An Australian treatment approach that uses intensive exercise to -retrain the brain' of people with Parkinson's disease may be able to modify progression of the debilitating disease in up to 80,000 Australian sufferers.
Described as a 'game changer" in how Parkinson's disease is treated, the combination of challenging physical exercise and mental activity has been shown to improve mobility and confidence levels in people with the degenerative movement disorder.
Known as PD Warrior, the Parkinson's disease clinic in Sydney's north is modelled on recent scientific evidence that supports the introduction of specialist rehabilitation exercises from the time of diagnosis.
'Exercise is front line defence for people with Parkinson's disease. The PD Warrior program aims to retrain the brain to allow everyday movements and activities to be performed with greater ease," said Melissa McConaghy, founder of PD Warrior and specialist neurological physiotherapist at Advance Rehab Centre.
'Purposeful movement can combat the loss of motor control seen in Parkinson's disease. Our program combines a high effort, intensive work-out with exaggerated movements and mental stimulation."
Commenting on the first four months of the PD Warrior program, Mrs McConaghy said, 'The initial results have been very impressive. We are now planning a study to assess the effectiveness of PD Warrior on the mobility and quality-of-life of people with Parkinson's disease. We also plan to launch a national training program for other physiotherapists in the New Year."
People outside of Sydney can look forward to the benefits of PD Warrior through accredited regional physiotherapists in the New Year.
'We know that periods of inactivity in people with Parkinson's disease can lead to further and faster deterioration of the brain's function. The right kind of exercise can improve the functioning of brain pathways not already destroyed by the disease," Mrs McConaghy said.
Until recently, management of Parkinson's disease primarily relied on the use of medication and the introduction of movement strategies and falls prevention techniques only in the later stages of the disease when balance and walking became problematic.
'Medication has an important role to play in reducing the symptoms. Specialised exercise techniques combining physical and mental activity can also deliver long-term benefits. I have seen this in many of the patients referred to this program," said Dr Stephen Tisch, neurologist at St Vincent's Hospital.
Parkinson's disease is a progressive neurodegenerative disease which affects the part of the brain responsible for initiating and coordinating movement. Over time symptoms worsen, leading to severe disability caused by tremor and muscle stiffness, slow movement and impaired balance. This can impact on everyday tasks such as walking, talking, swallowing and fine motor skills such as writing and doing up buttons.
Approximately 30 Australians are diagnosed with Parkinson's disease every day. 'For newly diagnosed Parkinson's disease patients, starting treatment early is important for maximum benefit and to maintain physical function. Patients with more advanced disease may also benefit significantly from specialised physical therapy programs." said Dr Tisch.
Cindy Summers, a regular PD Warrior participant, explained that the program can be confronting. 'It is often only when people start the classes that they realise what the disease has robbed them of," she said.
A growing number of people with Parkinson's disease travel across Sydney and as far as the Central Coast to benefit from the unique PD Warrior circuit classes.
'The people that attend the program have varying degrees of symptoms, but one thing they have in common is their determination to improve their quality-of-life," explained Lynn Tullock, co-founder of PD Warrior and neurological physiotherapist at Advance Rehab Centre.
About Parkinson's' Disease:
One in every 350 Australians lives with Parkinson's disease.
Question: What is PD Warrior?
Melissa McConaghy: PD Warrior is the first program in Australia designed as an exercise class which is an intense circuit class using physical and mental activity to drive the brains natural ability to protect itself and create more efficient pathways in the brain. The program contains highly advanced exercises for people with early diagnosed Parkinson's Disease.
Question: How do these exercise techniques help those with Parkinson's disease?
Melissa McConaghy: Typically people with Parkinson's disease, even with really early diagnoses, present with poverty of movement which basically means their movements have become really slow and very small, even in the very early stages. These exercises are designed to get the participants moving more freely with bigger movements in a more normal capacity.
Question: Why did you think it was important to introduce exercise techniques to those newly diagnosed with Parkinson's disease?
Melissa McConaghy: We started seeing a new population of newly diagnosed people and there wasn't anything out there in terms of assessment tools that were sensitive enough to pick up their impairment nor was there any exercise protocol that was really delivering any significant benefit to this population. We saw a real need to create something that would help this population because there wasn't anything out there. A colleague and I both travelled to the States to train in a program over there and that started us on our journey looking at what was possible for this population and it absolutely revolutionised the way that we thought about treatments for people with Parkinson's. The program turned the way we treat people with Parkinson's on its head and completely changed the way we work.
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