Parkinson’s Disease and Benefits of Exercise Therapy

Parkinson's Disease

While exercise is an important part of a healthy lifestyle, it’s even more important for people struggling with a degenerative disease like Parkinson’s. The physical effects of this brain disorder can be quite disruptive but studies have shown that incorporating regular exercise into a patient’s routine can help mitigate some of these symptoms, as well as offer a number of other benefits as their disease progresses.

Benefits of exercise for Parkinson’s patients

Incorporating regular exercise into a daily routine can help those with Parkinson’s disease in a number of different ways, both physically and mentally. Although it might be difficult to include physical activity on a daily basis, there is good reason to encourage a short walk, some time on a treadmill or the use of an active passive trainer.

Some of the top benefits of regular exercise for Parkinson’s patients may include:

  • Reduced motor symptoms such as tremors, rigidity, weakness and fatigue
  • Improves balance issues and slowed movement
  • Improves endurance
  • Cognitive function may be maintained or improved
  • Gait problems can be reduced
  • Can maintain or improve cardiac health

Incorporating an active-passive trainer

As long as a patient with Parkinson’s is able to take on physical activity of their own volition it’s ideal for them to participate in some sort of activity daily. However, as the disease progresses it becomes much more difficult for them to maintain any sort of regular activity. At this point, the use of an active-passive trainer can be the preferred solution.

An active passive trainer uses a motor to help offset the muscle strength of the user allowing them to use as much of their strength as they are able to, without pushing so far as to cause injury. With built-in passive and active assist modes the user is able to fully benefit from range of motion exercises, even if their strength only allows for partial movement completion.

Helps perform all basic exercise types

A passive-active trainer incorporates all basic exercise types in one portable and easy to use unit. The sturdy base and multi-mode interface make it simple and safe to use, even without supervision. Four training modes allow the user to work on improving their balance, strength, endurance and flexibility, all important parts of a beneficial exercise routine.

As the disease progresses or when the patient has more bad days, they may find that they struggle with completing the cycling motions. The ability to automatically switch between training modes to offer more or less assistance can help the user to keep up with their exercise, without making them feel like they’re experiencing setbacks.

Consistent training is important

As with many situations that involve physical activity, the results may not be seen immediately. However, maintaining an exercise routine for an extended period of time can result in significant benefits for most Parkinson’s patients. Studies have shown that patients who adopt a routine that includes low intensity stretching, training and resistance exercises for 6 months or more are more apt to improve their gait speed and quality, cardiovascular fitness, muscle strength and motor skills.

Exercise therapy is an essential part of the process

Anytime someone is diagnosed with a life-altering illness or disease, the natural response is to look into ways to help them throughout their process. Luckily, when it comes to Parkinson’s disease, many studies have shown that a low intensity exercise routine can have noticeable benefits for most patients. This knowledge combined with the convenience of an active-passive cycle trainer can help patients and their loved ones make a plan for how to handle their new circumstances.

While it’s always suggested to consult with a doctor before beginning a new exercise routine, many doctors and physical therapists will support the use of an active-passive cycle trainer at home. Built-in safety features and a stable base make the MedUpV2 a top choice for an in-home trainer and the perfect tool for someone going through Parkinson’s disease.

Inpatient Inactivity Delays Recovery – Active-Passive Therapy Helps

Recovering from an inpatient procedure or surgery can be a difficult and strenuous process. The inactivity that is often inherent with a hospital stay just serves to delay and complicate a patient’s recovery, so early mobility is often essential. While movement can be a struggle, especially depending on the procedure or surgery that was performed, making the effort to begin movement as soon as possible and maintain it throughout the stay can help improve outcomes and decrease recovery time. Using active-passive therapy can be a significant help in these situations.

Many negative effects of inactivity

Even in healthy individuals, inactivity can have some significant negative effects. These are often compounded in someone that is recovering from a procedure as an inpatient. Maintaining a level of activity that works inactive muscle groups effectively without pushing the patient too hard can be a balancing act, however a necessary one. Not just reserved for those recovering as an inpatient, there are many negative effects of inactivity.

  • Aerobic fitness has been shown to decline after just a few days of inactivity
  • Muscle loss can begin within a week
  • The body’s circulatory system is hindered, leading to an increased chance of blood clots and deep vein thrombosis (DVT)
  • Longer recovery period
  • Reduced sleep quality
  • Increased feelings of anxiety and helplessness
  • Bone weakening
  • Potential for weight gain
  • Reduced cardiac health

Early mobilization is a key to recovery

When recovering from an inpatient procedure or surgery, early mobilization is often the key to a good recovery process. Having the patient begin movement even within the first 24 hours after completion can reduce the length of the stay, make for a smoother rehabilitation path and lead to better patient outcomes. Once early mobilisation has been achieved, the patient is able to transition to a routine of daily mobility.

