In this week’s episode we address a listener’s question about retropulsion in people with Parkinson’s. In the show we define retropulsion then provide a plethora of ideas for you to try with your clients to help them restore their ability to move backwards without falling!
Sit to Stand (STS) and Standing Postural Issues:
Biggest issue: inadequate weight shift forward
Factors contributing: “off” medications, low medication with increased bradykinesia, dyskinesia “on” medication
Postural changes are a cornerstone of Parkinson’s Disease (PD)
Perceptual and visual changes, smaller base of support can impact retropulsion
Medication Discussion:
Importance of discussing medications with neurologists
Hard to out-exercise being undermedicated
Treatment Ideas:
Weighted Vest:
Exaggerate feeling by adding more weight behind or in front
Aerobic Exercise:
Intense, engaged, elevated heart rate
Preferable on treadmill, multi-directional movement
STS Treatment:
Provide a target in front
Encourage body awareness
Challenge on different surfaces to augment error
Use Blazepod for external cues and motivation
Resistance Band Exercises:
At the hips, pulling backward
Secure attachment, various directions
Include targets and external cues
Repetition, variety, dual tasks, eyes closed
Reactive Balance Training:
Backward steps in various positions
Posterior activation in quadruped, walking, tall kneeling, prone
Clock Yourself App:
Use front or back half of the clock for different movements
Compensatory Strategies:
Staggered stance, wider stance
Conclusion:
Encourage problem-solving and empowerment
Highlight the importance of repetition, variety, and external cues
Let us know if you have more questions by sending us a DM @neurocollaborative or posting inside the NeuroCollaborative Professionals Facebook group!
