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Exercise

Exercise is an important part of healthy living for everyone.

Exercise is an important part of healthy living for everyone. For people with Parkinson’s disease (PD), exercise is more than healthy — it is a vital component to maintaining balance, mobility and activities of daily living. Exercise and physical activity can improve many PD symptoms. These benefits are supported by research.

The Parkinson’s Outcomes Project shows that people with PD who start exercising earlier and a minimum of 2.5 hours a week, experience a slowed decline in quality of life compared to those who start later. Establishing early exercise habits is essential to overall disease management.

 

What type of exercise should I do? 

To help manage the symptoms of PD, be sure your exercise program includes a few key ingredients: 

  • Flexibility (stretching) exercises 
  • Aerobic activity 
  • Resistance training or strengthening exercises 

These elements are included in many types of exercise. Biking, running, Tai chi, yoga, Pilates, dance, weight training, non-contact boxing, qi gong and more — all have positive effects on PD symptoms.

There is no “exercise prescription” that is right for every person with PD. The type of exercise you do depends on your symptoms and challenges. For sedentary people, just getting up and moving is beneficial. More active people can build up to regular, vigorous activity. Many approaches work well to help maintain and improve mobility, flexibility and balance to ease non-motor PD symptoms such as depression or constipation

Researchers in the study did not distinguish between what type of exercise participants did and determined that all types of exercise are beneficial. The most important thing is to do the exercise regularly. We suggest find an exercise you enjoy and stick with it.

Challenges to Exercising

  • People in the early stages of PD tend to be just as strong and physically fit as healthy individuals of the same age.
  • Disease progression can lead to the following physical change:
    • Loss of joint flexibility, which can affect balance.
    • Decreased muscle strength or deconditioning which can affect walking and the ability to stand up from sitting.
    • Decline in cardiovascular conditioning, which affects endurance.

Tips for Getting Started

  • First, be safe. Before starting an exercise program, consult your neurologist and primary care doctor about concerns and recommendations. 
  • Ask your doctor or members in your support group to refer to a physical therapist (PT) who knows about PD. Work together to identify your concerns and limitations. Target exercises to improve them. For most people, a structured exercise program will include aerobic exercise (such as brisk walking) and resistance training (using weights or bands).
  • Purchase a pedometer (step-counter) and figure out how many steps you take on average each day, then build up from there. Many smartphones or smartwatches have a built-in pedometer feature or an application that can be downloaded.
  • Exercise indoors and outdoors. Change your routine to stay interested and motivated.
  • Again, most importantly pick an exercise you enjoy.

Seek out local PD exercise classes. Across the country, dance classes and boxing groups designed specifically for people with PD are growing in popularity. Contact the Parkinson’s Foundation’s toll-free Helpline at 1-800-4PD-INFO (473-4636) or helpline@parkinson.org to find one near you.

Page reviewed by Dr. Bhavana Patel, Movement Disorders Fellow at the University of Florida, a Parkinson’s Foundation Center of Excellence.

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