PWR Exercise Program Design & Progression Flashcards

What modification strategy is appropriate for a client experiencing freezing of gait during PWR!Step exercises?

Answer: Use visual or auditory cues to help initiate and maintain movement

Visual (floor lines) or auditory (rhythmic beat) cueing strategies are evidence-based modifications to help clients with Parkinson's disease overcome freezing of gait.

How should PWR exercises be modified for a client experiencing significant Parkinson's 'off' periods?

Answer: Schedule sessions during predicted 'on' times and reduce intensity during 'off' periods

Scheduling sessions during predicted 'on' times when medications are most effective, and reducing intensity during 'off' periods, optimizes safety and exercise benefit.

Which modification is most appropriate for a client experiencing significant tremor during PWR!Moves?

Answer: Use weighted vests or cuffs to dampen tremor and improve movement quality

Weighted vests or wrist cuffs can help dampen tremor through proprioceptive input and added resistance, improving movement quality during PWR!Moves exercises.

What is the appropriate PWR modification for a client with orthostatic hypotension?

Answer: Use slow, graded position changes and monitor blood pressure

Slow, graded position changes with blood pressure monitoring minimize the risk of falls or syncope associated with orthostatic hypotension in Parkinson's disease.

When modifying PWR exercises for a client with Parkinson's-related cognitive impairment, which strategy is most effective?

Answer: Use simple, consistent verbal and visual cues with task repetition

Simple, consistent verbal and visual cues paired with task repetition support motor learning in clients with Parkinson's-related cognitive impairment.

How should exercise volume be adjusted for a client experiencing significant Parkinson's-related fatigue?

Answer: Reduce session duration and increase frequency to manage fatigue

Shorter, more frequent sessions provide sufficient exercise stimulus while accommodating the significant fatigue that many individuals with Parkinson's disease experience.