Page 40 - Senior Link Magazine Summer 2017- Online Magazine
P. 40

Patients



          Get BIG



          and LOUD



          to Battle



          Parkinson's




            by Leslie Cranford


          Covenant outpatient therapy program trains                exercise  approach  with  documented  improved  ratings
          patients to help with disease symptoms.                   on tests of motor functioning, after treatments, in people
                                                                    with  Parkinson’s.  Improvements  include  faster  walking
          Maria Najera smiles with her head held high as she walks   with bigger steps; improved balance, and increased trunk
          confidently across the room, with almost no visible sign of   rotation.  LSVT  BIG  trains  a  single  target  of  amplitude
          the Parkinson’s disease she was diagnosed with three years   (bigger  movements);  drives  intensive  and  high-effort
          ago.                                                      practice; teaches the amount of effort required to produce
                                                                    normal  movements;  translates  bigger  movements  into
          After  a  falling  accident,  Maria  worked  with  Johnny   real-world,  everyday  activities;  and  empowers  people
          Waggoner, an occupational therapist at Covenant Health, to   with Parkinson’s with their potential to improve. LSVT
          help her with walking.                                    BIG also teaches patients how to avoid inactivity and keep
                                                                    their movements alive during every day activities. It helps
          “Johnny taught me how to walk straight, and how to stretch   the patient participate fully and improve quality of life.
          my muscles whenever I did exercise...I really enjoyed coming,
          because he made it fun and easy,” she said. “He really talked   Dr.  Katie  Hendley,  a  Covenant  neurologist,  says  the
          me  through  it,  making  sure  I  was  a  fighter;  not  to  let  the   program  is  the  most  well-studied  physical  therapy
          Parkinson's take me the other way, but for me to fight it.”  program  for  Parkinson’s  disease,  and  she  has  seen
                                                                    firsthand, the impact it has on her patients.
          Waggoner,  who  works  regularly  with  people  with
          Parkinson’s,  sees  every  day  how  his  efforts  help  people   “We  see  fairly  dramatic  changes  in  their  walking;  they
          improve their quality of life – and their families’.      will stand more upright, their balance will be improved.
                                                                    They’ll have better core strength and endurance. They will
          “To know that the person will become more independent,    be able to walk faster. They will fall less, and overall just
          safer and more efficient and be able to overcome obstacles in   have  more  independence
          all of their daily tasks is very exciting, and to know that their   and  mobility,”  Hendley
          function at the end of their time in treatment will far exceed   said. “We use this program
          their  initial  evaluation  status,  it’s  more  than  rewarding,”   throughout  the  spectrum
          Waggoner said.                                            of the disease.”

          To  make  life  easier  and  safer  for  Parkinson’s  patients,   The  ultimate  goals  are
          Covenant  Health’s  outpatient  therapy  uses  the  LSVT  BIG   safety,  strength,  range
          and LOUD programs, which are all about training both the   of  motion  and  balance,”
          voice and the body.                                       Waggoner said.

          The LSVT programs have been developed and scientifically   “Falling is one of the main
          researched  over  the  past  20  years  with  funding  from  the   things  we’re  looking  to
          National Institutes of Health.                            prevent,”  he  said.  “We
                                                                    have  people  who  may
          According  to  its  website,  LSVT  BIG  is  a  research-based   have been falling three to

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