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Re: strength training &
Re strength training. There is an awful lot more to managing Parkinsons than strength training. In fact, the old orthopedic paradigm of "if it doesn't work, it must need strengthening" which persists in neurological physiotherapy needs to be rethought. The problem is one of motor control and a key issue is early intervention which deals with a modified general exercise program. This will improve physical functioning while the Parkinsons person is well controlled by medication. Careful monitoring of locomotor function is also essential during this phase. The prevention of falls is likely to be a lot more effective if it is done proactively rather than waiting for deterioration to occur first. The obstacle to all of this seems to be ignorance in the funding industry. A quick burst of strengthening, pretending that the CNS is fine, works for musculoskeletal problems but not for Parkinsons. We need a new way of thinking about physiotherapy delivery as it applies to Parkinsons. George Turnbull, Ph.D, School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada.
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