Essential Practice Guidelines

1. Essential Practice Guidelines High Physical Effort | Forced Use Push beyond self selected effort! High Specificity | PD-Specific PWR!Goals PREPARE Rigidity: Addresses flexibility/posture through active sustained stretch ACTIVATE Bradykinesia:Addresses the type of strength you need to overcome the small/slow movements that interfere with FUNction/balance/gait FLOW Incoordination: Addresses the timing between limbs and trunk and between right/left and the timing of “actions” required for smooth transfers and everyday tasks (walk, stop turn) or sit to walk or getting out of a chair. High Emotional Engagement Integrate your PWR!Moves™ into meaningful FUNction of daily life. Visualization of what you CAN do. Empower with success/reward. High Attentional Focus PREPARE Attention on sustained effort and alignment and end range of motion ACTIVATE Attention on repetitive high effort from finger to toes and PWR!Boosts to drive more activation across motor systems FLOW Attention to transferring that bigger/faster movement to complex sequences that mimic FUNction. Train awareness of normal movement and posture and the effort to sustain attention during complex actions High Cognitive Engagement Progressively challenge complexity by adding PWR!Boosts to divide attention for common multitask situations like movements with breathing, vocalizing, REACHING. All the time requiring maximum range of motion (accuracy) and acceleration, speed of movement.