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Exercise Prescription for Tremor Dominance (Parkinson's)

Tremor Dominance

What is it?

Tremor is often the first motor symptom of Parkinson’s disease (PD). The typical PD tremor occurs mostly at rest (known as resting tremor) and lessens during sleep and when the body part is actively in use. About 70-90% of people with PD experience a tremor at some point in their lives. People with resting tremor usually have a slower disease progression than people without tremor.


Tremor usually start asymmetrically, affecting only one side of the body, especially during early stages of the disease. With disease progression, both sides may become affected. Fatigue, stress, or intense emotions can temporarily make tremors worse. Tremor can also appear in other parts of the body, including the lower lip, jaw, or leg.


Exercise specific for Tremor Dominant?

If you are tremor dominant, you need to focus on forced use, high effort, and high power in your exercise movements. The aim is to work at 80% of your movement capacity to get the best results. The aim of Parkinson’s specific exercises is to help reduce and slow down this symptom progression. Greater intensity in motor output creates greater improvement at the cellular level.


For example using a soft ball and working very hard to throw at the wall creating that enhancement of movement and forced use. Boxing is great exercise when keeping the intensity of the movement and not allowing the punches to get smaller. Other types of exercise are treadmill and bike which force the full movement to occur, it’s not about the cardiovascular output but the rhythmic application of movement.


See Example Video below for Parkinson's Exercise Tremor Dominance



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Post Created By Brooke - Accredited Exercise Physiologist.


Prescribe Exercise are your local exercise physiology specialists. We provide exercise rehabilitation to assist manage and prevent injury and chronic disease in the Wollongong and Illawarra area. Our programs will assist to achieve personal excellence, we do this by taking the time to educate and empower you with the highest quality care and exercise best practice available. We genuinely care for our clients and want to make a difference in your life, we will help you to get better and stay better so that you can regain control of your health once again.

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