Ramaswamy Bhanu, Johnson Christian
Faculty of Health and Wellbeing, Health and Social Care Research Centre, Sheffield Hallam University, Sheffield, UK.
Stanley, Ilkeston, Derbyshire, UK.
J Patient Exp. 2018 Jun;5(2):127-133. doi: 10.1177/2374373517736759. Epub 2017 Dec 7.
Evidence endorses the benefits of more vigorous exercise for people with Parkinson's, particularly following diagnosis, yet is not clear which style is optimal. The authors share perspectives and decisions made as a physiotherapist (assisted by a sports and exercise science student) and a novice runner with Parkinson's in his late 50s, respectively. The exercise goal chosen by the runner (the case report participant) to minimize the degenerative effects of the progressive condition was to complete a marathon.
This coauthored report evaluates the participant's progress utilizing physical fitness assessment data plus reflections on his training regime and notes from training diaries for the year before and after the marathon.
The participant received nutritional advice for weight management as exercise increased and physiotherapy for injuries from mounting activity level on Parkinsonian muscle tone. Fitness and function improved or were maintained (leg power, flexibility, timed functional walking, and balance). Most, however, returned to baseline within 6 months following the marathon as training intensity dropped.
Physical function can be improved or maintained in individuals with neurodegenerative conditions with correct exercise and nutritional advice. The participant's choice of running was based on recommendations for condition maintenance and not enjoyment, so adherence and completion of the marathon goal required professional, family, and technological support.
有证据支持帕金森病患者进行更剧烈运动的益处，尤其是在确诊后，但尚不清楚哪种运动方式最为理想。作者分别分享了作为物理治疗师（由一名运动与运动科学专业学生协助）以及一名50多岁患有帕金森病的初跑者的观点和所做的决定。这位跑步者（病例报告参与者）选择的运动目标是完成一场马拉松，以尽量减少这种进行性疾病的退化影响。
这份共同撰写的报告利用体能评估数据评估了参与者的进展情况，并结合了他对训练计划的反思以及马拉松前后一年训练日记中的记录。
随着运动量增加，参与者接受了体重管理方面的营养建议，并因帕金森病肌肉张力导致活动水平上升而受伤接受了物理治疗。体能和功能得到改善或维持（腿部力量、灵活性、定时功能性步行和平衡能力）。然而，随着马拉松后训练强度下降，大多数指标在6个月内恢复到了基线水平。
通过正确的运动和营养建议，神经退行性疾病患者的身体功能可以得到改善或维持。参与者选择跑步是基于疾病维持的建议，而非出于乐趣，因此坚持并完成马拉松目标需要专业、家庭和技术支持。
