Parkinson and Stroke Rehabilitation

Parkinson and Stroke Rehabilitation treatment in Hebbal, Bangalore

Physical therapy plays a critical part in the parkinson and stroke rehabilitation treatment in Hebbal, Bangalore to help patients stay independent and active for as long as it can be done.

In Parkinson disease, physical therapy helps to,

  • Decrease falls

  • Improve coordination and balance

  • Improve gait

  • Improve posture

  • Increase endurance

  • Increase flexibility

  • Reduce freezing episodes

  • Reduce muscle stiffness

  • Reduce pain

  • Strengthen muscles

Since physical therapy reduces pain and makes motor skills better, it aids with a patient’s regular activities, for example, climbing stairs, rising from a chair, getting into and out of a car.  

With therapy, fatigue, anxiety, and depression can also be removed.  It aids to remove mobility impairing problems, such as joint pain.

It is recommended that evidence-based physical therapy must begin at the earliest.  Exercise will induce neuroplasticity, the ability of the brain to adapt as a response to behavioural changes, and also keeps the cells of the brain healthy. 

Common Goals of the Therapy

Individually tailored exercise routines that are research-based are created to achieve certain common and some specific goals of the patient.

Common goals of Parkinson disease patients are,

  • Empowering persons to independently manage the disease.

  • Reacting to new symptoms by employing physical activity. 

  • Exercising safely.

  • Improving movement, posture, and balance 

  • Addressing the risk of falling

  • Treating pain 

  • Complete daily tasks with less pain

Physical Therapies for Parkinson’s Disease

1. Amplitude Training

This training reduces hypokinesia and bradykinesia. It uses exaggerated movements, like taking high steps and swinging of the arms. With amplitude training muscles remain retained and it prevents slow and small movements.

2. Reciprocal Movements

These are movements done simultaneously in opposite directions, such as walking and swinging arms.   Such movements can be hampered by Parkinson's disease leading to balance issues.

It could be done by using a stationary bicycle or elliptical machine for strengthening of reciprocal patterns. Dancing and practicing tai chi are also used.

3. Balance Training

The body is balanced by the brain by using input from ears, eyes, joints, and muscles. Balance training will prevent falls and improve gait. 

4. Stretching

Stretching improves flexibility and decreases stiffness of the muscles. It aids in performing everyday movements, such as lifting, bending, and walking. 

Joint moving muscles usually tighten due to Parkinson's disease. Stretching routines are, therefore recommended for targeting the following,

  • Calves

  • Chest wall

  • Elbows and shoulders

  • Knees and hamstrings

  • Lower back

  • Neck

  • Palms and wrists

5. Strength Training

Muscle strength is critical for being independent and remaining active. Muscles are strengthened by,

  • Using weight machines

  • Lifting weights

  • Using resistance bands 

Muscles can be made stronger at any stage of deterioration.

Muscles that will need to be strengthened for improved posture, better endurance, and relieving motor symptoms are,

  • Back muscles

  • Buttocks

  • Core muscles

  • Thigh muscles

  • Triceps

5. Dual-Task Practice

Some such activities are counting while walking, walking while bouncing a ball, walking while naming objects. This will help to perform 2 tasks at the same time and improve balance skills.

Consult with a team of specialised doctors at Manipal Hospitals to know more about treatments. 

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