Active-passive therapy helps improve recovery

Using an active-passive trainer like the MedUp V2 as early in the recovery process as possible can help reduce the risk of complications while improving patient outcomes and recovery times. An active-passive trainer allows the patient to mobilize their arms and/or legs, even if they don’t have the muscle tone necessary for active mobility, or they are unable to get out of bed.

Cycle therapy greatly improves recovery and increases mobility

An active-passive trainer excels because it promotes improving both mobility and strength, both of which play a significant role in recovery. Using the built-in training modes users are able to customize their training plan for their needs. Whether they are able to operate the cycle completely independently or need significant support, the MedUp V2 will adjust to the needs of the user.

Passive mode: Ideal for those who aren’t able to use any of their own muscle strength, the passive mode is completely controlled by the built-in motor. Used primarily during early rehabilitation, this mode can help inpatients begin to increase range of motion and reduce initial muscle loss.

Assisted mode: As patients improve and the effects of inactivity subside, the assisted mode starts to play a role in recovery. Designed to offer partial assistance to the patient, the motor kicks in when they are unable to complete the movements on their own. This allows them to use what muscles they have built without stressing out their body.

Active mode: Once muscles have improved enough active mode is essential for the rehabilitation process. In this mode movement of the cycle is completely user-driven and resistance can be adjusted as the patient’s strength reaches levels that support more strenuous activity.

Reducing inactivity is essential for inpatient recovery

While recovering from a surgery or procedure, maintaining physical activity can feel like a nearly impossible task. However, inactivity can have many negative consequences for a patient. Using an active-passive trainer can help them to get moving as soon as possible during a hospital stay, without pushing the limits of their capability. This activity can lead to a better recovery and improved results, even if they aren’t able to use the cycle trainer on their own.

Does Passive Ergometer & Cycling Actually Provide Benefits

Physical activity and movement are an important part of a healthy lifestyle, and this fact doesn’t change for those experiencing health issues that might prevent it. When recovering from or maintaining disorders like Multiple Sclerosis, brain or spinal cord injuries, stroke and neurological or neuromuscular disorders like Alzheimer’s, cerebral palsy and Parkinson’s, movement can be key. However, many people who suffer from these ailments will struggle to get enough movement each day. This is where a passive cycle or ergometer comes in!

What is passive cycling?

Using an exercise bike is a common rehabilitation tool for a number of different issues and disorders. However, many patients are experiencing some level of muscle loss so will find themselves unable to perform the cycling movements on their own. In these cases, a passive cycle trainer or ergometer is the perfect option.

A passive cycle trainer is equipped with the ability to do all of the work for the user. If a person’s brain isn’t able to stimulate the necessary muscle contractions required to cycle or their muscles aren’t strong enough to push through the motion, a passive trainer is able to do the work for them. This results in muscles in the legs and arms being stretched and exercised, leading to a number of benefits.

The many benefits that can be realized with ergometer and cycling use are provided by the MedUp V2 Trainer. Health Canada approved, MedupBike.com is the exclusive distributor in Ontario. Available for purchase by institutions or private clients.

Many benefits of passive cycling

If a patient is unable to perform an exercise such as cycling on their own, there are a number of reasons to employ the use of an ergometer or passive cycling machine. Patients will often experience many of the same benefits as if they were doing the work themselves, while working within the confines of what their body is physically capable of. Over time, the patient may improve and find they are relying less on the passive setting and are able to incorporate more active effort.

Some top benefits of using a passive ergometer or cycle trainer include:

Reduced spasticity

Spasticity is an often-debilitating by-product of many physical disorders. Characterized by often painful stiffening and tightening muscle spams, spasticity can be a significant barrier in the day to day lives of those suffering from a variety of health conditions. Using a cycle trainer or ergometer can help stretch and strengthen muscles, even if the user isn’t able to perform the exercise on their own.

Improve blood flow without increasing heart rate

While increasing heart rate can have positive effects on cardiovascular health, putting too much strain on an injured heart can be harmful to some people. For this reason, using an ergometer or cycle trainer in the passive mode can provide the most benefit with the least potential negative effects.

Increase blood flow to legs and arms

The contraction and release of muscles helps force blood flow through the extremities. This can reduce affects like atrophy and the learned habit of not using injured limbs.

Increased range of motion and reduced stiffness

Stretching has been shown to increase range of motion and reduce muscle stiffness, which is also true in those dealing with neurological and muscular disorders.

