by Carson-DeWitt R
Lifestyle Changes to Manage Parkinson’s Disease
General Guidelines
for Managing Parkinson’s Disease
Living a healthful lifestyle is thought to help control symptoms of
Parkinson’s disease
. Lifestyle changes seem to be particularly helpful in the early stages of Parkinson’s disease and may help you delay the start of medications.
Get Adequate Rest
Try to sleep approximately eight hours per night. Consider taking a nap or two during the day to stay refreshed. Consult your doctor if symptoms (such as
restless leg syndrome
, REM-behaviour disorder, tremor, or difficulty turning in bed at night) are interfering with your ability to sleep.
Eat a Balanced Diet
Consider consulting a dietitian to learn about a
healthful diet
. Eating well can give you more energy and help you manage the symptoms of Parkinson’s disease. Later in the disease, due to swallowing difficulties, changes may have to be made to the type of diet (eg, soft, chopped, thickened liquids). It is important to keep an eye on the weight, especially weight loss. Malnutrition can worsen the symptoms of Parkinson’s Disease.
Exercise
Regularly
An
exercise program
can offer many benefits, such as:
- Increasing strength
- Improving stamina
- Optimizing coordination
- Decreasing rigidity
- Improving flexibility
- Delaying progression of disease
Your doctor can recommend a physical therapist for you to work with. You may also want to try
tai chi
, a type of martial art that is used to promote health. This form of exercise has shown benefits in improving balance in patients with Parkinson's Disease.
If you are fearful of falling, your doctor can give you information about fall prevention. If needed, you can also use a cane or walker for further support.
Participate in a Speech Therapy Program
Speech therapy can be useful in some patients in whom verbal communication is impaired because of an impaired ability to speak loud enough.
Manage Your Stress
Stress is known to worsen the symptoms of Parkinson’s disease. Learning
stress management
can help control your symptoms.
Facing a chronic, progressive disease is very stress provoking. Many people with chronic diseases experience
depression
, which is extremely common in people with Parkinson’s disease. Talk to your doctor about support groups in your area. It can be extremely valuable to share your challenges and triumphs with others who are also coping with the condition.
Modify the Home to Enhance Safety and Access
Many individuals require access to safety equipment that can assist in improving quality of life. Occupational and physical therapists can assist in determining when equipment such as tub rails, raised toilet seats or other home modifications may be useful.
References
Alonso-Frech F, et al. Exercise and physical therapy in early management of Parkinson disease. Neurologist. 2011;17(6 Suppl 1):S47-53.
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.
Updated 2005. Accessed August 22, 2012.
Complementary therapies. Parkinson’s Disease Foundation
website. Available at:
http://www.pdf.org/en/managing%5Fpd
.
Accessed August 22, 2012.
Conn HF, Rakel RE.
Conn’s Current Therapy 2002.
54th ed. Philadelphia, PA: WB Saunders Company; 2002.
Parkinson Disease.
National Institute of Neurological Disorders and Stroke
website. Available at:
http://www.ninds.nih.gov/disorders/parkinsons%5Fdisease/parkinsons%5Fdisease.htm
. Accessed August 22, 2012.
Parkinson's disease. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php
. Updated June 6, 2012. Accessed August 22, 2012.
Managing your PD. Parkinson’s Disease Foundation
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http://www.pdf.org/en/managing%5Fpd
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Accessed August 22, 2012.
Reich SG. Parkinson's Disease. In: Walsh TD, ed. Palliative Medicine, 1st ed. Philadelphia, Pa: WB Saunders; 2008.
Ropper AH, Samuels MA, "Chapter 39. Degenerative Diseases of the Nervous System" (Chapter). Ropper AH, Samuels MA: Adams and Victor's Principles of Neurology, 9e:
http://www.accessmedicine.com.ezp-prod1.hul.harvard.edu/content.aspx?aID=3639002.
2/17/2012 DynaMed's Systematic Literature Surveillance
DynaMed's Systematic Literature Surveillance
: Li F, Harmer P, Fitzgerald K, et al. Tai chi and postural stability in patients with Parkinson's disease.
N Engl J Med.
2012;366(6):511-519.