittent movement at moderate or vigorous
intensity
• Strength training: 2-3 non-consecutive days per week of at least
30 minutes per session for 10-15 reps for major muscle groups;
resistance, speed, or power focus
• Balance, agility and multitasking: 2-3 days per week with daily
integration if possible
• Stretching: 2-3 days per week with daily stretching being most
effective

4. Actionable Models- PWR! PD Tips for HEP
• Aerobic: Pole walking, Treadmill, Bike, Other
• Vigorous intensities 3x/week, Moderate 2x/wk, Low 1x/wk, 1 rest day
• PWR! Moves incorporated in daily function
• Circuit 3-4x/wk: strength, coordination, balance, agility, PWR! Walk
• Nexus: Multidirectional Stepping, Clock Yourself
• Stress Reduction: breath, mediation, humor, games, creative expression,
other

5. Demonstration: brain games!
Just Dance, free YouTube videos
Clock Yourself
https://www.handeyebody.com/charts
• Jacob Weiss, PhD
• $97

6. Circles- bradykinesia, hand function, dual-task training
Small, medium, large hand motions: Left, right, both hands
Reaches in sitting or standing
Voice

7. Circles

8. Arrows- body awareness, dual-task management, left/right
discrimination
Blue = head
Green = shoulder
Yellow = knee
Left pointing arrow: touch your left side
Right pointing arrow: touch your right side

9. Arrows

10. References
Liu C, Goel P & Kasser PS. Spatial and temporal scales of dopamine transmission. Nat Rev Neurosci 22, 345-358
(2021)
Cooley L. Remember your why: how patient experience leaders remain inspired to take action. J Patient Exp. 2020
Feb; 7(1):3
Holmberg J, Karl-Henrik R. Backcasting- A framework for strategic planning. The Intl J of Sustainable Development
and World Ecology. 7(4):291-308
Barak Y, Leitch S, Glue P. The Great Escape. Centenarians' exceptional health. Aging Clin Exp Res. 2021
Mar;33(3):513-520. doi: 10.1007/s40520-020-01552-w. Epub 2020 Jun 2. PMID: 32488471.
Doolittle BR. The Blue Zones as a Model for Physician Well-Being. Am J Med. 2020 Jun;133(6):653-654. doi:
10.1016/j.amjmed.2019.12.045. Epub 2020 Feb 1. PMID: 32017892.