Helps rebuild muscles

When muscles go unused for a length of time, whether by choice or inability to use them, they become weak very quickly. Rebuilding can take considerable effort and using a passive trainer can help when the body isn’t strong enough to complete the task on its own.

Improves insulin sensitivity

Exercise can help to treat and prevent diabetes by improving the body’s processing of insulin. The motor-driven pedals of a cycle trainer force leg and arm movement which can help moderate the rise of blood sugar after eating.

Built-in features promote safety

Although the idea of a patient using a passive ergometer or cycle trainer on their own might seem unwise, built-in safety features do help make it safe. Built-in spasm recognition software and a solid base that will not move when it is being used help patients to benefit from exercise, even when they are dealing with poor or no muscle control.

Pictured: MedUp V2 Active-Passive Trainer

Rehabilitation & Improving Quality of Life

Incorporating a passive cycle routine into a recovery plan is a great way to build muscle and movement, even when the patient may struggle to do so on their own. Patients of a catastrophic accident or those dealing with a debilitating illness can will gain extraordinary joy and benefit from gaining mobility of their extremities, while improving their overall health. Look for equipment that may help patients gain function and financial support programs offered by government or other support programs.

The Benefits of Ergometer/Cycle Training for Multiple Sclerosis      

For patients dealing with Multiple Sclerosis, incorporating physical activity into their daily maintenance plan can be a daunting task. When any condition causes movement to feel difficult, strained or painful it can be easy to want to avoid it altogether. However, there are significant benefits for Multiple Sclerosis patients to include a level of movement into their days. Using tools like an active/passive cycle trainer and an arm ergometer can be a significant help in this process.  

What is Multiple Sclerosis?

Multiple Sclerosis (MS) is an autoimmune disease that can significantly affect mobility and cause tremors, fatigue and muscle weakness in sufferers. This can lead to problems with spasticity, balance, walking and even cognitive and mental health.

Patients with MS often reduce their physical activity as a by-product of their increasing issues, and a fear of worsening their symptoms. However, inactivity often has the opposite effect. Reducing muscle movement and exercise can actually lead to increased muscle spasms and tightness as well as decreased mobility.

Exercise is beneficial for MS patients

The MedupV2 is an ergometer that provides arm and leg cycle therapy ideally suited for MS patients. Therapy that includes daily use promotes the well being of patients of varying degrees of disability. See more features sand health benefits!

While regular movement starts to get more restricted and difficult as the disease progresses, studies have shown that engaging in daily strength and aerobic activity can help with symptom management, muscle strength, mobility and overall quality of life.

Although the many symptoms associated with MS often leave patients uninterested in exercising daily, side effects of reduced mobility indicate that there is value in maintaining even the smallest amount of activity.

Cycle training is an effective tool

An active passive cycle trainer helps the user to maintain a regular exercise routine, even on days that they might struggle to do so. With various settings, including a fully passive mode, a cycle trainer is the perfect tool for anyone looking to incorporate activity into their days. Able to be used completely unsupervised and in your own home, a cycle trainer like the MedUp V2 eliminates many of the barriers that can get in the way of daily exercise.

Some of the top reasons to incorporate a cycle trainer into a daily routine for MS patients include:

Safe to use unsupervised – With safety features like a sturdy base and the built-in spasm recognition software, even users with balance issues and muscle spasms will be protected, allowing them to use the trainer without someone directly supervising them.

Variety of programs – For MS patients who are still able to perform exercises on their own, the active program can help to maintain muscle strength and mobility, while the assisted or passive mode helps the user to use muscles that they may struggle to use on their own.

Helps improve function and reduce symptoms – Maintaining daily activity with an active/passive cycle trainer can help improve limb function, leading to better walking ability. It can also reduce the muscle spasms and spasticity that can come with the decreased use of muscles.

Improves heart health – Regular aerobic activity like using a cycle trainer or arm ergometer forces the heart muscle to work harder than it would normally, which can result in a reduced risk of heart disease and high blood pressure, both common in patients with MS.

An ergometer is perfect for the upper body

In the same way that a cycle trainer can work a patient’s lower body, an arm ergometer works on the upper body. MS sufferers will experience stiffness and discomfort in all limbs, so spending time on both lower and upper body will offer the most opportunity for maintenance and improvement.

An arm ergometer uses both passive and active support in order to guide the patient through a repetitive cycle motion. This resistance training can help patients improve their heart health, endurance and upper body strength.

Flexibility exercises reduce spasticity

The muscle contractions and tightness that are characteristic of spasticity are often painful and prohibitive, however light movement and stretching can actually help reduce the spasms. A cycle trainer can help implement a low stress stretching routine that can improve flexibility and reduce spasticity over time.

