Lee Byung-chan, professor of rehabilitation medicine at Chung-Ang University Hospital, releases exercise guidelines for Parkinson’s disease patients
Editor Ik-kyung Jang[대한경제=장익경 기자] Parkinson’s disease is the most common neurodegenerative brain disease after dementia, in which dopamine-secreting nerve cells in specific areas of the brain gradually disappear without knowing the cause. Symptoms include tremors, muscle rigidity, bradykinesia, and balance disorders.
If adequate treatment is not received in time, movement disorders progress and the ability to perform daily activities is significantly reduced, then consistent physical treatment tailored to each individual must be accompanied by drug treatment.
Meanwhile, Professor Byeong-chan Lee of the Department of Rehabilitation Medicine of Chung-Ang University Hospital (Director Jeong-taek Kwon) released the “Self-Exercise Guidelines for Patients with Parkinson’s Disease”.
The recently published “Self-Exercise Guidelines for Parkinson’s Disease Patients” includes self-exercise methods that Parkinson’s disease patients can easily follow at home along with outpatient treatment in the hospital, including “aerobic exercise”, “strength exercise”, “balance and It is presented by dividing it into ‘agility exercise’ and ‘stretching’.
Professor Lee Byeong-chan from the Department of Rehabilitation Medicine at Chung-Ang University Hospital said: “If Parkinson’s disease patients consistently exercise and engage in physical activity, the motor and non-motor symptoms of the disease Parkinson’s disease can be improved, and is known to show a good long-term prognosis for the patient.” “It is best for patients with Parkinson’s disease to improve their ability to walk and strengthen their muscles through stretching, stepping exercises and dynamic balance exercises,” she said.
In fact, according to the Cochrane Review (Cochrane Database Syst Rev. 2023) published in 2023, aerobic exercise, resistance exercise, walking and balance exercise all had significant effects on improving motor function and quality of life in patients with Parkinson’s. announced that there is.
According to the guidelines, “aerobic exercise” for patients with Parkinson’s disease is continuous rhythmic exercise such as brisk walking, jogging, cycling, swimming and aerobics, performed three times a week for more than 30 minutes, continuously or divided into exercises that leave you feeling out of breath. It is introduced that the intensity must be maintained and that supervision by a companion is necessary due to the risk of safety incidents.
‘Strength exercise’ is an exercise to strengthen the main muscles of the limbs using machine exercises, band exercises, light dumbbells and your own body weight. It is performed 2-3 times a week, intermittently for more than 30 minutes, and must be performed repeated 10-15 times per main muscle. Caution is needed because movement may be limited due to stiffness or postural instability.
For “balance and agility exercises”, it is recommended to perform complex exercises such as step exercises, yoga, tai chi, dance and boxing 2-3 days a week or preferably every day. Be alert to safety incidents due to cognitive impairment or balance disorders and engage in stable physical activity as needed, using an object and with the supervision of a companion.
“Stretching” involves deep breathing and dynamic stretching before other exercises. It is recommended to exercise at least 2-3 days a week or every day.
Specifically, the guide divides it into 19 exercise movements and introduces detailed images and exercise methods for 4 types of exercises: stretching, balance and walking exercises, strength exercises and aerobic exercises.
Professor Lee Byeong-chan from the Department of Rehabilitation Medicine of Chung-Ang University Hospital said: “The Department of Rehabilitation Medicine of Chung-Ang University Hospital operates a Parkinson’s disease exercise clinic that provides training on Parkinson’s disease. self-exercise for patients with Parkinson’s disease and, if necessary, links to outpatient treatment. “We want to help improve the effectiveness of patient treatment by creating an exercise guide for patients with the disease,” he said.
He continued: “Drugs are the basic treatment for Parkinson’s patients, but exercise is also an important part of non-pharmacological treatment. Many Parkinson’s patients are unable to exercise appropriately at due to accessibility to hospitals or reduced functionality of patients, so we created an exercise booklet for home use. “Safety is the highest priority in all exercise treatments, so the hospital must evaluate the patient’s physical function and implement the prescribed exercise method. If exercise treatment is stopped, the symptoms often worsen again, so continued rehabilitation treatment is important. ”She advised her.
Reporter Jang Ik-kyung king@psnews.co.kr
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Journalist Jang Ik-kyung
king@psnews.co.kr
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