帕金森症与运动

jacky

P
arkinson’s disease (PD) is one of
the most common neurodegen-erative diseases and presents
numerous functional limitations (12).
The accompanying Special Populations
column includes a discussion of the
epidemiology, symptoms, functional
limitations, and benefits of exercise
associated with PD. The cardinal symp-toms of PD include resting tremor,
rigidity, bradykinesis, and decreased
postural reflexes (10), which can present
many functional limitations such as
abnormal gait patterns, decreased bal-ance, and difficulty performing activities
of daily living (ADLs). Exercise inter-vention has been shown to be an
effective means to improve functional
status (6,7,11). However, the limitations
presented by PD can severely limit
exercise performance and adherence.
Because the major risk factor for PD isage (12), it is also advised that the
exercise professional (EP) thoroughly
examine any potential comorbidities
and obtain medical clearance before
working with persons with PD.
Although exercise intervention is
unable to positively modify the under-lying pathology of PD, many associated
functional limitations can be improved
with regular exercise. An effective
exercise program should consist of
aerobic, resistance, flexibility, and func-tional training. The EP should be aware
of the limitations of PD and appropriate
exercise interventions (17).



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