Regular exercise is essential for MS patients

For anyone dealing with Multiple Sclerosis it may feel more natural to listen to their body and reduce the amount of physical activity they take on each day. However, there are many reasons why maintaining some daily movement is beneficial, and patients are likely to notice an improvement in mobility and a reduction in symptoms if they keep up with a routine that includes some exercise.

Best Ways to Support Mobility During Recovery from Stroke              

When recovering from a stroke early mobilization is key in order to stimulate the brain to rebuild the neural pathways involved in movement patterns. Incorporating repetitive movement into the rehabilitation process can help patients to regain function and improve muscle strength and mobility.

Mobilization begins soon after the stroke

MedupV2 Bike is ideally suited for stroke recovery patients. Multiple settings allow the patient to cycle with both arms and legs with variable assist settings. For institutional and home use to prevent muscle atrophy and get on the path to greater mobility!

Rehabilitation should begin as soon as the patients’ condition has stabilized following a stroke, usually within 24 to 48 hours. This fast response helps encourage the brain’s neuroplasticity in rebuilding the pathways that stimulate movement. While it’s not possible to revive brain cells that have died during the lack of blood flow that created the stroke, the brain is resilient and can repair itself to some extent. The rate of recovery will vary significantly from one patient to the next, with some fully recovering and others only regaining minimal movement.

How to regain movement after a stroke

Neuroplasticity helps the brain’s healthy areas take on the tasks that were once controlled by the areas affected by the stroke. This does take time and effort, so following the rehabilitation routine set out by a physical therapist is essential. Repetitive practice is the only way to stimulate neuroplasticity and potentially regain the use of the affected limbs and muscles.

One of the best ways to incorporate a routine of repetitive movements is through the use of an active-passive cycle trainer. This portable tool can be used unsupervised and has a wide variety of features that will help promote stroke recovery and increased mobility for the patient.

Both active and passive exercises are necessary

During stroke recovery patients should be working on both active and passive exercises in their rehabilitation program. Using both methods will help create the most well-rounded recovery process, and offer the biggest chance for improved mobility.

Passive exercises help the patient deal with spasticity and to improve their overall range of motion, and are usually quite easy to complete. These exercises help to stretch and lengthen muscles without straining or exerting them. Examples of passive exercises may include:

Gentle stretching – With assistance or on their own, having a patient lift their arms above their head and move them through their full range of motion can help stretch tight arm muscles. The same can be done with legs, ankles, fingers and wrists.

Flexing fingers and toes – Repeatedly opening hands wide and forming them into a fist can help reduce cramping and tightness in hands while improving range of motion. Rotating and pointing toes can help improve discomfort in their toes, feet and ankles.

Using an arm ergometer on passive setting – An arm ergometer with the ability to provide passive support can help stimulate blood flow, build muscle and improve the effects of spasticity in stroke patients.

On the other hand, active exercises actually force the muscle to do some work, which can improve range of motion, improve muscle strength and help rebuild neural pathways in the brain. Active exercises may include:

Repetitive tasks – Simple tasks light flipping a light switch, turning an object upside down and back upright and squeezing a foam ball can strengthen weak muscles.

Core work – In order to effectively strengthen arms and legs, a patient’s core will need some focus as well. Tasks like laying on their back on the floor and lifting one leg at a time or using their legs to balance and lifting their pelvis can help strengthen their core muscles.

Arm and leg cycling – The active setting on an at-home cycle trainer allows the patient to use their own strength while cycling. If one side is weaker than the other, they can use the symmetrical training settings to help compensate.

A cycle trainer helps stroke recovery

Including a cycle trainer during at home stroke rehabilitation can offer many benefits to the patient and their caregivers. Maintaining a regular, daily exercise routine is the best way to help the brain recover, and to help muscles fight atrophy and spasticity.

An active-passive cycle trainer can support mobility in stroke patients in many ways including:

  • Improves arm and leg function
  • Helps reduce muscle spasms
  • Improves spasticity
  • Help rebuild neural pathways to regain movement and mobility
  • Counteracts the learned habit of not using their weakened limb

Mobility support is essential during stroke recovery

After a significant health event like a stroke, it can be easy for a patient to avoid mobilization and rehabilitation. The effort required to retrain the brain and recover weakened muscles can be significant, and the task can feel daunting. However, the sooner they can incorporate active and passive exercises into their daily routine, the more likely they are to experience increased mobility. Offering these patients support during these new routines is key in helping them to regain independence and mobility in the long run. Including an active/passive cycle trainer into their recovery is a great way to encourage progress and provide support.