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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress
CHRONIC DISEASE AND PHYSICAL ACTIVITY


PHYSIOTHERAPY AND PARKINSON

Chalkia Anna, Stratoglou Stelios, Theodoridis Kiriakos, Georgiadou Evdokia
Alexander Technological Education Institute Thessaloniki, Greece

The Parkinson disease is most common on elderly people but lately has been also diagnosed in younger people.  It is very important the family of the patient to have a complete update of the disease in order to provide the best possible leaving for the suffering person. Firstly, a quick diagnose of the symptoms and the way to solve them is critical.  The physiotherapy plays a crucial role here in order the patient to feel more confident for himself.   The motives, the personality, the attitude of the patient
and the therapist have a great perspective on the treatment.  The quicker the response and earlier the treatment the better and more effective the treatment will be.  If the treatment starts on a later stage, the memory of the patient, the cooperation with the therapist and the motives will be insufficient.
Workouts. The workouts and movements are very important on people with Parkinson disease.  By working out the muscles and the joints correctly, we prevent the wrong position of the body and the inflexibility.  In general, exercises aim to: improve walking, correct improper body position, prevention or reduction of the inflexibility and the muscle-joint contraction, better and more comfortable use of the involved parts.
Exercise program can be used by the patient in his house. Exercises vary according to the level of disability.   One of the most valuable exercises is walking.  By keeping the muscle tissue the patient puts less strain on his bone structure and also reduces inflexibility and contractions.
Most people with Parkinson disease are capable to walk around 1.5Km-3Km daily and sometimes even more.  It is important to keep the body on an upright position, the shoulders and head straight and walk slowly with long steps.  People with less flexibility are advised to walk around 270-360 meters once or twice a week. Slippery surfaces such as snow, ice, wet leaves are not recommended.
The physiotherapist will assist and teach the patient to sit properly on an upright position usually on a chair with long back and with the use of a pillow.  The physiotherapist will show how to walk on the heels, how to move correctly from sitting to standing position using your heels and body.  The use of a long mirror will help to practice the correct movements and positions of the body and neck.





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