Wednesday, October 18, 2017

keep walking

Keep Them Walking!

1) THE PROBLEM: MOVEMENT DISORDER

https://en.wikipedia.org/wiki/Parkinson%27s_disease
long-term degenerative, death of cells in the substantia nigra, a region of the midbrain,

https://www.healthline.com/health/parkinsons/life-expectancy#Overview1
Parkinson's disease is essentially a clinical diagnosis


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2573876/

Cost effectiveness of preventing falls and improving mobility in people with Parkinson disease: protocol for an economic evaluation alongside a clinical trial

One study has estimated that 27% of people with PD will sustain a hip fracture in the first 10 years following diagnosis of PD

Resource use and costs in a Swedish cohort of patients with Parkinson's disease.
The mean total annual cost for PD in our sample approximated SEK 124,000 ( approximately USD 12,400; 2000


http://onlinelibrary.wiley.com/doi/10.1002/mds.25292/full
The current and projected economic burden of Parkinson's disease in the United States

We estimate that approximately 630,000 people in the United States had diagnosed PD in 2010, with diagnosed prevalence likely to double by 2040.

 The national economic burden of PD exceeds $14.4 billion in 2010 (approximately $22,800 per patient). Indirect costs (e.g., reduced employment) are conservatively estimated at $6.3 billion (or close to $10,000 per person with PD). 400 million for mass.

http://www.sciencedirect.com/science/article/pii/S147444220570226X
The Lancet Neurology
Volume 4, Issue 12, December 2005, Pages 815-820
Journal home page for The Lancet Neurology
Fast track — Articles
Prevalence of movement disorders in men and women aged 50–89 years (Bruneck Study cohort): a population-based study
(from 18·5% [15·0–22·0] in 50–59-year olds to 51·3% [44·9–57·7] in 80–89-year olds).


2) PARKINSONS, THAT'S ME

Stages
  1. weakness one side
  2. both sides
  3. difficulty walking
  4. terrible falls
Do dopamine in brain

Drugs will help, for a while

10 years to live, or maybe no effect

What I do?
  • Vegan, no meat
  • Walking, stopped driving, public transportation
  • Boxing 5-6 days
Why boxing?

Ruth saw interview with leslie stahl. Her husband has it.

It's reducing the tremors in my left hand. Less tripping.

Teaching your brain to work faster. Strength training.

Straifing. Always know where my feet are. Demonstration.

Social aspect

3) What I want you to do?

Keep walking
If you know someone with movement issues, take them for a walk.
Walk and talk.
Whole foods shopping, talking, small carts
Encourage people to join an activity.
Social is important.

http://journals.lww.com/neurologynow/Fulltext/2007/03010/WHY_EXERCISE_HELPS_PEOPLE_WITH_MOVEMENT_DISORDERS.17.aspx

Neurology Today
WHY EXERCISE HELPS PEOPLE WITH MOVEMENT DISORDERS
Ivan Bodis-Wollner, M.D., the director of the Parkinson's Disease and Related Disorders Clinic Center of Excellence at the State University of New York at the Downstate Medical Center, believes that dance therapy helps because it works the body as a whole, not as an isolated muscle group. In addition to feeling support from the group and from feeling better from doing exercise—which in itself produces dopamine, Dr. Bodis-Wollner says—there's another benefit as well.

Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity







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