1 / 14

Maintaining and improving mobility

Maintaining and improving mobility. PDS Conference 2006 – New Horizons Bhanu Ramaswamy MCSP 21/09/06. Why is mobility so important?. It provides us a way to maximise physical potential Allows us to remain fit (and possibly healthy) Limits dependence Gives us freedom

madison
Télécharger la présentation

Maintaining and improving mobility

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Maintaining and improving mobility PDS Conference 2006 – New Horizons Bhanu Ramaswamy MCSP 21/09/06

  2. Why is mobility so important? • It provides us a way to maximise physical potential • Allows us to remain fit (and possibly healthy) • Limits dependence • Gives us freedom • Essential for QoL and well-being • Sex and fun! B Ramaswamy; PDS Conference 21.09.06

  3. Ask yourself this – how would you cope if you had your mobility taken away? B Ramaswamy; PDS Conference 21.09.06

  4. The main things that adversely affect mobility in Parkinson’s. • Brady –, hypokinesia and rigidity • Mood • Fatigue • Falls • Co-morbidity or injures • Medication cycle • Responses from other people • Availability of appropriate activities B Ramaswamy; PDS Conference 21.09.06

  5. Result in ……………… • Slowness of movement with loss of amplitude • Decreased joint flexibility • Altered response to balance threats • Decreased confidence to go out an do things • Stigma of other people misunderstanding the effects of PD / staring • Tired or lacking in motivation to initiate or continue activity • Pain B Ramaswamy; PDS Conference 21.09.06

  6. Benefits of exercise • Known physiological, psychological and social benefits • Emerging benefits • PD specific benefits. • Benefits far outweigh the hazards B Ramaswamy; PDS Conference 21.09.06

  7. Components of activity that can improve mobility • Musculo-skeletal strength and power • Flexibility and posture • Balance • Endurance And for people with Parkinson’s, • Relaxation B Ramaswamy; PDS Conference 21.09.06

  8. Tests 2. Flexibility 3. Posture 1. Strength and power 5. Endurance 4. Balance B Ramaswamy; PDS Conference 21.09.06

  9. Perspectives of people with PD about mobility 1. About this talk, what would you like to hear? Clarity of ‘mobility’ as it is a health term 2. What is the Government target for a fit and healthy nation? Poor awareness of 30mins at least 5 x week moderate exercise 3. Do you do this amount? 90% (majority) did not do this amount B Ramaswamy; PDS Conference 21.09.06

  10. Perspectives continued………… 4. Why not? Already active; bored with what is offered; cannot do the ones I once enjoyed; response of others 5. Why? My wife nags me; I like the feeling of being fit; limits my stiffness 6. What things would help you to maintain activity? To find a routine that fits my lifestyle; a like-group; adapted gyms; trained staff; more fun activities and exercise; more sunshine B Ramaswamy; PDS Conference 21.09.06

  11. Perspectives from exercise trainers • We only learn about normal physiology • Our equipment is not appropriate for people in wheelchairs • I didn’t know people with Parkinson’s could walk • I would like to learn, but don’t know how • What if they fall and injure themselves? B Ramaswamy; PDS Conference 21.09.06

  12. Proven benefits of exercise • Increased functional independence • Improves participation and activity in QoL scales and can decrease reports of fatigue • Increases socialisation and feeling of well-being • Can allow medication doses to remain unchanged for a prolonged period • Improvement of step and stride length plus ground clearance (with cueing and compensatory strategies) • Improved safety – or no increase in falls B Ramaswamy; PDS Conference 21.09.06

  13. Take home messages: • All people with Parkinson’s must be provided with the chance to improve, maintain and minimise the rate of deterioration of mobility • To ensure this happens, referral to the appropriately trained person is essential following (acceptance of) diagnosis • We must educate service providers about the condition so that they can best enable people with Parkinson’s to remain mobile for as long as possible B Ramaswamy; PDS Conference 21.09.06

  14. Any questions about mobility and PD? Ask Karen and Fiona at the back! B Ramaswamy; PDS Conference 21.09.06

More Related