Parkinson's Disease-Specific Exercise Protocols Flashcards

Which of the following best describes the concept of 'forced exercise' in Parkinson's disease rehabilitation?

Answer: Cycling at a rate 30% faster than voluntary cadence, typically via a tandem bike or motorized assistance

Forced exercise in PD refers to externally assisted cycling at a cadence 30% above voluntary rate, which has shown improvements in motor function similar to medication effects.

A PWR! Moves practitioner notices a client compensates for reduced arm swing during walking by leaning the trunk. What is the MOST appropriate intervention?

Answer: Practice PWR!Step with deliberate, exaggerated arm swing while focusing attention on amplitude

PWR!Step with attentional focus on deliberate, exaggerated arm swing directly addresses reduced arm swing by using explicit attention to recalibrate movement amplitude.

Which environmental modification is MOST important to address when prescribing a home exercise program for a person with Parkinson's disease?

Answer: Removing clutter and throw rugs to reduce fall hazards in exercise areas

Removing environmental fall hazards such as clutter and throw rugs is the highest-priority home modification for PD patients, as falls are a leading cause of injury and reduced independence.

What is the key difference between the PWR!Moves approach and traditional neurological rehabilitation for Parkinson's disease?

Answer: PWR! emphasizes high-amplitude, task-specific training targeting PD-specific impairments rather than generic exercise

PWR! Moves is distinguished by its emphasis on high-amplitude, PD-specific task training that directly targets the amplitude-scaling and automaticity deficits unique to Parkinson's disease.

A client with PD reports difficulty with turning while walking and experiences near-falls during this maneuver. Which PWR!-aligned exercise strategy BEST addresses this?

Answer: Practice wide-arc turns with deliberate attention, using visual cues and stepping strategies

Wide-arc turning practice with attentional focus and visual cues addresses the en-bloc turning pattern of PD, reducing near-fall risk through deliberate, explicit motor learning.

In Parkinson's disease, which sensory system most commonly provides effective external cueing for gait improvement when proprioception is impaired?

Answer: Visual and auditory cueing systems

Visual and auditory cueing systems effectively compensate for impaired proprioception in PD by providing external timing and spatial information that bypasses the dysfunctional basal ganglia pathway.

When a PWR! Moves specialist assesses a client's functional mobility, which outcome measure is MOST commonly used to evaluate fall risk and dynamic balance in Parkinson's disease?

Answer: Berg Balance Scale and Timed Up and Go (TUG) test

The Berg Balance Scale and TUG test are the most commonly validated and widely used outcome measures for assessing fall risk and dynamic balance in Parkinson's disease populations.