Scholarship Artifact 1
EXSC 9150
Evidence-Based Portfolio 1
Fall 2024
Moving Forward: The Value of Exercise in Managing Parkinson's Disease
Discover how exercise can significantly improve motor and non-motor symptoms of Parkinson’s disease and the role exercise professionals play in promoting long-term health.
Parkinson’s disease (PD) is a progressive neurodegenerative disease affecting nearly 10 million people globally, with no established cure. Symptoms are controlled mainly through medication cocktails; however, emerging evidence supports the efficacy of exercise in improving the motor and non-motor symptoms of PD. This article reviews the benefits of various exercise modalities, including aerobic fitness, strength training, flexibility, and neuromotor exercises for people with Parkinson’s (PWP). Evidence suggests that regular exercise can enhance motor function while also reducing depression and improving cognitive function. Multimodal approaches that integrate different exercise domains show promise in addressing the complex and evolving symptoms of PD. Additionally, the role of trained exercise professionals in supporting long-term physical and mental well-being for PWP is explored. Exercise professionals are key in creating individualized wellness programs that promote consistent exercise adherence.With the anticipated increase in PD diagnoses, the importance of accessible, well rounded exercise programs is vital to improving health outcomes and quality of life for this population. Keywords: Parkinson’s disease exercise, symptoms of Parkinson’s, exercise professionals
Scholarship Artifact 2
EXSC 9250
Evidence-Based Portfolio II
Spring 2025
Exploring the Impact of Non-Pharmaceutical Therapies on Adults with Parkinson's Disease
Parkinson’s disease is a progressive neurodegenerative disorder that impacts millions globally, with projections indicating a substantial increase in prevalence by 2050. Parkinson's disease is defined by motor impairments, including tremors, rigidity, bradykinesia, and postural instability, as well as non-motor symptoms like autonomic dysfunction, sensory disturbances, and psychological disorders. The symptoms significantly affect health-related quality of life; however, existing healthcare models predominantly focus on pharmaceutical interventions. Medications may alleviate symptoms; however, they do not prevent disease progression, highlighting the necessity for comprehensive non-pharmaceutical interventions. Exercise-based therapies, mindfulness training, and multimodal approaches have shown considerable benefits in improving motor and non-motor symptoms, promoting neuroprotection, and reducing the treatment burden for individuals with Parkinson's disease and their caregivers. However, systemic barriers, such as insufficient referrals and poor integration within healthcare models, restrict access to these beneficial interventions. This literature review analyzes the primary factors influencing health-related quality of life in Parkinson's disease, assesses the impact of non-pharmaceutical therapies, and investigates healthcare frameworks that support their application. Exercise professionals play a crucial role in the management of Parkinson's disease, highlighting the necessity for patient-centered, interdisciplinary care. Addressing these gaps may enhance long-term outcomes and optimize health-related quality of life for individuals with Parkinson’s disease. Keywords: Parkinson’s disease, non-pharmaceutical therapy, quality of life, PD healthcare
Scholarship Artifact 3
EXSC 9500
Evidence-Based Professional Portfolio
III
Summer 2025
Empowering Movement for People with Parkinson's Disease: A Practical Guide for Exercise Professionals
Parkinson’s disease (PD) is a progressive neurological condition that impacts over 10 million people worldwide, resulting in motor and non-motor symptoms that significantly reduce quality of life. Exercise is one of the most effective non-pharmaceutical treatments to manage PD symptoms, as it improves motor function, cognitive health, and overall well-being. Despite clear exercise guidelines from the American College of Sports Medicine and the Parkinson Foundation recommending 150 minutes of activity per week, most people with Parkinson’s (PWP) fall short of this goal due to a variety of barriers, including insufficient referrals from healthcare providers, limited access to trained professionals, and fear of injury. With their specialized knowledge and frequent client contact, exercise professionals can design individualized programs that meet the needs of PWP, promote long-term adherence, and mitigate functional decline. This article discusses the evidence-based benefits of various exercise modalities, including aerobic, strength, balance, flexibility, and dual-task training. It also explores the barriers to exercise and highlights practical strategies for overcoming them. A collaborative, patient-centered care model that integrates exercise professionals as key members of the healthcare team is essential for maximizing the benefits of exercise in PD care. By improving referral systems, enhancing interdisciplinary communication, and expanding access to safe and effective exercise programs, more PWP can engage in regular physical activity. This empowers individuals with Parkinson’s to maintain independence and improve their overall quality of life. The article serves as a resource for exercise professionals looking to make a meaningful impact in the lives of people with Parkinson’s. Keywords: Parkinson’s Disease, exercise professionals, personal trainer, exercise prescription, collaborative care